Use este identificador para citar ou linkar para este item: http://hdl.handle.net/1843/59950
Tipo: Artigo de Periódico
Título: Acute lymphoblastic leukemia/lymphoma of the oral and maxillofacial region
Autor(es): Celeste Sánchez-Romero
Hélder Antônio Rebelo Pontes
Flávia Sirotheau Corrêa Pontes
André Caroli Rocha
Román Carlos
Javier Rendon
Oslei Paes de Almeida
Felipe Paiva Fonseca
Resumo: Objective: Our objective was to describe the clinicopathologic and immunohistochemical features of acute lymphoblastic leukemia/lymphoma (ALL/LBL) of the oral and maxillofacial region (OMF). Study design: Cases diagnosed as ALL/LBL of the OMF region were retrieved from the files of 2 Brazilian and 1 Guatemalan oral pathology services from 2005 to 2017. Microscopic and immunohistochemical features of each case were reviewed and fully described, and clinical data were retrieved from the pathology reports. Results: During the period considered, 6 cases were identified. Male patients were the most affected (4:2), with a mean age of 19 years old. The mandible was involved in 2 cases, the maxilla in 2, the cheek mucosa in 1, and the parotid gland in 1. Painful swelling was the most common presentation, and 3 patients also had systemic complaints. Microscopically, tumors revealed solid infiltrations of small to medium-sized immature cells. "Puzzle-like" and "starry-sky" patterns were observed, and "single lane" growth was also identified. Immunohistochemically, 2 cases were diagnosed as T-cell ALL/LBL with the leukocyte common antigen (LCA)+/cCD3+/CD79 a+focal/CD20-/PAX5-/CD99+/CD34-/CD10+/terminal deoxynucleotidyl transferase (TdT)+ phenotype and 4 as B-cell ALL/LBL with the LCA+/CD3-/CD20-/CD79 a+/CD10+/CD34 variable/TdT+ predominant phenotype. The Ki67 index ranged from 80% to 99%. Conclusion: OMF ALL/LBL is rare, but its microscopic features and immunohistochemical profiles CD3+or CD79 a+/CD10+/CD34+variable/CD99+/TdT+ contribute to the correct diagnosis.
Assunto: Leukemia
Lymphoma
Immunohistochemistry
Pathology, oral
Idioma: eng
País: Brasil
Editor: Universidade Federal de Minas Gerais
Sigla da Instituição: UFMG
Departamento: FAO - DEPARTAMENTO DE CLÍNICA
Tipo de Acesso: Acesso Restrito
Identificador DOI: https://www.sciencedirect.com/science/article/pii/S2212440318300464?via%3Dihub
URI: http://hdl.handle.net/1843/59950
Data do documento: Ago-2018
metadata.dc.url.externa: https://doi.org/10.1016/j.oooo.2018.01.010
metadata.dc.relation.ispartof: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Aparece nas coleções:Artigo de Periódico

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