1989 Volume 35 Issue 7 Pages 1963-1969
A case of malignant lymphoma which appeared as a buccal mucosal tumor in an incipient symptom in a 56-year-old man is reported.
The patient was referred to our Department of Oral and Maxillofacial Surgery, Shimane Medical University Hospital with a complaint of painless swelling of the right cheek, and CT findings confirmed that it developed from the maxillary sinus. The lesion was histologically diagnosed as malignant lymphoma, diffuse medium-sized cell type according to the Japanese Lymphoma Study Group (JLSG) classification. The immunophenotypic analysis for surface makers indicated that this malignant lymphoma was B-cell type.
The clinical stage of this case was determined as stage IV from bone marrow biopsy and other examinations. He died of the disease 30 months after onset in spite of aggressive radiation therapy and chemotherapy (VEPA).