华西口腔医学杂志 ›› 2022, Vol. 40 ›› Issue (3): 355-359.doi: 10.7518/hxkq.2022.03.017

• 病例报告 • 上一篇    下一篇

以口腔溃疡为首发症状的鼻型-结外自然杀伤/T细胞淋巴瘤1

穆新月1(), 刘树泰2, 孙继军3, 柳晓琳3, 李媛媛3, 王文龙3()   

  1. 1.济宁医学院附属医院口腔科,济宁 272000
    2.滨州医学院附属烟台市口腔医院牙周科,烟台 264000
    3.滨州医学院附属医院口腔科,滨州 256600
  • 收稿日期:2021-01-11 修回日期:2022-04-10 出版日期:2022-06-01 发布日期:2022-06-01
  • 通讯作者: 王文龙 E-mail:dentistxinyue@163.com;wwlkqwk@163.com
  • 作者简介:穆新月,医师,硕士,E-mail:dentistxinyue@163.com
  • 基金资助:
    山东省自然科学基金(ZR2019PH075)

Nasal-type extranodal natural killer/T-cell lymphoma with oral ulcer as the earliest clinical manifestation

Mu Xinyue1(), Liu Shutai2, Sun Jijun3, Liu Xiaolin3, Li Yuanyuan3, Wang Wenlong3()   

  1. 1.Dept. of Stomatology, Affiliated Hospital of Jining Medical University, Jining 272000, China
    2.Dept. of Periodontics, Yantai Stomatological Hospital of Binzhou Medical University, Yantai 264000, China
    3.Dept. of Stomatology, Affiliated Hospital of Binzhou Medical University, Binzhou 256600, China
  • Received:2021-01-11 Revised:2022-04-10 Online:2022-06-01 Published:2022-06-01
  • Contact: Wang Wenlong E-mail:dentistxinyue@163.com;wwlkqwk@163.com
  • Supported by:
    Natural Science Foundation of Shandong Province(ZR2019PH075);Correspondence: Wang Wenlong, E-mail: wwlkqwk@163.com

摘要:

鼻型-结外自然杀伤/T细胞淋巴瘤(ENKTL-NT)是源于自然杀伤细胞或者细胞毒性T细胞的非霍奇金淋巴瘤的一个特殊亚型,以口腔溃疡为首发症状的情况因罕见和认识不足使其诊断具有挑战性。本文报道1例以口腔溃疡为首发症状的ENKTL-NT,并通过分析该疾病的临床病理学特征、鉴别诊断、治疗及预后、误诊原因,为临床诊治提供参考。

关键词: 鼻型-结外自然杀伤/T细胞淋巴瘤, 口腔溃疡, 诊断

Abstract:

Nasal-type extranodal natural killer/T-cell lymphoma (ENKTL-NT) is a special subtype of non-Hodgkin’s lymphoma derived from natural killer cells or cytotoxic T cells. Oral ulcers as the first symptom makes its diagnosis challenging because of its rarity and lack of understanding. We report a case of ENKTL-NT in this paper. We analyzed the clinicopathological features, differential diagnosis, treatment, prognosis and the causes of misdiagnosis to provide a diagnostic basis for dentists to make better clinical diagnosis and treatment.

Key words: nasal-type extranodal natural killer/T-cell lymphoma, oral ulcer, diagnose

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