Teledentistry in the management of a non‐Hodgkin's lymphoma manifesting as a gingival swelling: A case report

Oral cavity lymphomas constitute only 3% of all lymphomas in the general population but are the third most common oral malignancy. A 67‐year‐old female with a history of osteoporosis, Graves’ disease and non‐Hodgkin's lymphoma was referred to the Department of Dental Specialties with a chief co...

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Bibliographic Details
Published in:Special care in dentistry 2022-01, Vol.42 (1), p.86-90
Main Authors: Zhou, Miao Xian, Johnson, Emma F., Arce, Kevin, Gruwell, Scott F.
Format: Article
Language:English
Subjects:
Aged
Biopsy
Case reports
Dentistry
Female
Graves' disease
histology
Humans
Incisors
Lymphoma
Lymphoma, Follicular
Lymphoma, Non-Hodgkin - diagnosis
Lymphoma, Non-Hodgkin - therapy
Malignancy
Mouth Neoplasms
Non-Hodgkin's lymphoma
oncology
Oral cancer
Oral cavity
Osteoporosis
Patients
Soft tissues
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Summary:Oral cavity lymphomas constitute only 3% of all lymphomas in the general population but are the third most common oral malignancy. A 67‐year‐old female with a history of osteoporosis, Graves’ disease and non‐Hodgkin's lymphoma was referred to the Department of Dental Specialties with a chief complaint of persistent soft tissue swelling facial to the maxillary incisors of possible non‐odontogenic origin. To expedite care, the patient was first seen via teledentistry and subsequently appointed for an in‐person evaluation and treatment. Examination revealed 1–3 mm probing depths and a firm, non‐tender, non‐fluctuant mass in the facial soft tissues approximating teeth nos. 7–10. Biopsy of the affected area was performed. A diagnosis of recurrent follicle center cell lymphoma, a form of non‐Hodgkin's lymphoma, was rendered. The patient was subsequently referred to the Oncology and Hematology team, followed for 6 weeks and remained symptom‐free. This case underlies the importance of teledentistry to expedite care and manage patient expectations. Additionally, it also underscores the importance of microscopic examination of tissue samples from oral lesions that appear non‐odontogenic in nature and reinforces the role of dentistry in uncovering the oral‐systemic link.
ISSN:0275-1879
1754-4505
DOI:10.1111/scd.12638