Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving Referral
<b>Background:</b> Burkitt lymphoma (BL) is an aggressive non-Hodgkin lymphoma (NHL), subdivided into endemic, sporadic, and immunodeficiency-associated forms. While jaw lesions are common in endemic BL, they are infrequent in sporadic cases, only rarely constituting the first manifestat...
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2024-12-01
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| Series: | Dentistry Journal |
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| author | Erofili Papadopoulou Maria Kouri Dimitrios Velonis Anastasia Andreou Maria Georgaki Spyridon Damaskos Evangelia Piperi Konstantina Delli Ioannis K. Karoussis Antonia Vlachou Georgia Avgerinou Antonis Kattamis Nikolaos G. Nikitakis |
| author_facet | Erofili Papadopoulou Maria Kouri Dimitrios Velonis Anastasia Andreou Maria Georgaki Spyridon Damaskos Evangelia Piperi Konstantina Delli Ioannis K. Karoussis Antonia Vlachou Georgia Avgerinou Antonis Kattamis Nikolaos G. Nikitakis |
| author_sort | Erofili Papadopoulou |
| collection | DOAJ |
| description | <b>Background:</b> Burkitt lymphoma (BL) is an aggressive non-Hodgkin lymphoma (NHL), subdivided into endemic, sporadic, and immunodeficiency-associated forms. While jaw lesions are common in endemic BL, they are infrequent in sporadic cases, only rarely constituting the first manifestation of the disease. The aim of this study is to present a rare pediatric case of sporadic BL first manifesting as gingival swellings and tooth hypermobility and provide a review of all the published sporadic BL case reports as the first sign of disease. <b>Case report:</b> An 11-year-old Caucasian female was referred for the evaluation of hypermobility of posterior lower teeth, associated with painful gingival swellings of 20 days duration. Clinical examination revealed right facial asymmetry and bilateral prominent swellings of the posterior lower gingiva. A panoramic radiograph revealed ill-defined radiolucent lesions in the posterior mandible bilaterally. On computed tomography, soft-tissue masses were identified along the mandibular ramus extending into the maxillary sinus bilaterally. The histopathologic and immunohistochemical analyses of the lesions led to a diagnosis of Burkitt lymphoma (BL). The patient underwent a full staging work-up, revealing bone marrow involvement and widespread disease. A multi-chemotherapy regimen was initiated with the regression of oral lesions and symptoms within a few weeks and complete disease remission after nine chemotherapy cycles. The patient remains free of disease 11 years later. <b>Conclusions:</b> This case underscores the critical importance of the timely diagnosis and life-saving referral of rapidly growing jaw lesions, which may represent the first sign of an underlying lymphoreticular malignancy with aggressive course, such as BL. |
| format | Article |
| id | doaj-art-d10cb0cca3bb4880bef74a90c2c30c7a |
| institution | Kabale University |
| issn | 2304-6767 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Dentistry Journal |
| spelling | doaj-art-d10cb0cca3bb4880bef74a90c2c30c7a2025-01-24T13:28:34ZengMDPI AGDentistry Journal2304-67672024-12-01131610.3390/dj13010006Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving ReferralErofili Papadopoulou0Maria Kouri1Dimitrios Velonis2Anastasia Andreou3Maria Georgaki4Spyridon Damaskos5Evangelia Piperi6Konstantina Delli7Ioannis K. Karoussis8Antonia Vlachou9Georgia Avgerinou10Antonis Kattamis11Nikolaos G. Nikitakis12Department of Oral Medicine & Pathology and Hospital Dentistry, School of Dentistry, National and Kapodistrian University of Athens (NKUA), Greece 2 Thivon Street, 11527 Athens, GreeceDepartment of Oral Medicine & Pathology and Hospital Dentistry, School of Dentistry, National and Kapodistrian University of Athens (NKUA), Greece 2 Thivon Street, 11527 Athens, GreeceDepartment of Oral Medicine & Pathology and Hospital Dentistry, School of Dentistry, National and Kapodistrian University of Athens (NKUA), Greece 2 Thivon Street, 11527 Athens, GreeceDepartment of Oral Medicine & Pathology and Hospital Dentistry, School of Dentistry, National and Kapodistrian University of Athens (NKUA), Greece 2 Thivon Street, 11527 Athens, GreeceDepartment of Oral Medicine & Pathology and Hospital Dentistry, School of Dentistry, National and Kapodistrian University of Athens (NKUA), Greece 2 Thivon Street, 11527 Athens, GreeceDepartment of Oral Diagnosis and Radiology, School of Dentistry, National and Kapodistrian University of Athens (NKUA), 11527 Athens, GreeceDepartment of Oral Medicine & Pathology and Hospital Dentistry, School of Dentistry, National and Kapodistrian University of Athens (NKUA), Greece 2 Thivon Street, 11527 Athens, GreeceDepartment of Oral Diseases and Oral and Maxillofacial Surgery, Faculty of Medical Sciences, Hanzeplein 1, HPC BB70, Postbus 30001, 9700 RB Groningen, The NetherlandsDepartment of Periodontology, School of Dentistry, National and Kapodistrian University of Athens (NKUA), 11527 Athens, GreeceDivision of Pediatric Hematology-Oncology, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens (NKUA), 11527 Athens, GreeceDivision of Pediatric Hematology-Oncology, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens (NKUA), 11527 Athens, GreeceDivision of Pediatric Hematology-Oncology, First Department of Pediatrics, School of Medicine, National and Kapodistrian University of Athens (NKUA), 11527 Athens, GreeceDepartment of Oral Medicine & Pathology and Hospital Dentistry, School of Dentistry, National and Kapodistrian University of Athens (NKUA), Greece 2 Thivon Street, 11527 Athens, Greece<b>Background:</b> Burkitt lymphoma (BL) is an aggressive non-Hodgkin lymphoma (NHL), subdivided into endemic, sporadic, and immunodeficiency-associated forms. While jaw lesions are common in endemic BL, they are infrequent in sporadic cases, only rarely constituting the first manifestation of the disease. The aim of this study is to present a rare pediatric case of sporadic BL first manifesting as gingival swellings and tooth hypermobility and provide a review of all the published sporadic BL case reports as the first sign of disease. <b>Case report:</b> An 11-year-old Caucasian female was referred for the evaluation of hypermobility of posterior lower teeth, associated with painful gingival swellings of 20 days duration. Clinical examination revealed right facial asymmetry and bilateral prominent swellings of the posterior lower gingiva. A panoramic radiograph revealed ill-defined radiolucent lesions in the posterior mandible bilaterally. On computed tomography, soft-tissue masses were identified along the mandibular ramus extending into the maxillary sinus bilaterally. The histopathologic and immunohistochemical analyses of the lesions led to a diagnosis of Burkitt lymphoma (BL). The patient underwent a full staging work-up, revealing bone marrow involvement and widespread disease. A multi-chemotherapy regimen was initiated with the regression of oral lesions and symptoms within a few weeks and complete disease remission after nine chemotherapy cycles. The patient remains free of disease 11 years later. <b>Conclusions:</b> This case underscores the critical importance of the timely diagnosis and life-saving referral of rapidly growing jaw lesions, which may represent the first sign of an underlying lymphoreticular malignancy with aggressive course, such as BL.https://www.mdpi.com/2304-6767/13/1/6Burkitt lymphomasporadicfirst manifestationjawsgingival swellingteeth hypermobility |
| spellingShingle | Erofili Papadopoulou Maria Kouri Dimitrios Velonis Anastasia Andreou Maria Georgaki Spyridon Damaskos Evangelia Piperi Konstantina Delli Ioannis K. Karoussis Antonia Vlachou Georgia Avgerinou Antonis Kattamis Nikolaos G. Nikitakis Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving Referral Dentistry Journal Burkitt lymphoma sporadic first manifestation jaws gingival swelling teeth hypermobility |
| title | Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving Referral |
| title_full | Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving Referral |
| title_fullStr | Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving Referral |
| title_full_unstemmed | Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving Referral |
| title_short | Sporadic Burkitt Lymphoma First Presenting as Painful Gingival Swellings and Tooth Hypermobility: A Life-Saving Referral |
| title_sort | sporadic burkitt lymphoma first presenting as painful gingival swellings and tooth hypermobility a life saving referral |
| topic | Burkitt lymphoma sporadic first manifestation jaws gingival swelling teeth hypermobility |
| url | https://www.mdpi.com/2304-6767/13/1/6 |
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