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CASE REPORT
Extranodal diffuse large B cell lymphoma of maxillary sinus presenting as a palatal ulcer
  1. Mahija Janardhanan1,
  2. Rakesh Suresh1,
  3. Vindhya Savithri1 and
  4. Ravi Veeraraghavan2
  1. 1 Department of Oral Pathology and Microbiology, Amrita School of Dentistry,AIMS Campus,Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
  2. 2 Department of Oral Surgery, Amrita School of Dentistry, AIMS Campus, Amrita Vishwa Vidyapeetham, Kochi, Kerala, India
  1. Correspondence to Professor Mahija Janardhanan, mahijaj{at}yahoo.co.in, mahijaj{at}aims.amrita.edu

Abstract

A multitude of disease processes ranging from periodontitis to malignancies can lead to formation of solitary ulcer on the palate. Hence solitary ulcers of palate can often be a challenging one to diagnose. We report an interesting case of a diffuse large B cell lymphoma of the maxillary sinus which perforated the palatal bone and presented clinically as a palatal ulcer. Initially the lesion manifested as a small ill-defined swelling in the posterior palatal slope in relation to 24and25 which were mobile and hence was erroneously diagnosed as chronic periodontal abscess. This paper is intended to stress the relevance of including non-Hodgkin’s lymphoma in the differential diagnosis of solitary palatal ulcers as it may be often misdiagnosed as more common reactive or inflammatory lesions.

  • oncology
  • dentistry and oral medicine
  • ear, nose and throat
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Footnotes

  • Contributors MJ: concepts, definition of intellectual content, literature search, case diagnosis, manuscript preparation, editing and review, guarantor. RS: definition of intellectual content, literature search, manuscript preparation, editing and review. VS: definition of intellectual content, literature search, manuscript preparation, editing and review. RV: Definition of intellectual content, literature search, manuscript preparation, editing and review.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed

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