Clinical study of malignant lymphomas in the oral and maxillofacial region over the past 6 years
Ten patients with malignant lymphomas in the oral and maxillofacialregion who were treated at our department during the period from 1986 to 1991 underwent clinical biometric analysis. The results were as follows: 1. The subjects consisted of 4 males and 6 females aged from 39-82 years (mean age 62.6...
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| Published in | Japanese Journal of Oral and Maxillofacial Surgery Vol. 38; no. 12; pp. 1859 - 1866 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japanese Society of Oral and Maxillofacial Surgeons
1992
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| ISSN | 0021-5163 2186-1579 2186-1579 |
| DOI | 10.5794/jjoms.38.1859 |
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| Abstract | Ten patients with malignant lymphomas in the oral and maxillofacialregion who were treated at our department during the period from 1986 to 1991 underwent clinical biometric analysis. The results were as follows: 1. The subjects consisted of 4 males and 6 females aged from 39-82 years (mean age 62.6 years). 2. In all cases, the chief complaints or initial symptoms were swelling or tumor formation in the affected areas and pain was present in 3 cases. 3. The presumed primary site of the tumor was the submaxillar or cervical lymphnodes in 5 cases, the gingivae or alveoli of the mandible in 3, the hard palate in 1 and the tongue in 1. 4. According to the Ann Arbor staging classification, four cases were in stage I, two stage II, one stage III and three stage IV, respectively. 5. The histopathological diagnosis, defined by the Rye (Hodkin's disease) and LSG (non-Hodgkin's lymphoma) classification, was lymphocytic predominance type of Hodgkin'sdisease in 1 case and non-Hodgkin's lymphoma in the other 9 cases. The tumor cell types were diffuse small in 1 case, diffuse medium in 1, diffuse mixed in 1 and diffuse large in 6, respectively. 6. Immunophenotypic analysis of surface markers, preformed in 7 cases, revealed that one case was T-cell type and the others were B-cell type. 7. For treatment, radiotherapy alone was applied in stage I (4 cases) and stage II (1), chemotherapy alone in stage IV (3), and combined treatment in stage II (1), and III (1), respectively. Eight patient were alive and 2 cases have died as of May 1992. The overall 3-year survival rate was 73%. |
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| AbstractList | Ten patients with malignant lymphomas in the oral and maxillofacialregion who were treated at our department during the period from 1986 to 1991 underwent clinical biometric analysis. The results were as follows: 1. The subjects consisted of 4 males and 6 females aged from 39-82 years (mean age 62.6 years). 2. In all cases, the chief complaints or initial symptoms were swelling or tumor formation in the affected areas and pain was present in 3 cases. 3. The presumed primary site of the tumor was the submaxillar or cervical lymphnodes in 5 cases, the gingivae or alveoli of the mandible in 3, the hard palate in 1 and the tongue in 1. 4. According to the Ann Arbor staging classification, four cases were in stage I, two stage II, one stage III and three stage IV, respectively. 5. The histopathological diagnosis, defined by the Rye (Hodkin's disease) and LSG (non-Hodgkin's lymphoma) classification, was lymphocytic predominance type of Hodgkin'sdisease in 1 case and non-Hodgkin's lymphoma in the other 9 cases. The tumor cell types were diffuse small in 1 case, diffuse medium in 1, diffuse mixed in 1 and diffuse large in 6, respectively. 6. Immunophenotypic analysis of surface markers, preformed in 7 cases, revealed that one case was T-cell type and the others were B-cell type. 7. For treatment, radiotherapy alone was applied in stage I (4 cases) and stage II (1), chemotherapy alone in stage IV (3), and combined treatment in stage II (1), and III (1), respectively. Eight patient were alive and 2 cases have died as of May 1992. The overall 3-year survival rate was 73%. |
| Author | AKIZUKI, Kazuki UCHIYAMA, Satoshi HANAZAWA, Yasuo MABASHI, Toshinori SATO, Kenichi ITOH, Kohsuke KANAZAWA, Harusachi |
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| References | 9) 星野孝: III. 悪性リンパ腫の疫学. 悪性リンパ腫の基礎と臨床. 新興医学出版, 東京, 1985, 3-5頁. 34) Tadashi, Y., Hiroshi, M., et al.: A novel monoclonal antibody (OPD4) recognizing a helper/inducer T-cell subset; its application to paraffin-embedded tissues. Am. J Pathol 134: 1339-1346 1989. 37) 前田史郎, 森岡正信, 他: 悪性リンパ腫の臨床, 予後図子について. 臨床と研究67: 2032-2037 1990. 3) 作田正義, 佐藤光信, 他: 口腔領域に発生した悪性リンパ腫の臨床的および病理組織学的研究. 日口外誌24: 384-395 1978. 2) Robert, J. L.: Report of the nomenclature committee. Cancer Res 26: 1311 1966. 22) 安井良一, 石川武憲, 他: 悪性リンパ腫の臨床病理学的および免疫学的解析: 10症例の検討 (1976-1985). 日口外誌34: 2529-2536 1988. 12) 小林秀幸, 藤原利彦, 他: 頸部リンパ節に発現を見た悪性リンパ腫 (濾胞性リンパ腫) の1例. 口科誌35: 697-701 1986. 7) 奥田孝, 戸井田誠, 他: 当科における悪性リンパ腫の臨床的検討. 口科誌39: 648-652 1990. 21) 大野昌一朗, 池村邦男, 他: 耳下腺部悪性リンパ腫の1例. 日口外誌34: 1420-1425 1988. 31) 難波紘二, 佐々木なおみ: 非ホジキンリンパ腫の病理組織分類の現況; 新国際分類と本邦分類の比較. 内科48: 701-707 1981. 15) 大矢亮一, 池村邦男, 他: 上顎歯肉歯槽部に原発し診断が困難であった悪性リンパ腫の1例. 日口外誌32: 1452-1459 1986. 32) Mikata, A., Suzuki, H., et al.: Immunohistochemical studies on B cell lymphomas with special reference to T cell infiltration and its significance as a prognostic factor. Acta Pathol Jpn 38: 47-58 1988. 1) Carbone, Y. P., Kaplan, H. S., et al.: Report of the committee on Hodgkin's disease staging classification. Cancer Res 31: 1860-1861 1971. 20) Fukuda, Y., Ishida, T., et al.: Malignant lymphoma of the oral cavity; clinicopathologic analysis of 20 cases. J Oral Pathol 16: 8-12 1987. 33) Joseph, A. R., Richard, J. Z., et al.: Extranodal oral Lymphomas: Histologic subtypes and immunophenotypes (in routinely processed tissue). OS OM OP 72: 702-708 1991. 25) 野村富美, 水野明夫, 他: 上顎に発生し特異な病態を呈した悪性リンパ腫の1例. 口科誌38: 277-282 1989. 26) 松尾長光, 空閑祥浩, 他: 下顎歯肉部に初発したB細胞型非ポジキン悪性リンパ腫の1例. 日口外誌37: 534-540 1991. 36) 難波紘二: 悪性リンパ腫の臨床病理. 頭頸部腫妥易8: 1-16 1981. 30) 小島瑞, 飯島宗一, 他編: 新分類による悪性リンパ腫アトラス. 文光堂, 東京, 1981, 27-40頁. 39) 尾山淳, 太田和雄: 予後を左右する因子. 内科MOOK17: 207-214 1982. 4) 戸塚靖則, 富田喜内: 顎, 口腔領域に生じた悪性リンパ腫の14症例について. 日口外誌25: 631-643 1979. 5) 堂原義美, 杉原一正, 他: 口腔領域に初発したと思われる悪性リンパ腫の臨床的病理組織学的検討. 口科誌31: 187-199 1982. 17) 村田直子, 柳澤高道, 他: 下顎骨にみられた悪性リンパ腫の1例. 日口外誌33: 1258-1263 1987. 18) 山本有一郎, 平野吉雄, 他: 下顎骨に発生した悪性リンパ腫の1例. 日口外誌33: 1590-1598 1987. 35) Freeman, C., Berg, J.W., et al.: Occurrence and prognosis of Extranodal lymphomas. Cancer 29: 252-260 1972. 29) The non-Hodgkin's lymphoma pathologic classification project: National cancer institute sponsored study of classification of non-Hodgkin's lymphomas; Summary and description of a Working Formulation for clinical usage. Cancer 49: 2112-2135 1982. 6) 南雲めぐみ, 伏島昇一, 他: 口腔領域に生じた悪性リンパ腫13症例の臨床ならびに病理組織学的検討. 口科誌36: 289-299 1987. 13) 中川徹, 桐田忠昭, 他: 上唇部に発生した悪性リンパ腫の1例. 日口外誌32: 1278-1282 1986. 10) 渡辺昌: 日本人の悪性リンパ腫. 日本臨床38: 2774-2787 1980. 16) 長富正博, 佐野和生, 他: 上顎歯肉および下顎歯肉に発現した異時性の悪性リンパ腫の1例. 日口外誌32: 1493-1497 1986. 27) 橋口範弘, 小野克己, 他: 開業医より精査依頼を受けた悪性リンパ腫の3例. 日口外誌37: 908-909 1991. 23) Takahashi, N., Tezuka, K., et al.: Primary extranodal non-Hodgkin's lymphoma of the oral region. J Oral Pathol Med 18: 84-91 1989. 28) 仁木寛, 内田斉, 他: 舌の前方部に発生した悪性リンパ腫の1症例. 日口外誌37: 1173-1176 1991. 11) 星野孝: VIII. 悪性リンパ腫の進展と予後. 悪性リンパ腫の基礎と臨床. 新興医学出版, 東京, 1985, 88-95頁. 19) 藤元栄輔, 宮田勝, 他: 上顎歯肉の悪性リンパ腫の1例. 日口外誌33: 2366-2371 1987. 8) 谷本一夫, 服部絢一: わが国における悪性リンパ腫の疫学. 内科41: 364-368 1978. 14) 黒川英雄, 児玉高広, 他: 上顎歯肉に発現した悪性リンパ腫の1例. 日口外誌32: 1299-1305 1986. 24) 高木慎, 長畠駿一郎, 他: 上顎歯肉菌槽鄙に懲発現した悪性リンパ腫の1例. 日口外誌35: 103-110 1989. 38) 柳澤繁孝: 口腔外科領域の悪性リンパ腫. 清水正嗣, 小浜源郁編: 口腔癌. デンタルダイアモンド祉, 東京, 1989, 328-335頁. |
| References_xml | – reference: 3) 作田正義, 佐藤光信, 他: 口腔領域に発生した悪性リンパ腫の臨床的および病理組織学的研究. 日口外誌24: 384-395 1978. – reference: 2) Robert, J. L.: Report of the nomenclature committee. Cancer Res 26: 1311 1966. – reference: 34) Tadashi, Y., Hiroshi, M., et al.: A novel monoclonal antibody (OPD4) recognizing a helper/inducer T-cell subset; its application to paraffin-embedded tissues. Am. J Pathol 134: 1339-1346 1989. – reference: 25) 野村富美, 水野明夫, 他: 上顎に発生し特異な病態を呈した悪性リンパ腫の1例. 口科誌38: 277-282 1989. – reference: 6) 南雲めぐみ, 伏島昇一, 他: 口腔領域に生じた悪性リンパ腫13症例の臨床ならびに病理組織学的検討. 口科誌36: 289-299 1987. – reference: 19) 藤元栄輔, 宮田勝, 他: 上顎歯肉の悪性リンパ腫の1例. 日口外誌33: 2366-2371 1987. – reference: 1) Carbone, Y. P., Kaplan, H. S., et al.: Report of the committee on Hodgkin's disease staging classification. Cancer Res 31: 1860-1861 1971. – reference: 9) 星野孝: III. 悪性リンパ腫の疫学. 悪性リンパ腫の基礎と臨床. 新興医学出版, 東京, 1985, 3-5頁. – reference: 33) Joseph, A. R., Richard, J. Z., et al.: Extranodal oral Lymphomas: Histologic subtypes and immunophenotypes (in routinely processed tissue). OS OM OP 72: 702-708 1991. – reference: 26) 松尾長光, 空閑祥浩, 他: 下顎歯肉部に初発したB細胞型非ポジキン悪性リンパ腫の1例. 日口外誌37: 534-540 1991. – reference: 32) Mikata, A., Suzuki, H., et al.: Immunohistochemical studies on B cell lymphomas with special reference to T cell infiltration and its significance as a prognostic factor. Acta Pathol Jpn 38: 47-58 1988. – reference: 27) 橋口範弘, 小野克己, 他: 開業医より精査依頼を受けた悪性リンパ腫の3例. 日口外誌37: 908-909 1991. – reference: 30) 小島瑞, 飯島宗一, 他編: 新分類による悪性リンパ腫アトラス. 文光堂, 東京, 1981, 27-40頁. – reference: 23) Takahashi, N., Tezuka, K., et al.: Primary extranodal non-Hodgkin's lymphoma of the oral region. J Oral Pathol Med 18: 84-91 1989. – reference: 36) 難波紘二: 悪性リンパ腫の臨床病理. 頭頸部腫妥易8: 1-16 1981. – reference: 38) 柳澤繁孝: 口腔外科領域の悪性リンパ腫. 清水正嗣, 小浜源郁編: 口腔癌. デンタルダイアモンド祉, 東京, 1989, 328-335頁. – reference: 28) 仁木寛, 内田斉, 他: 舌の前方部に発生した悪性リンパ腫の1症例. 日口外誌37: 1173-1176 1991. – reference: 5) 堂原義美, 杉原一正, 他: 口腔領域に初発したと思われる悪性リンパ腫の臨床的病理組織学的検討. 口科誌31: 187-199 1982. – reference: 18) 山本有一郎, 平野吉雄, 他: 下顎骨に発生した悪性リンパ腫の1例. 日口外誌33: 1590-1598 1987. – reference: 39) 尾山淳, 太田和雄: 予後を左右する因子. 内科MOOK17: 207-214 1982. – reference: 24) 高木慎, 長畠駿一郎, 他: 上顎歯肉菌槽鄙に懲発現した悪性リンパ腫の1例. 日口外誌35: 103-110 1989. – reference: 7) 奥田孝, 戸井田誠, 他: 当科における悪性リンパ腫の臨床的検討. 口科誌39: 648-652 1990. – reference: 20) Fukuda, Y., Ishida, T., et al.: Malignant lymphoma of the oral cavity; clinicopathologic analysis of 20 cases. J Oral Pathol 16: 8-12 1987. – reference: 14) 黒川英雄, 児玉高広, 他: 上顎歯肉に発現した悪性リンパ腫の1例. 日口外誌32: 1299-1305 1986. – reference: 13) 中川徹, 桐田忠昭, 他: 上唇部に発生した悪性リンパ腫の1例. 日口外誌32: 1278-1282 1986. – reference: 22) 安井良一, 石川武憲, 他: 悪性リンパ腫の臨床病理学的および免疫学的解析: 10症例の検討 (1976-1985). 日口外誌34: 2529-2536 1988. – reference: 21) 大野昌一朗, 池村邦男, 他: 耳下腺部悪性リンパ腫の1例. 日口外誌34: 1420-1425 1988. – reference: 8) 谷本一夫, 服部絢一: わが国における悪性リンパ腫の疫学. 内科41: 364-368 1978. – reference: 17) 村田直子, 柳澤高道, 他: 下顎骨にみられた悪性リンパ腫の1例. 日口外誌33: 1258-1263 1987. – reference: 16) 長富正博, 佐野和生, 他: 上顎歯肉および下顎歯肉に発現した異時性の悪性リンパ腫の1例. 日口外誌32: 1493-1497 1986. – reference: 37) 前田史郎, 森岡正信, 他: 悪性リンパ腫の臨床, 予後図子について. 臨床と研究67: 2032-2037 1990. – reference: 11) 星野孝: VIII. 悪性リンパ腫の進展と予後. 悪性リンパ腫の基礎と臨床. 新興医学出版, 東京, 1985, 88-95頁. – reference: 4) 戸塚靖則, 富田喜内: 顎, 口腔領域に生じた悪性リンパ腫の14症例について. 日口外誌25: 631-643 1979. – reference: 29) The non-Hodgkin's lymphoma pathologic classification project: National cancer institute sponsored study of classification of non-Hodgkin's lymphomas; Summary and description of a Working Formulation for clinical usage. Cancer 49: 2112-2135 1982. – reference: 15) 大矢亮一, 池村邦男, 他: 上顎歯肉歯槽部に原発し診断が困難であった悪性リンパ腫の1例. 日口外誌32: 1452-1459 1986. – reference: 31) 難波紘二, 佐々木なおみ: 非ホジキンリンパ腫の病理組織分類の現況; 新国際分類と本邦分類の比較. 内科48: 701-707 1981. – reference: 12) 小林秀幸, 藤原利彦, 他: 頸部リンパ節に発現を見た悪性リンパ腫 (濾胞性リンパ腫) の1例. 口科誌35: 697-701 1986. – reference: 35) Freeman, C., Berg, J.W., et al.: Occurrence and prognosis of Extranodal lymphomas. Cancer 29: 252-260 1972. – reference: 10) 渡辺昌: 日本人の悪性リンパ腫. 日本臨床38: 2774-2787 1980. |
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