• Internal medicine · Dec 2024

    Review Case Reports

    Primary Extranodal Diffuse Large B-cell Lymphoma Presenting in the Lips: A Case Report and Literature Review.

    • Hideshige Seki, Ken Morita, Megumi Yasunaga, Masanori Toho, Hiroaki Maki, and Mineo Kurokawa.
    • Department of Hematology & Oncology, Graduate School of Medicine, The University of Tokyo, Japan.
    • Intern. Med. 2024 Dec 15; 63 (24): 336733693367-3369.

    AbstractApproximately 30-40% of malignant lymphomas are classified as diffuse large B-cell lymphoma (DLBCL), with 30% of DLBCL cases manifesting as extranodal lymphomas. Among these extranodal DLBCLs, primary DLBCL in oral lesions, particularly in the lips, is rare. While the treatment methods, chemotherapy assessment, and prognosis for nodal and extranodal DLBCLs are generally similar, diagnostic challenges can lead to delayed therapeutic intervention. We herein present a recent case of primary extranodal DLBCL in the lips that was swiftly diagnosed and managed using rituximab-containing chemotherapies. Our experience underscores the important role that hematologists play in identifying the possibility of oral hematological tumors, thereby allowing for a rapid diagnosis and timely intervention.

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