Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Case report of acute lymphoblastic leukemia with multiple soft tissue mass

다발성 연조직 종괴를 동반한 급성 림프구성 백혈병의 증례 보고

  • Jang Jung-Yong (Department of Oral and Maxillofacial Radiology, Dental Research institute, and BK21, College of Dentistry, Seoul National University) ;
  • Huh Kyung-Hoe (Department of Oral and Maxillofacial Radiology, Dental Research institute, and BK21, College of Dentistry, Seoul National University) ;
  • Yi Won-Jin (Department of Oral and Maxillofacial Radiology, Dental Research institute, and BK21, College of Dentistry, Seoul National University) ;
  • Heo Min-Suk (Department of Oral and Maxillofacial Radiology, Dental Research institute, and BK21, College of Dentistry, Seoul National University) ;
  • Lee Sam-Sun (Department of Oral and Maxillofacial Radiology, Dental Research institute, and BK21, College of Dentistry, Seoul National University) ;
  • Choi Soon-Chul (Department of Oral and Maxillofacial Radiology, Dental Research institute, and BK21, College of Dentistry, Seoul National University)
  • 장정용 (서울대학교 치과대학 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 허경회 (서울대학교 치과대학 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 이원진 (서울대학교 치과대학 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 허민석 (서울대학교 치과대학 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 이삼선 (서울대학교 치과대학 구강악안면방사선학교실, 치학연구소 및 BK21) ;
  • 최순철 (서울대학교 치과대학 구강악안면방사선학교실, 치학연구소 및 BK21)
  • Published : 2005.06.01
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Abstract

A 15-year-old patient, who had been diagnosed and treated as Burkitt cell type acute lymphoblastic leukemia (ALL-L3) already, visited our department. He complained of gingival enlargement and loosening teeth 1 month ago. The clinical examination revealed anterior open bite, gingival enlargement, and nontender swelling particularly in molar regions of both jaws. Deep periodontal pockets and severe mobility was shown on most of the teeth. The panoramic radiographs showed severe bone destruction and extrusion of the molars. The contrast enhanced CT showed multiple enhanced mass and bone marrow obliteration in both jaws. Chemotherapy was done and the swelling was subsided at 1 month later. In conclusion, radiologic findings of leukemia with soft tissue mass, known as chloroma or granulocytic sarcoma, mimic those of lymphoma, so blood test may be needed for the final diagnosis.

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