MUTIPLE MYELOMA REVEALED BY RADIOLUCENCIES IN THE JAW

A 56-year-old woman was referred in April 2016 complaining of "pain in the jaw and body." She reported having several professional opinions, but diagnosis was not determined. On her first appointment, she presented with an orthopantomography and skull radiographs that showed multiple punch...

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Published inOral surgery, oral medicine, oral pathology and oral radiology Vol. 129; no. 1; p. e121
Main Authors DA SILVA, VANIA CAVALCANTI RIBEIRO, CARDOSO, ANTÔNIO JORGE ORESTES, GUEIROS, LUIZ ALCINO MONTEIRO
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.01.2020
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Summary:A 56-year-old woman was referred in April 2016 complaining of "pain in the jaw and body." She reported having several professional opinions, but diagnosis was not determined. On her first appointment, she presented with an orthopantomography and skull radiographs that showed multiple punched-out lesions widespread in the jaw and skull. Under the suspicion of multiple myeloma, laboratory tests and computed tomography were requested, and a biopsy of the mandibular lesion was scheduled. During biopsy, a perforation of the cortex was noticed, and the hypothesis of a malignant lesion was reinforced. Histopathologic analysis and immunochemistry study were compatible with plasmacytoma. The patient was referred to the hematologist, who confirmed the diagnosis of multiple myeloma. Currently, she is waiting for an autologous stem cell transplantation after having undergone chemotherapy and radiotherapy.
ISSN:2212-4403
2212-4411
DOI:10.1016/j.oooo.2019.06.524