Faria KM, Brandão TB, Silva WG, Pereira J, Neves FS, Alves MC, ShinLeataku WH, Lopes MA, Ribeiro ACP, Migliorati CA, Santos-Silva AR. Panoramic and skull imaging may aid in the identification of multiple myeloma lesions.
Med Oral Patol Oral Cir Bucal 2018;
23:e38-e43. [PMID:
29274154 PMCID:
PMC5822537 DOI:
10.4317/medoral.22123]
[Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/01/2017] [Accepted: 11/01/2017] [Indexed: 11/05/2022] Open
Abstract
BACKGROUND
The purpose of this study was to investigate the presence of punched-out lesions in craniofacial bones using three different radiographic protocols in a large cohort of patients.
MATERIAL AND METHODS
One hundred fifty-five MM patients were evaluated using panoramic and skull (frontal and lateral) radiographs, which were performed in all patients at the time of MM diagnosis. The diagnostic potential for detecting punched-out lesions was compared among the radiographic techniques.
RESULTS
MM punched-out lesions were identified in 135 (87%) panoramic radiographs, 141 (91%) frontal and 144 (93%) lateral skull radiographs. Punched out-lesions were synchronously present in skull and jawbones in 129 (83.23 %) cases. The lesions were detected exclusively in skull in 18 (11.61%) cases and exclusively in jawbones in 6 (3.87%) cases. Punched out-lesion mainly affected the skull and the jawbones in a synchronous way (p<0.001) rather than separately.
CONCLUSIONS
All investigated radiographic techniques (panoramic, frontal and lateral skull approaches) demonstrated high detection rates for MM punched-out lesions in craniofacial bones. Panoramic radiography may aid to the radiographic protocols to identify multiple myeloma bone lesions.
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