Primary Hodgkin disease of the supermaxilla: a case report and review of the literatures

VernacularTitle:原发性上颌骨霍奇金淋巴瘤一例并文献复习
Author: Lina ZHANG ; Xudong WEI ; Yufu LI ; Xinghu ZHU ; Yanli ZHANG ; Suli PEI ; Xiongzeng ZHU ; Yongping SONG
Publication Type:Journal Article
Keywords: Bone; Lymphoma; Immunohistochemistry; Drug therapy
From: Journal of Leukemia & Lymphoma 2009;18(7):396-398
CountryChina
Language:Chinese
Abstract: Objective To intensify the diagnosis and treatment of primary osseous Hodgkin disease (HD) and reinforce the impression of its features of pathology and imaging. Methods The clinical manifestation, laboratory examination, treatment and outcome of a patient with primary Hodgkin disease of the supermaxilla were first reported and the pertinent literatures were reviewed. Results Pain of the right supermaxilla was the first clinicM symptom. Plain X-rays showed mixed osteolytic and partially osteosclerotie lesions in the right supermaxiUa. The tumor was removed and the pathohistology was HD lymphocyte-depletion. The clinical diagnosis was primary HD of the supermaxilla (Stage Ⅰ ). The case was treated with ABVD regimen and no obviously adverse reaction appeared. Conclusion Primary osseous HD rarely presents as a malignant bone lymphoma and is easily misdiagnoed. Pathological and immunohistologic studies can be useful to confirm the diagnosis of primary osseous HD. Early diagnosis and the differentiation from other disease should be performed and the prognosis of the present-day chemotherapy regimen appears good.