1
|
Farzanehpour M, Fard AM, Ghaleh HE. A brief overview of the Epstein Barr virus and its association with Burkitt's lymphoma. ROMANIAN JOURNAL OF MILITARY MEDICINE 2022. [DOI: 10.55453/rjmm.2022.125.3.4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/23/2023]
Abstract
Epstein Barr virus (EBV) is known as an oncovirus and associates with several human malignancies such as Burkitt's lymphoma, other non-Hodgkin lymphomas, nasopharyngeal carcinoma, Hodgkin's disease, gastric adenocarcinoma, etc. in Burkitt's lymphoma, and the key event is the translocation of MYC gene, that increase of cell survival and aberrant expression of MYC gene. The biology of EBV and its function in the development of Burkitt's lymphoma are discussed in this review
Collapse
|
2
|
Effect of Meloxicam on the Proliferation and Apoptosis of the Raji Cell Line: an In Vitro Study. Int J Dent 2022; 2022:9579326. [PMID: 35847347 PMCID: PMC9279093 DOI: 10.1155/2022/9579326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 06/25/2022] [Indexed: 11/23/2022] Open
Abstract
Meloxicam, a nonsteroidal anti-inflammatory drug, inhibits the production of PGE2 by blocking Cox-2 activity. Specific inhibition of Cox-2 can be useful in cancer therapy by apoptosis stimulation. The objective of the research was to study the effect of meloxicam on the proliferation and apoptosis of Raji cell lines. Burkitt lymphoma (BL) cells (Raji ATCC CCL-86) were treated with various concentrations of meloxicam for 24 hours. The proliferation of the cells was evaluated by using an MTT assay. Cell apoptosis was assessed using flow cytometry, and SEM was performed to observe the morphological changes of the cells. Results showed that meloxicam affected Raji cell proliferation as well as cell apoptosis. The percentage of viable cells was decreased significantly after being treated with meloxicam (p < 0.05). Apoptotic cell percentage was higher in the groups treated with meloxicam compared to the control group (p < 0.05). SEM showed morphological changes in the Raji cells after treatment with meloxicam, showing apoptotic characteristics. These findings suggest that meloxicam has anticancer properties by inhibiting Raji cell proliferation and inducing Raji cell apoptosis in vitro. A combination of meloxicam with chemotherapy agents may improve the outcome of BL treatment.
Collapse
|
3
|
Kulczyk T, Daktera-Micker A, Biedziak B, Wziątek A, Bednarek-Rajewska K. The Primary Outbreaks of Burkitt Lymphoma in the Oral Cavity. A Report of Two Cases, Review of the Literature and Dental Implications. Diagnostics (Basel) 2021; 11:diagnostics11122358. [PMID: 34943595 PMCID: PMC8700466 DOI: 10.3390/diagnostics11122358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2021] [Revised: 12/05/2021] [Accepted: 12/07/2021] [Indexed: 11/16/2022] Open
Abstract
Two cases of Sporadic Burkitt’s lymphoma in children aged 11 and 8 years with primary symptoms in the oral cavity are reported. The first symptoms of the disease appeared in the oral cavity and were initially misdiagnosed as an inflammatory condition in one case and incidental findings not associated with the primary reason for visiting the dentist’s office in the second case. Biopsies of the lesions revealed the actual cause of the observed changes and contributed to the prompt initiation of polychemotherapy treatment. A review of current literature presents the known symptoms of Burkitt’s Lymphoma in the oral cavity and the available diagnostic methods. The role of the primary care physicians—the pedodontist and paediatrician—in the diagnostic and therapeutic process is discussed.
Collapse
Affiliation(s)
- Tomasz Kulczyk
- Department of Diagnostics, Poznan University of Medical Sciences, Bukowska 70, 60-812 Poznan, Poland
- Correspondence: ; Tel.: +48-8547300
| | - Agata Daktera-Micker
- Department of Craniofacial Anomalies, Poznan University of Medical Sciences, 60-812 Poznan, Poland; (A.D.-M.); (B.B.)
| | - Barbara Biedziak
- Department of Craniofacial Anomalies, Poznan University of Medical Sciences, 60-812 Poznan, Poland; (A.D.-M.); (B.B.)
| | - Agnieszka Wziątek
- Department of Pediatric Oncology and Transplantology, Poznan University of Medical Sciences, 60-812 Poznan, Poland;
| | | |
Collapse
|
4
|
Parker WD, Jones K. Burkitt's lymphoma: an unexpected cause of dental pain. J Surg Case Rep 2021; 2021:rjaa557. [PMID: 33613961 PMCID: PMC7884023 DOI: 10.1093/jscr/rjaa557] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Revised: 10/30/2020] [Accepted: 12/14/2020] [Indexed: 11/25/2022] Open
Abstract
We would like to describe a case of Burkitt’s lymphoma in a 37-year-old lady, who initially presented to her General Dental Practitioner (GDP) complaining of pain and episodic numbness in the right lip and chin. The initial diagnosis was irreversible pulpitis of the lower right second molar (LR7) and despite having an extraction of the affected tooth her problems persisted. The patient also developed pain in the spine and limbs, accompanied by lethargy and weakness. After seeing multiple different practitioners, she was referred to her local Oral and Maxillofacial Surgery department. Cross-sectional imaging was requested and demonstrated disseminated malignancy. Histology following open trans-oral biopsy revealed a diagnosis of Burkitt’s lymphoma prompting an urgent haematology referral, and she successfully completed a chemotherapy regimen. This case highlights the importance of a thorough diagnostic process in the presence of persistent and/or atypical symptoms.
Collapse
Affiliation(s)
| | - Keith Jones
- Head and Neck Unit, Royal Derby Hospital, Derby, UK
| |
Collapse
|
5
|
Maier S, Bălaşa R, Bajko Z, Simu I, Horvath E. Complete progressive ophthalmoplegia and numb chin syndrome, the first clinical manifestations of a lethal abdominal Burkitt lymphoma. Neurol Neurochir Pol 2017; 51:510-513. [PMID: 28890232 DOI: 10.1016/j.pjnns.2017.08.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2017] [Revised: 08/04/2017] [Accepted: 08/08/2017] [Indexed: 10/19/2022]
Abstract
A 57-year-old patient was admitted to the Neurology Clinic for hypoesthesia, intense pain in the right chin and double vision. During the hospitalization, the patient developed progressive complete bilateral ophthalmoplegia and numbness of both sides of the chin. Brain CT and MRI scans with gadolinium were normal. Standard laboratory tests on admission were normal. The cerebral spinal fluid examination and the infectious and autoimmune workup were also normal. A thoracic-abdominal and pelvic CT scan revealed two hypodense lesions in the liver, irregular thickening of the gastric and ileal wall, and multiple abdominal adenopathies. Meanwhile, the patient developed marked fatigue, fever, sweats, nausea, vomiting and abdominal pain. An exploratory laparotomy was performed that showed multiple tumours of the small intestinal wall, stomach wall, multiple liver masses in both lobes and appendicular tumour. Histopathological findings of the liver biopsy and appendicular walls revealed Burkitt lymphoma. The patient died two days after surgery by cardiopulmonary arrest. This case underscores the importance of keeping BL in the differential diagnosis of patients with rapidly progressive ophthalmoplegia and numb chin syndrome, with normal brain MRI and CSF examinations.
Collapse
Affiliation(s)
- Smaranda Maier
- University of Medicine and Pharmacy Targu Mures, Department of Neurology, Romania
| | - Rodica Bălaşa
- University of Medicine and Pharmacy Targu Mures, Department of Neurology, Romania.
| | - Zoltan Bajko
- University of Medicine and Pharmacy Targu Mures, Department of Neurology, Romania
| | - Iunius Simu
- University of Medicine and Pharmacy Targu Mures, Department of Radiology, Romania
| | - Emoke Horvath
- University of Medicine and Pharmacy Targu Mures, Department of Pathology, Romania
| |
Collapse
|
6
|
Draz A, Elias W, El-Sissi A, Liu ML. Pediatric unilateral facial swelling. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 123:519-523. [PMID: 27515431 DOI: 10.1016/j.oooo.2016.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2015] [Revised: 04/26/2016] [Accepted: 05/05/2016] [Indexed: 10/21/2022]
Affiliation(s)
- Awatef Draz
- Professor of Oral and Maxillofacial Pathology, Department of Basic Oral and Diagnostic Sciences, Faculty of Dentistry, King AbdulAziz University, Jeddah, Kingdom of Saudi Arabia.
| | - Wael Elias
- Assistant Professor and Chairman of Oral and Diagnostic Sciences Department, Department of Basic Oral and Diagnostic Sciences, Faculty of Dentistry, King AbdulAziz University, Jeddah, Kingdom of Saudi Arabia
| | - Azza El-Sissi
- Professor of Oral and Maxillofacial Pathology, Department of Basic Oral and Diagnostic Sciences, Faculty of Dentistry, King AbdulAziz University, Jeddah, Kingdom of Saudi Arabia
| | - Min-Ling Liu
- Associate Professor of Pathology, Pathology and Laboratory Service, Veterans Affairs Medical Center, and George Washington University, Washington, DC, USA
| |
Collapse
|
7
|
Abstract
"Numb chin syndrome" (NCS) refers to new-onset numbness of the lower lip and chin within the distribution of the mental or inferior alveolar nerves. While this focal numbness may be downplayed or even overlooked by patients and clinicians, in the right clinical scenario this may be the presenting symptom of an underlying malignancy. In the absence of any obvious, temporally related dental cause, there are certain conditions that clinicians should consider including orofacial and systemic malignancies as well as several inflammatory disorders. Thorough diagnostic evaluation should always be performed when no clear cause is evident. This paper will discuss the differential, recommended evaluations, and the prognosis, for a patient presenting with NCS.
Collapse
Affiliation(s)
- Ryan M Smith
- Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55901, USA
| | | | | |
Collapse
|
8
|
Otsuka M, Nagata M, Suzuki M, Nannya Y, Ota S, Tanimoto T, Kume H, Kurokawa M, Homma Y. Primary Retroperitoneal Tumor with Unexpected Gingival Involvement. Intern Med 2015; 54:1787-90. [PMID: 26179537 DOI: 10.2169/internalmedicine.54.3839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Retroperitoneal tumors present diagnostic challenges, although a definitive diagnosis can be established based on a histopathological analysis. We herein report the case of a 62-year-old woman with a massive retroperitoneal tumor who was referred to our department for surgery. Although we initially planned to perform an incisional biopsy, we unexpectedly detected gingival swelling, and a gingival biopsy subsequently confirmed a pathological diagnosis of Burkitt's lymphoma (BL). We successfully avoided the use of more invasive diagnostic procedures and were able to promptly initiate chemotherapy. Obtaining an immediate pathological diagnosis is essential for providing successful treatment in such cases, as the disease is potentially curable with chemotherapy. BL should therefore be considered in the differential diagnosis of massive retroperitoneal tumors, highlighting the importance of routine systemic screening.
Collapse
Affiliation(s)
- Masafumi Otsuka
- Department of Urology, The University of Tokyo Hospital, Japan
| | | | | | | | | | | | | | | | | |
Collapse
|
9
|
Malignant Diseases. Oral Radiol 2014. [DOI: 10.1016/b978-0-323-09633-1.00024-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
10
|
O'Neill J, Finlay K, Jurriaans E, Friedman L. Radiological manifestations of skeletal lymphoma. Curr Probl Diagn Radiol 2009; 38:228-36. [PMID: 19632500 DOI: 10.1067/j.cpradiol.2008.07.001] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Lymphoreticular neoplasms primarily arise in extraskeletal locations with skeletal involvement usually secondary to hematogenous spread or by direct invasion from surrounding involved lymph nodes or soft tissues. Primary lymphoma of bone is relatively rare in comparison. Lymphoma encompasses Hodgkin's and non-Hodgkin's disease, Burkitt's lymphoma, and mycosis fungoides. Skeletal disease may present with symptoms localized to the site of bone involvement, as an incidental finding on imaging for other reasons, or as part of the staging of the disease. It is important that the radiologist is cognizant of the many presentations of skeletal lymphoma. We present a review of the radiological imaging of skeletal lymphoma with conventional radiographs, computed tomography, scintigraphic studies, and magnetic resonance imaging.
Collapse
Affiliation(s)
- John O'Neill
- Department of Radiology, St. Josephs Healthcare Hamilton, Ontario, Canada.
| | | | | | | |
Collapse
|
11
|
Abstract
Burkitt's lymphoma is a rapidly fatal tumor if untreated, but it is curable with intensive polychemotherapy. Unfortunately, the toxicities reported for its treatment in adults are poorly tolerated. Novel therapies aimed at specific molecular targets might prove to be less toxic. A better knowledge of the mechanisms involved in the pathogenesis of Burkitt's lymphoma would facilitate the identification of such targets. This review explores the current knowledge on the alterations found in the three main Burkitt's lymphoma variants.
Collapse
Affiliation(s)
- M R Campanero
- Departamento de Biología del Cáncer, Consejo Superior de Investigaciones Científicas, Universidad Autónoma de Madrid, Madrid, Spain.
| |
Collapse
|
12
|
Abstract
Burkitt lymphoma (BL) is an aggressive B-cell malignancy with endemic, sporadic and immunodeficiency-associated variants. It has been known for many years that the fundamental transforming event in BL is the translocation of the MYC gene, and the events that bring about this translocation and those that allow cells to survive with the constitutive expression of MYC have been the subject of intense investigation. Epstein-Barr virus (EBV) infection, malaria, immunodeficiency and spontaneous, somatic mutation can all contribute to the origin and maintenance of this cancer and their mechanisms are the subject of this review.
Collapse
Affiliation(s)
- G Brady
- Department of Virology, Faculty of Medicine, Imperial College, London, UK
| | | | | |
Collapse
|
13
|
Otmani N, Khattab M. Oral Burkitt's lymphoma in children: the Moroccan experience. Int J Oral Maxillofac Surg 2007; 37:36-40. [PMID: 17822883 DOI: 10.1016/j.ijom.2007.06.010] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2007] [Accepted: 06/08/2007] [Indexed: 11/29/2022]
Abstract
Thirty-seven children with Burkitt's lymphoma of the oral region diagnosed between 1998 and 2005 were reviewed. There were 31 boys and 6 girls. The mean age at diagnosis was 6.64 years (range 2-15 years) with a mean delay to diagnosis of 41 days (range 10 days-2 months). There was a predominance of maxillary over mandibular involvement: 1.44:1. Complaints included exophytic mass with dental displacement (100%), abdominal pain (68%), nerve palsy (28%) and orbital swelling (21%). Toothache as initial complaint led to dental extraction in 12 cases. According to the Murphy classification, there were 4 stage II, 11 stage III and 22 stage IV tumours; 43% and 41% had bone marrow and central nervous system involvement, respectively. After chemotherapy, complete remission was seen in 59% of cases. Remission in two children was relatively brief, lasting no more than 3 months. After a median follow-up of 45 months (range 9-99 months), the disease-free survival rate was 54%. In conclusion, in this series, oral presentation of Burkitt's lymphoma was a component of more widely disseminated disease. The pattern seemed to fall between that of the endemic and the sporadic types. Even with intensive chemotherapy, patients with advanced disease maintained a poor prognosis.
Collapse
Affiliation(s)
- N Otmani
- Department of Pediatric Hemato-Oncology, Children's Hospital of Rabat, Morocco.
| | | |
Collapse
|
14
|
Durmuş E, Oz G, Güler N, Avunduk M, Calişkan U, Blanchaert RH. Intraosseous mandibular lesion. J Oral Maxillofac Surg 2003; 61:246-9. [PMID: 12619005 DOI: 10.1053/joms.2003.50031] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Affiliation(s)
- Ercan Durmuş
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, University of Selçuk, Konya, Türkiye.
| | | | | | | | | | | |
Collapse
|
15
|
Theodorou DJ, Theodorou SJ, Sartoris DJ. Primary non-odontogenic tumors of the jawbones: an overview of essential radiographic findings. Clin Imaging 2003; 27:59-70. [PMID: 12504325 DOI: 10.1016/s0899-7071(02)00518-1] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
The jawbones, namely the maxilla and mandible, can be the sites of a multitude of neoplastic conditions. Given the variety of processes affecting this particular anatomic area, formulation of a precise diagnosis often can be challenging to the radiologist and the clinician, who may not be familiar with the imaging findings fundamental to diagnosis. Although advanced imaging methods have been developed, routine radiography remains the mainstay in the initial assessment of osseous lesions involving the jawbones. We review and summarize the imaging appearances of non-odontogenic tumors of the jawbones and illustrate example cases of these uncommon neoplasms of bone. Detailed patient history, physical examination, laboratory evaluation and histopathologic analysis are of paramount importance in diagnostic approach and, in most cases, are to be considered in the imaging evaluation of a given lesion. Correct interpretation of the imaging features of lesions involving the jawbones suggests the diagnosis, aids in presurgical planning and improves patient management.
Collapse
Affiliation(s)
- Daphne J Theodorou
- Department of Radiology, School of Medicine, University of California, San Diego Medical Center, USA.
| | | | | |
Collapse
|
16
|
Peylan-Ramu N, Diment J, Krichevsky S, Ben-Yehuda D, Bhatia K, Magrath IT. Expression of EBV encoded nuclear small non-polyadenylated RNA (EBER) molecules in 32 cases of childhood Burkitt's lymphoma from Israel. Leuk Lymphoma 2001; 40:405-11. [PMID: 11426563 DOI: 10.3109/10428190109057940] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
We have analyzed paraffin sections from 32 children with histologically confirmed Burkitt's Lymphoma (BL) for the presence of EBV using in situ hybridization to detect expression of the EBV-encoded early RNAs (EBERs). EBV was present in the tumors of 11 patients (34%). Sixty nine percent of the children presented with abdominal disease, 19% had bone marrow infiltration and only one child had jaw involvement. There was no statistically significant difference between EBV positive and EBV negative children with regard to age, gender, origin, primary site at presentation, or clinical stage of disease. However, there was a trend for younger age in the children with EBV positive BL with a median age of 4, compared to 7 years in children with EBV negative BL. None of the 7 children of Ashkenazi Jewish origin had EBER positive disease. There was no difference in the treatment outcome between the EBV positive patients (estimated survival at 24 months of 82%) and EBV negative children (estimated survival rate of 71% (p=0.58)). In conclusion, although this is only a small series it seems that childhood BL in Israel has the clinical characteristics of sporadic, non-African type with 34% EBV association and a low incidence of jaw tumors. Our data suggest that Ashkenazi Jewish children with BL are less likely to have EBV positive tumors than other ethnic groups. However, more patients will need to be studied in order to assess the validity of this observation.
Collapse
Affiliation(s)
- N Peylan-Ramu
- Department of Oncology, Hadassah University Hospital, Jerusalem, Israel
| | | | | | | | | | | |
Collapse
|
17
|
Abstract
The diagnostic category of Burkitt's lymphoma encompasses a closely related group of aggressive B-cell tumors that includes sporadic, endemic, and human immunodeficiency virus-associated subtypes. All subtypes are characterized by chromosomal rearrangements involving the c-myc proto-oncogene that lead to its inappropriate expression. This review focuses on the roles of c-myc dysregulation and Epstein-Barr virus infection in Burkitt's lymphoma. Although the normal function of c-Myc remains enigmatic, recent data indicate that it has a central role in several fundamental aspects of cellular biology, including proliferation, differentiation, metabolism, apoptosis, and telomere maintenance. We discuss new insights into the molecular mechanisms of these c-Myc activities and their potential relevance to the pathogenesis of Burkitt's lymphoma and speculate on the role of Epstein-Barr virus.
Collapse
Affiliation(s)
- J L Hecht
- Departments of Pathology, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA
| | | |
Collapse
|
18
|
Carbone A, Canzonieri V, Gloghini A, Rinaldo A, Gaidano G, Ferlito A. Burkitt's lymphoma: historical background and recent insights into classification and pathogenesis. Ann Otol Rhinol Laryngol 2000; 109:693-702. [PMID: 10903055 DOI: 10.1177/000348940010900716] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In this paper, the authors evaluate the historical evolution of the definition of Burkitt's lymphoma (BL) and of its clinicoepidemiological (endemic, sporadic, and acquired immunodeficiency syndrome-associated BL) and morphological variants. On the basis of the morphological, immunologic, genetic, and clinical characteristics of these tumors, the authors also emphasize the importance of precise disease definitions for biological and epidemiological studies. These principles were used in accordance with the Revised European-American classification of lymphoid neoplasms (REAL), which proposed that disease entities should be defined by a constellation of pathobiological and clinical features.
Collapse
Affiliation(s)
- A Carbone
- Division of Pathology, Centro di Riferimento Oncologico, National Cancer Institute, Aviano, Italy
| | | | | | | | | | | |
Collapse
|
19
|
Nocini P, Lo Muzio L, Fior A, Staibano S, Mignogna MD. Primary non-Hodgkin's lymphoma of the jaws: immunohistochemical and genetic review of 10 cases. J Oral Maxillofac Surg 2000; 58:636-44. [PMID: 10847285 DOI: 10.1016/s0278-2391(00)90156-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
PURPOSE Non-Hodgkin's lymphoma (NHL) comprises a group of malignant lymphoproliferative diseases characterized by clonal expansion of lymphocytes at various levels of ontogenetic development. The aim of this study was to review the immunohistochemical and cytogenetic features of 10 cases of NLH of the jaws to determine their respective derivation. PATIENTS AND METHODS Histopathologic and immunohistochemical review of 10 cases of large-cell lymphomas of the jaws, together with Southern blot analysis of 2 of the cases, was performed and results compared with the findings in the literature. RESULTS In the 10 cases studied, the average age of onset of the NHL was 51 years, with a male-to-female ratio of 3:2. Tumefaction was the first clinical sign of disease. Eight of 10 cases were high-grade, large-cell NHLs, centroblastic type. Two cases were high-grade, large-cell NHL, immunoblastic type. CONCLUSION The immunohistochemical and Southern blot data remain the principal laboratory aids in the diagnosis and characterization of NHL, and they provide critical information for guiding clinicians to the appropriate treatment protocol for these malignancies.
Collapse
MESH Headings
- Adult
- Aged
- Blotting, Southern
- Cytogenetics
- Female
- Gene Rearrangement
- Humans
- Immunoenzyme Techniques
- Jaw Neoplasms/chemistry
- Jaw Neoplasms/genetics
- Jaw Neoplasms/pathology
- Lymphoma, Large B-Cell, Diffuse/chemistry
- Lymphoma, Large B-Cell, Diffuse/genetics
- Lymphoma, Large B-Cell, Diffuse/pathology
- Lymphoma, Large-Cell, Immunoblastic/chemistry
- Lymphoma, Large-Cell, Immunoblastic/genetics
- Lymphoma, Large-Cell, Immunoblastic/pathology
- Male
- Middle Aged
Collapse
Affiliation(s)
- P Nocini
- Department of Oral and Maxillofacial Surgery, University of Verona, Faculty of Medicine, Italy
| | | | | | | | | |
Collapse
|
20
|
Abstract
We report an unusual case of Burkitt's lymphoma (BL) presenting with jaw lesions in a 14-year-old Chinese boy. The patient presented initially with mobile teeth in all 4 jaw quadrants, with corresponding radiographic detection of alveolar bone crest destruction and periapical bone resorption in the absence of clinically detectable jaw tumors. Moreover, radiographs taken only 17 days later showed clearly distinguishable signs of more extensive alveolar bone destruction compared with the initial radiographs.
Collapse
Affiliation(s)
- R S Liu
- Department of Stomatology, General Hospital of PLA, Beijing, China
| | | | | | | |
Collapse
|
21
|
Tsui SH, Wong MH, Lam WY. Burkitt's lymphoma presenting as mandibular swelling--report of a case and review of publications. Br J Oral Maxillofac Surg 2000; 38:8-11. [PMID: 10783439 DOI: 10.1054/bjom.1999.0358] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Burkitt's lymphoma in a 4-year-old Chinese boy presented with acute mandibular swelling but no associated systemic disturbance. A review of published reports shows that the diagnosis should be suspected in jaw lesions with no obvious cause.
Collapse
Affiliation(s)
- S H Tsui
- Oral Maxillofacial Surgery and Dental Unit, North District Hospital, Fanling, NT, Hong Kong
| | | | | |
Collapse
|
22
|
Ardekian L, Rachmiel A, Rosen D, Abu-el-Naaj I, Peled M, Laufer D. Burkitt's lymphoma of the oral cavity in Israel. J Craniomaxillofac Surg 1999; 27:294-7. [PMID: 10717831 DOI: 10.1054/jcms.1999.0074] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
The clinical presentation of Burkitt's lymphoma in the maxillofacial area is variable. The objective of this study is to review and analyse all cases of Burkitt's lymphoma with oral or maxillofacial involvement diagnosed in our department. A retrospective review of patients with Burkitt's lymphoma in the facial area between the years 1978 and 1997 was undertaken. The patients, 8 male and 5 female, were from 7 to 50 years old (mean 15.3 years). Six patients were Stage I and 7 were Stage II. Five had abdominal involvement and 2 lymph node involvement besides the maxillofacial presentation. Three tumours were in the mandible, 3 in both mandible and maxilla, 2 in the palate, and 5 in the maxilla alone. In 5 patients the tumour presented as a facial swelling, in 3 as an exophytic mass, in 2 as an ulcer, 1 case presented as a hyperplastic lesion, and 2 were periapical lesions. Complaints included pain (7), swelling (5), and sensory disturbance (2). EBV titres were positive in 4 patients. Abdominal involvement was only seen in patients under 12 years old. All patients were treated with chemotherapy, while adjuvant radiotherapy was indicated in 3 cases. Follow-up of 1-20 years revealed a 2-year survival rate of 61.5%. It seems that the Israeli disease is between that of the African and American types, when considering age distribution.
Collapse
Affiliation(s)
- L Ardekian
- Department of Oral & Maxillofacial Surgery, Rambam Medical Center, Haifa, Israel.
| | | | | | | | | | | |
Collapse
|
23
|
|
24
|
Dubey S, Sengupta SK, Kaleh LK, Morewaya JT. Paediatric head and neck lymphomas in Papua New Guinea: a review and analysis of 67 cases. Int J Pediatr Otorhinolaryngol 1998; 43:235-40. [PMID: 9663945 DOI: 10.1016/s0165-5876(98)00012-3] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
A retrospective study of head and neck lymphomas in Papua Newguinean children between the age of 0 and 12 years for a 10-year period has been attempted. A total of 67 cases are recorded. This constitutes approximately 23% of all lymphomas seen during this period. There was a male predominance in all groups. Non-Hodgkin's lymphomas (NHL) comprised of 92% of which Burkitt's lymphomas (BL) predominate (64%). Almost 50% of these cases seen were in the age group of 5-8 years. In BL, cheek swelling and upper jaw involvement are the common modes of presentation, however, in 23% of cases advanced disease with multiple sites of involvement are noted. In other NHL cases, approximately 55% presented with cervical lymphadenopathy only, maxillary sinus was affected in four cases and orbit in two cases. Histological evaluation of NHL cases excluding BL revealed two high grade, nine intermediate grade and seven low grade tumours. Hodgkin's lymphoma (HL) comprised of 8%. All cases of HL presented with cervical lymphadenopathy. Standard therapeutic modalities for lymphomas with multidrug chemotherapy, surgery and radiotherapy were followed. Proper prognostic evaluation following the treatment had not been possible in view of poor patient compliance and lack of follow up.
Collapse
Affiliation(s)
- S Dubey
- Department of Otolaryngology, Port Moresby General Hospital, Papua New Guinea
| | | | | | | |
Collapse
|
25
|
Hanazawa T, Kimura Y, Sakamaki H, Yamaguchi A, Nagumo M, Okano T. Burkitt's lymphoma involving the mandible: report of a case and review of Japanese cases. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1998; 85:216-20. [PMID: 9503459 DOI: 10.1016/s1079-2104(98)90429-2] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
A Japanese case of Burkitt's lymphoma is presented. The intraoral and panoramic images showed alveolar bone destruction with an infiltrative border, displacement of lower molars, root resorption, and loss of lamina dura and the follicular cortex of a developing tooth, similar to descriptions in previous reports. Computed tomography revealed that a primary lesion occupied the mandible and extended to the muscles of facial expression and to the sublingual and submandibular spaces. Another soft tissue mass was evident in the contralateral parapharyngeal space. Results of a survey of the Japanese literature are also presented; they indicate differences in the clinical features between Japanese cases and African and American cases of Burkitt's lymphoma.
Collapse
Affiliation(s)
- T Hanazawa
- Department of Oral Radiology, Showa University School of Dentistry, Tokyo, Japan
| | | | | | | | | | | |
Collapse
|
26
|
Affiliation(s)
- J Shapira
- Department of Pediatric Dentistry, Hebrew University-Hadassah Medical Center, Jerusalem, Israel
| | | |
Collapse
|
27
|
Lund DI, Rodd H, Craig GT. Burkitt's lymphoma presenting with jaw lesions in a young white girl. Br J Oral Maxillofac Surg 1997; 35:438-41. [PMID: 9486452 DOI: 10.1016/s0266-4356(97)90723-3] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
We report a case of Burkitt's lymphoma that presented with jaw lesions in a 5-year-old white girl, an extremely rare occurrence. She was treated according to the protocol of the UK Children's Cancer Study Group B-cell non-Hodgkin's lymphoma trial and was still in remission after 2 years.
Collapse
Affiliation(s)
- D I Lund
- Department of Oral and Maxillofacial Surgery, School of Clinical Dentistry, Sheffield, UK
| | | | | |
Collapse
|
28
|
Kuklok KB, Burton RG, Wilhelm ML. Numb chin syndrome leading to a diagnosis of acute lymphoblastic leukemia: report of a case. J Oral Maxillofac Surg 1997; 55:1483-5. [PMID: 9393412 DOI: 10.1016/s0278-2391(97)90656-x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- K B Kuklok
- Department of Oral and Maxillofacial Surgery, University of Texas, HSCSA, San Antonio, USA
| | | | | |
Collapse
|
29
|
Abstract
Pediatric lymphomas are the third most common group of malignancies in children and adolescents. Unlike lymphomas in adults, pediatric lymphomas are diffuse, aggressive neoplasms with a propensity for widespread dissemination. Intensification of conventional treatment approaches along with improvements in supportive care have resulted in dramatic improvement in event-free survival rates of close to 90% in patients with B-cell lymphomas and only slightly lower in patients with T-cell lymphomas. Lymphoid neoplasms arise because of genetic changes that result in altered growth and differential patterns of lymphoid cells. The characterization of these molecular abnormalities and an understanding of their consequences has led to new approaches to diagnosis and the detection of minimal residual disease and also provides the basis for the future development of novel treatment approaches targeted specifically to the neoplastic cells.
Collapse
Affiliation(s)
- A Shad
- Division of Pediatric Hematology Oncology, Vincent T. Lombardi Cancer Center, Georgetown University Medical Center, Washington, DC, USA
| | | |
Collapse
|
30
|
Hiraki A, Nakamura S, Abe K, Takenoshita Y, Horinouchi Y, Shinohara M, Shirasuna K. Numb chin syndrome as an initial symptom of acute lymphocytic leukemia: report of three cases. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1997; 83:555-61. [PMID: 9159815 DOI: 10.1016/s1079-2104(97)90120-7] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
This article describes three cases of acute lymphocytic leukemia that presented with mental neuropathy, or so-called "numb chin syndrome," as the initial symptom of the disease. This symptom heralded the initial progression of the disease in the first and second cases and the recurrence of the disease in the third case. In these cases tenderness in the mental foramen, percussion pain of the teeth, loosening and extrusion of the teeth, and radiographic abnormalities were also, if not always, observed in association with mental neuropathy. The radiographic abnormalities included a disappearance of the mandibular canals, an enlarged periodontal ligament space, a loss or thinning of the lamina dura, and a destruction of the alveolar crestal bone. This report indicates that oral manifestations can therefore occasionally play an extremely important role in the early recognition of acute lymphocytic leukemia. The unexplained oral abnormalities such as numbness of the chin and lower lip must thus be considered, potentially ominous indication of acute lymphocytic leukemia.
Collapse
Affiliation(s)
- A Hiraki
- Second Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Kyushu University, Fukuoka, Japan
| | | | | | | | | | | | | |
Collapse
|
31
|
Ardekian L, Peleg M, Samet N, Givol N, Taicher S. Burkitt's lymphoma mimicking an acute dentoalveolar abscess. J Endod 1996; 22:697-8. [PMID: 9220759 DOI: 10.1016/s0099-2399(96)80068-9] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Burkitt's lymphoma is a monoclonal proliferation of B lymphocytes classified histologically as a poorly differentiated lymphocytic lymphoma. The jaw and retroperitoneal structures are the most commonly involved sites. Prognosis is highly dependent on the stage of the disease. In some cases, the first manifestation of Burkitt's lymphoma is in the jaws, and symptoms may be misdiagnosed as infection. Dental radiographs can play an important role in the diagnosis. A case of a peculiar Burkitt's lymphoma involving the mandible that was misdiagnosed as an acute dentoalveolar abscess is presented.
Collapse
Affiliation(s)
- L Ardekian
- Department of Oral and Maxillofacial Surgery, Chaim Sheba Med Center, Tel Hashomer, Israel
| | | | | | | | | |
Collapse
|
32
|
Tosato G, Taga K, Angiolillo AL, Sgadari C. Epstein-Barr virus as an agent of haematological disease. BAILLIERE'S CLINICAL HAEMATOLOGY 1995; 8:165-99. [PMID: 7663046 DOI: 10.1016/s0950-3536(05)80237-9] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Epstein-Barr virus (EBV) encodes genes that permit its persistence in human B lymphocytes and genes that ensure its replication in epithelial cells. Immune restraints on the virus are usually so effective that most EBV infections are limited to a minute fraction of B lymphocytes and of epithelial cells. As a result, most EBV infections are never symptomatic. Occasionally, the virus causes disease, often with the cooperation of the immune system or other less characterized cofactors. Infectious mononucleosis, a generally self-limited lymphoproliferative illness common in adolescents and young adults, is due to primary EBV infection and to the brisk cellular immune response it elicits. Lymphoproliferative disorders of EBV-infected B cells arise almost exclusively when cellular immunity is grossly compromised. EBV-positive Burkitt's lymphoma contain a translocated and deregulated c-myc oncogene and EBV-positive non-Hodgkin's lymphomas are characterized by the presence of Reed-Sternberg's and Hodgkin's cells, features that have not been directly linked to EBV. Many recent observations, however, including evidence that virus infection precedes malignant transformation and is often associated with a characteristic pattern of viral gene expression, provide continued interest in the relationship between the virus and these haematological malignancies.
Collapse
Affiliation(s)
- G Tosato
- Division of Hematologic Products, Food and Drug Administration, Rockville, MD 20852-1448, USA
| | | | | | | |
Collapse
|
33
|
|
34
|
Cavdar AO, Yavuz G, Babacan E, Gözdasoglu S, Unal E, Ertem U, Pamir A, Yücesan S, Gökcora H, Uluoglu O. Burkitt's lymphoma in Turkish children: clinical, viral [EBV] and molecular studies. Leuk Lymphoma 1994; 14:323-30. [PMID: 7950922 DOI: 10.3109/10428199409049685] [Citation(s) in RCA: 22] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Eighty-one Turkish children with Burkitt's lymphoma (BL) were observed during a period of 24 years (1968-1992). The diagnosis was established histologically according to WHO criteria. BL represented 48.5% of NHL in this series. The median age of patients was 5 years with a sex (M/F) ratio of 2.3/1. The most common primary site of tumor involvement at initial presentation was the abdomen (70.4%), which was followed by facial tumors, in particular the jaw and orbit (45.7%). The majority of the patients (84.0%) were in advanced stages (C and D) at initial diagnosis. Facial tumors observed in Turkish children with BL were more similar to African Burkitt's lymphoma than American or European cases. High titers of antibodies against VCA and EA of EBV were also observed in 32 recent cases of BL. Preliminary molecular and immunologic studies revealed EBV-DNA (type I) and T cell deficiency. The clinical presentation, median age, and association with EBV revealed that BL appears to be inbetween African and non-African types in Turkish children. This will be further elucidated in the future by direct examination of tumor cells for EBV and investigation of the molecular characteristics in these cases.
Collapse
Affiliation(s)
- A O Cavdar
- Pediatric Hematology and Oncology Research Center, Ankara University, Turkey
| | | | | | | | | | | | | | | | | | | |
Collapse
|
35
|
Cavdar AO, Gözdaşoğlu S, Yavuz G, Babacan E, Unal E, Uluoğlu O, Yücesan S, Magrath IT, Akar N. Burkitt's lymphoma between African and American types in Turkish children: clinical, viral (EBV), and molecular studies. MEDICAL AND PEDIATRIC ONCOLOGY 1993; 21:36-42. [PMID: 8381202 DOI: 10.1002/mpo.2950210108] [Citation(s) in RCA: 27] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
Seventy-two Turkish children with Burkitt's lymphoma (BL) observed during a period of 22 years (1968-1990) have been analysed retrospectively. The diagnosis was established histologically according to WHO criteria. BL represented 50% of NHL in this series. The patients were staged according to Ziegler's system. The median age of patients was 5.5 years with a sex (M/F) ratio of 2.1/1. The most common primary site of tumor involvement was the abdomen (69.4%), which was followed by facial tumors, in particular the jaw and orbit (49.9%). There were 21 cases with jaw (29.1%) and 15 cases with orbital involvement (20.8%) at initial presentation. The majority of the patients (84.4%) were in advanced stages (C and D) at initial diagnosis. Facial tumors observed in Turkish children with BL were more similar to African Burkitt's lymphoma than American or European cases. High titers of antibodies against VCA and EA of EBV were also seen in our recent cases of BL. Two main treatment regimens, namely, single agent chemotherapy with cyclophosphamide (CYX) (1968-1974) and three drug (COM) combination chemotherapy, were used consecutively (1974-1988). COM has been shown to produce better results than single agent therapy. The clinical presentation, mean age, and high antibodies (IgG) to EBV and preliminary molecular studies revealed that BL appears to be in between African and non-African types in Turkish children. This will be further elucidated by direct examination of tumor cells for EBV and investigation of the molecular characteristics of Turkish tumors. Such studies are presently under way.
Collapse
Affiliation(s)
- A O Cavdar
- Pediatric Hematology and Oncology Research Center, Ankara University, Turkey
| | | | | | | | | | | | | | | | | |
Collapse
|
36
|
White L, Siegel SE, Quah TC. Non-Hodgkin's lymphomas in children. I. Patterns of disease and classification. Crit Rev Oncol Hematol 1992; 13:55-71. [PMID: 1449619 DOI: 10.1016/1040-8428(92)90016-j] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
Non-Hodgkin's lymphomas (NHL) are part of an overlapping spectrum of lympho-proliferative diseases in childhood. In the first of this 2 part series, the clinicopathological aspects of NHL in childhood are discussed. The rapid progression of disease, the high incidence of micrometastases (over 80%) at diagnosis, and the propensity of hematogenous spread to the bone marrow and the central nervous system (CNS) as well as the clinico-pathologic 'clusters' associated with particular presenting sites distinguish the pediatric forms of disease. Abdominal primary sites most frequently manifest diffuse undifferentiated (Burkitt's or non-Burkitt's) histopathology, B-cell immunophenotype, FAB-L3 cytomorphology and specific karyotypic and/or genotypic alterations of the immuno-globulin genes and the c-myc oncogene. Mediastinal presentation is associated with lymphoblastic histopathology, T-cell immunophenotype and a variety of less consistent karyotypic and genotypic aberrations. Ki-1 lymphoma, a rare subtype of large cell NHL with specific features is often of T cell origin. The requirements for diagnosis, staging and monitoring are presented in the context of the associations between clinico-pathological presentation and subsequent behavior. The most frequent sites of disease progression and relapse are involvement of the bone marrow and the CNS. For Burkitt's lymphoma there is a historic perspective and a description of particular epidemiologic, clinical, virologic, immunophenotypic and genotypic features. Cytogenetic and molecular biologic studies of genomic rearrangements are advancing the understanding of oncogenesis, clonality, lineage, and clinical behavior. The capacity to detect and amplify DNA from submicroscopic disease may contribute to prognostic stratification both at diagnosis and during subsequent monitoring.
Collapse
Affiliation(s)
- L White
- Prince of Wales Children's Hospital, University of New South Wales, Sydney, Australia
| | | | | |
Collapse
|
37
|
Regezi JA, Zarbo RJ, Stewart JC. Extranodal oral lymphomas: histologic subtypes and immunophenotypes (in routinely processed tissue). ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1991; 72:702-8. [PMID: 1812453 DOI: 10.1016/0030-4220(91)90015-5] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Twenty-seven extranodal oral lymphomas were subclassified according to the National Institutes of Health International Working Formulation. Immunophenotypes were then determined by means of an ABC technique with newly generated antibodies that identify fixation-resistant antigens on lymphoid cells. Diffuse small and large cell lymphomas were the most frequently identified subtypes. B-cell-associated antibody, L26, stained a majority of tumor cells in all lymphomas. Although 4KB5 was a less consistent B-cell marker, it stained most lymphomas. Reactive T-cell infiltrates, identified with antibodies MT1, UCHL-1, anti-CD3, and OPD4, varied from slight to intense. MT1 occasionally showed cross-reactivity with neoplastic B cells. No "histiocytic" lymphomas were found, but reactive macrophage infiltrates were identified in many lymphomas with monoclonal antibody KP1. In view of the immunohistochemical results, all lymphomas were believed to be of B-cell origin. Although antibody panels of the type used in this study can be effective in subtyping routinely processed oral lymphomas, careful interpretation is required because of reactive T-cell infiltrates.
Collapse
Affiliation(s)
- J A Regezi
- Division of Oral Pathology, School of Dentistry, University of California, San Francisco
| | | | | |
Collapse
|
38
|
Yih WY, Myers SL, Meshul CK, Bartley MH. African Burkitt's lymphoma: case report and light and electron microscopic findings. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1990; 70:760-4. [PMID: 2263336 DOI: 10.1016/0030-4220(90)90016-l] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
An African Burkitt's lymphoma occurred in a 9-year-old American boy who had jaw tumors, proptosis, and abdominal masses. Histologically, the tumor consisted of a monotonous overgrowth of undifferentiated lymphocytes with a "starry sky" appearance. The differential diagnosis of African versus American form and Burkitt's lymphoma versus non-Burkitt's lymphoma is discussed.
Collapse
Affiliation(s)
- W Y Yih
- Department of Oral Pathology, School of Dentistry, Oregon Health Sciences University, Portland
| | | | | | | |
Collapse
|
39
|
Anavi Y, Kaplinsky C, Calderon S, Zaizov R. Head, neck, and maxillofacial childhood Burkitt's lymphoma: a retrospective analysis of 31 patients. J Oral Maxillofac Surg 1990; 48:708-13. [PMID: 2358947 DOI: 10.1016/0278-2391(90)90055-7] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Thirty-one children with Burkitt's lymphoma of the head, neck, and maxillofacial region diagnosed between 1976 and 1988 were reviewed. The age range was 2 to 17 years (median, 7.2 years), and 77.4% were males. The most common presenting symptoms were detectable masses, floating and/or painful teeth, enlarged cervical lymph nodes, sore throat, and neurologic signs. The predominant primary tumor sites were the jaws and tonsils. All patients were staged by a clinical staging system, 17 of them having stage I-II, and 14 stage III-IV. Levels of lactate dehydrogenase and ferritin were the only significant laboratory parameters correlating with initial staging and disease-free survival. Radiologic features in the jaws were poorly circumscribed destructive lytic lesions with migration and crypt destruction of unerupted teeth buds. Complete disappearance of these findings was noted after successful chemotherapy and clinical regression of the tumor. Eighteen (58.1%) patients attained complete remission with a follow-up of 5 to 100 months. Stage was the most significant variable affecting outcome, with 90.2% disease-free survival of stage I patients, 72.4% of stage II, and 18.2% of stage III-IV. Based on these results, it is concluded that localized (stage I and II) Burkitt's lymphoma is responsive to chemotherapy and thus has a favorable prognosis.
Collapse
Affiliation(s)
- Y Anavi
- Department of Oral and Maxillofacial Surgery, Beilinson Medical Center, Petah Tiqva, Israel
| | | | | | | |
Collapse
|
40
|
MESH Headings
- Animals
- B-Lymphocytes/pathology
- Burkitt Lymphoma/epidemiology
- Burkitt Lymphoma/etiology
- Burkitt Lymphoma/genetics
- Burkitt Lymphoma/immunology
- Burkitt Lymphoma/pathology
- Chickens
- Chromosomes, Human, Pair 14/ultrastructure
- Chromosomes, Human, Pair 2/ultrastructure
- Chromosomes, Human, Pair 22/ultrastructure
- Cocarcinogenesis
- Disease Models, Animal
- Female
- Gene Expression Regulation, Neoplastic
- Global Health
- Herpesvirus 4, Human/genetics
- Herpesvirus 4, Human/physiology
- Humans
- Immunoglobulins/genetics
- Immunologic Deficiency Syndromes/complications
- Male
- Mice
- Neoplasm Proteins/biosynthesis
- Neoplasm Proteins/genetics
- Neoplasm Proteins/physiology
- Oncogenes
- Primates
- Proto-Oncogene Proteins/biosynthesis
- Proto-Oncogene Proteins/genetics
- Proto-Oncogene Proteins/physiology
- Proto-Oncogene Proteins c-myc
- Rats
- Translocation, Genetic
- Tumor Virus Infections/complications
Collapse
Affiliation(s)
- I Magrath
- Lymphoma Biology Section, National Cancer Institute, Bethesda, Maryland 20892
| |
Collapse
|
41
|
Hesseling P, Wood RE, Nortjé CJ, Mouton S. African Burkitt's lymphoma in the Cape province of South Africa and in Namibia. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1989; 68:162-6. [PMID: 2789358 DOI: 10.1016/0030-4220(89)90186-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
The clinical features, incidence and pattern of jaw involvement, and seasonal occurrence in relation to 22 patients with Burkitt's lymphoma in the Cape province and Southwest Africa were analyzed. The mean age, male dominance, and pattern of organ involvement paralleled typical African Burkitt's lymphoma. Development of the patients' disease was more likely during the rainy season. The frequency and pattern of jaw involvement resembled typical African Burkitt's lymphoma. The frequency of jaw involvement was similar in white and nonwhite patients. Members of all racial groups had typical African Burkitt's lymphoma.
Collapse
Affiliation(s)
- P Hesseling
- Department of Paediatrics and Child Health, University of Stellenbosch, Tygerberg, Republic of South Africa
| | | | | | | |
Collapse
|
42
|
Baden E, Carter R. Intraoral presentation of American Burkitt's lymphoma after extraction of a mandibular left third molar. J Oral Maxillofac Surg 1987; 45:689-93. [PMID: 3475440 DOI: 10.1016/0278-2391(87)90309-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
|
43
|
Abstract
All cases diagnosed in Finland as non-Hodgkin's lymphoma (NHL), Hodgkin's disease or histiocytosis X in children younger than 15 years in 1953 to 1973, according to the Finnish Cancer Registry, were reexamined histologically. Only 55% of the cases originally diagnosed as NHL were regarded as such at reexamination. The others were mainly malignant nonlymphatic tumors such as neuroblastoma and different kinds of sarcomas. Seventy-two NHLs were diagnosed in 50 boys and 22 girls. The corrected age-specific incidence rate was 0.32/10(5). The most common histologic types were Burkitt's lymphoma (BL) (30 cases), lymphoblastic lymphoma (LBL) (26), large cell lymphomas (LCL) (six), and non-Burkitt's lymphoma (n-BL) (three). There were marked differences between BL and LBL in the course of the disease: BL was extranodal in 83%, LBL only in 4% (mediastinum was regarded as nodal); BL showed initial abdominal or pelvic involvement in 60% whereas LBL showed none; BL had initial mediastinal involvement in 7%, and LBL had it in 62%; all patients with LBL died whereas 23% of those with BL survived. Other types of NHL resembled BL in their course of disease. Patients with initial tonsillary involvement appeared to have the best prognosis and patients with mediastinal involvement the poorest. The importance of accurate histologic classification is emphasized. It appears to be most important to differentiate LBL from other types of NHL.
Collapse
|
44
|
Amadori G, Brigato G, Cordiano V, Milano AS, Moretto F, Spandri P, Becagli L, De Salvia D. Pelvic and mammary Burkitt-like lymphoma with simultaneous development of leukemia. Gynecol Oncol 1987; 26:246-50. [PMID: 3804041 DOI: 10.1016/0090-8258(87)90281-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The authors report the case of a young nun who came to their attention because of the simultaneous development of mammary and pelvic lymphoblastic lymphoma and acute leukemia showing aspects typical of nonendemic Burkitt's lymphoma. The rapid tumoral growth and the equally rapid spontaneous cell lysis led to severe renal insufficiency and metabolic acidosis which were ultimately the cause of death. Given the rareness of the clinical situation and the diagnostic problems involved, the authors examined the literature dealing with this subject.
Collapse
|
45
|
Abstract
Our hospital admitted 231 patients with non-Hodgkin's lymphomas between June 1976 and November 1984. Review of these cases revealed the following profile: ages ranged from 1 to 70 years (median: 30 years), 156 males, predominantly children and adolescents, and 75 females. Diffuse histiocytic lymphoma accounted for 40.6 per cent of all cases. Seventeen patients (7 per cent) had nodular lymphomas. Fifteen patients, predominantly male children and adolescents, had lymphoblastic lymphomas and showed high association with mediastinal mass (47 per cent). Extranodal lymphomas mostly of the diffuse histiocytic subtype were diagnosed in 100 cases (43.3 per cent) and most frequently situated in the small intestine (59 cases). Burkitt's lymphoma--32 patients (14 per cent)--presented most often in male patients during the first decade of life and as an abdominal intestinal disease (19 cases). There were four cases of Mediterranean abdominal lymphoma (IPSID). Non-Hodgkin's lymphomas in Jordanians are mostly of the diffuse histiocytic type, are rarely nodular, have a high frequency of extranodal involvement and tend to occur in younger age groups. Mediterranean abdominal lymphoma is less frequent than previously thought. The use of both of the Rappaport and Lukes-Collins classifications demonstrated a high degree of reproducibility.
Collapse
|
46
|
Heimann R, Müller C, Ries F, Simonet ML. A small cell tumor. Ultrastruct Pathol 1986; 10:409-14. [PMID: 3020756 DOI: 10.3109/01913128609007194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
|
47
|
Robbins KT, Fuller LM, Manning J, Goepfert H, Velasquez WS, Sullivan MP, Finkelstein JB. Primary lymphoma of the mandible. HEAD & NECK SURGERY 1986; 8:192-9. [PMID: 3744851 DOI: 10.1002/hed.2890080311] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The mandible is an uncommon presentation site for lymphoma and misdiagnosis is common. Eleven patients with lymphoma of the mandible were seen between 1947 and 1983. In 5 of the 11 patients, the diagnosis of lymphoma could not be established from the initial biopsy and additional material for examination was required. In three patients, this resulted in a partial or total removal of the mandible. In a recent histopathologic review, the diagnosis of diffuse large cell was made in seven, diffuse undifferentiated (non-Burkitt's) in two, diffuse undifferentiated (Burkitt's) in one, and unclassified in one. Using the Ann Arbor method of staging, six patients were determined to have stage IE disease; three had stage IIE, and two had stage IV. In 10 patients definitive treatment consisted of radiotherapy, chemotherapy, or a combination of both. Treatment was limited to surgery in one patient. The 5-year overall and disease-free survival rates were 62% and 50%, respectively. These results are comparable to those for lymphoma of other extranodal head and neck sites.
Collapse
|
48
|
Eisenbud L, Mir R, Sciubba J, Sachs SA. Oral presentations in non-Hodgkin's lymphoma: a review of thirty-one cases. Part III. Six cases in children. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1985; 59:44-51. [PMID: 3856206 DOI: 10.1016/0030-4220(85)90114-8] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
This is the third in a series of articles dealing with oral presentations in non-Hodgkin's lymphoma. In this section the authors discuss the clinical and microscopic features of six cases occurring in children, four of which qualified as Burkitt's lymphoma.
Collapse
|