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Article: Volume 43 Number 9 Page 844 - November 2016

  Dent Update 2016; 43: 844-848  Read article

Oral surgery:  Primary Extranodal Non-Hodgkin Lymphoma in the Infra-Orbital Region – A Diagnostic Challenge

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Abstract: Lymphomas within the head and neck region (HNR) are relatively uncommon; however, they can mimic common odontogenic conditions leading to diagnostic delays and subsequently the implementation of treatment. We report a case of a chronic infra-orbital swelling which, following excision, was diagnosed as an extranodal low grade Non-Hodgkin lymphoma. This paper explains the mode of presentation of extranodal lymphomas in the HNR, so that dental practitioners may consider it as a potential diagnosis when presented with a lump in the HNR.

Clinical relevance: Extranodal lymphomas presenting within the head and neck region can have a multitude of clinical presentations, which may often resemble odontogenic conditions. This can cause confusion, resulting in diagnostic delays and treatment. This case highlights the importance of being aware of the features of extranodal lymphoma in the head and neck region, and the diagnostic challenges that may be encountered.

Author notes: Naren Thanabalan, BDS, BSc, MJDF, GDP and Specialty Dentist in Oral Surgery (naren.thanabalan3@gmail.com), Vinod Patel, BDS(Hons), MFDS RCS(Ed), Specialist in Oral Surgery, Chris Sproat, Consultant Oral Surgeon, Oral Surgery Department, Floor 23, Guy’s Dental Hospital, London Bridge, London and Mark McGurk, MD, BDS, FRCS, FDS RCS, DLO, Professor/Consultant Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Atrium 3, 3rd Floor, Bermondsey Wing, Guy’s Hospital, London, SE1 9RT, UK.

Objective: To increase awareness of the clinical presentation of extranodal lymphomas within the head and neck region.

Belmont