Plasmablastic lymphoma of the upper gingiva in an HIV-negative elderly patient

Tomohiro Yamada, Naoya Kitamura, Eri Sasabe, Tetsuya Yamamoto

研究成果: ジャーナルへの寄稿記事

1 引用 (Scopus)

抄録

Plasmablastic lymphoma (PBL) is a highly aggressive variant of diffuse large B-cell lymphoma and is usually treated by chemotherapy with cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) or CHOP-like regimens. However, elderly patients tend to have difficulty with the chemotherapy. We successfully treated an HIV-negative elderly PBL patient with surgery alone. An 87-year-old Japanese man was referred to our hospital because of gingival swelling of the left maxilla. After several examinations, a multilobular 3-cm tumor of the left maxilla and lymph node swelling on the left side of the neck were revealed. The patient was HIV negative and human T-cell leukemia virus negative. He was diagnosed with PBL, or undifferentiated carcinoma/sarcoma, and we performed surgical therapy, radical neck dissection, and a partial maxillectomy. The surgical margin of the resected specimen was negative for tumor cells, and 6 of 27 lymph nodes contained tumor cells. Histologically, the tumor consisted of basophilic large cells with deviated nuclei. Together with the immunohistochemical findings, the final diagnosis was PBL. The patient and his family did not agree to chemotherapy. Nineteen months after surgery, he is fine and no signs of recurrence were observed. Surgery-only therapy may be a reasonable alternative for elderly PBL patients.

元の言語英語
ページ(範囲)19-24
ページ数6
ジャーナルOral and Maxillofacial Surgery Cases
1
発行部数2
DOI
出版物ステータス出版済み - 6 1 2015

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Gingiva
HIV
Maxilla
Drug Therapy
Neoplasms
Lymph Nodes
Deltaretrovirus
Neck Dissection
Lymphoma, Large B-Cell, Diffuse
Vincristine
Prednisone
Sarcoma
Doxorubicin
Cyclophosphamide
Neck
Plasmablastic Lymphoma
Carcinoma
Recurrence
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

これを引用

Plasmablastic lymphoma of the upper gingiva in an HIV-negative elderly patient. / Yamada, Tomohiro; Kitamura, Naoya; Sasabe, Eri; Yamamoto, Tetsuya.

:: Oral and Maxillofacial Surgery Cases, 巻 1, 番号 2, 01.06.2015, p. 19-24.

研究成果: ジャーナルへの寄稿記事

Yamada, Tomohiro ; Kitamura, Naoya ; Sasabe, Eri ; Yamamoto, Tetsuya. / Plasmablastic lymphoma of the upper gingiva in an HIV-negative elderly patient. :: Oral and Maxillofacial Surgery Cases. 2015 ; 巻 1, 番号 2. pp. 19-24.
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