日本口腔外科学会雑誌
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
下顎骨および歯肉に進展した多発性骨髄腫の1例
斉藤 美香依田 知久佐々木 貴子平野 浩彦山口 雅庸大鶴 洋
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キーワード: 多発性骨髄腫, 下顎骨, 歯肉
ジャーナル フリー

2002 年 48 巻 7 号 p. 355-358

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We report a case of multiple myeloma involving the mandible and gingiva. A 71-year-old manvisited our hospital on June 9, 1999 because of gingival swelling and continuous bleeding from the leftmandibular molar. Clinical examination revealed a soft, smooth, partially erosive mass in the lingualgingiva of the mandible. Slight, but continuous bleeding was observed in the erosive area. The patient appearedto have multiple myeloma of the mandible. On August 20, he had pain during biting, tooth mobility, gingival bleeding from the left mandibular molar, and hypoesthesia of the lower lip. On August 31, thepatient's swollen gingiva was resected, and the first and second molars were extracted from the left sideof the mandible. Histologic examination was also performed. No post-extraction hemorrhage occurred.For almost 4 months after extraction, the patient showed no evidence of oral multiple myeloma, but diedon December 26.

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