Diffuse large B-cell lymphoma, not otherwise specified of the palate: a case report
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Souto, Giovanna Ribeiro; Pereira, Thaís dos Santos Fontes; Castro, Alexandre Fonseca de; Mesquita, Ricardo Alves
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Aquest document és un/a article, creat/da en: 2013
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Diffuse large B-cell lymphoma (DLBCL) is the most frequent type of non-Hodgkin´s lymphoma found in oral and
maxillofacial regions. A large number of cases may be biologically heterogeneous, which are commonly defined as
DLBCL, not otherwise specified (NOS) by the World Health Organization (WHO-2008). The present case reports
on an ulcer of raised and irregular edges, found on the border between the hard and soft palate, as the first and only
manifestation of an extranodal non-Hodgkin lymphoma in an 85-year-old patient. Incisional biopsy was carried
out, and the specimen revealed a proliferation of large lymphoid cells suggestive of diffuse large cell lymphoma. An
immunohistochemical analysis was performed. EBV-RNA was assessed by in situ hybridization that also proved
to be negative. Immunohistochemical and EBV analyses are important to avoid delays and inappropriate treatment
strategies. Although advanced age is considered an adverse prognostic factor, early diagnosis did prove to be a key
contributory factor in the cure of non-Hodgkin lymphoma.
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