描述了涉及上颌骨的非霍奇金淋巴瘤(NHL)的非常不寻常的影像学表现。该患者最初接受抗生素治疗,以治疗被认为代表牙源性感染的疾病。抗生素治疗失败后,患者被转诊至口腔外科诊所进行CBCT检查.CBCT显示受影响骨骼的非典型全身性硬化,而不是与NHL相关的通常的溶解射线照相模式。还存在窦底的破坏和窦的浸润。详细描述了这种罕见的不透射线的影像学表现以及临床表现和组织病理学发现。讨论了这种非典型NHL病例中存在的表明恶性肿瘤的重要影像学特征。鉴别诊断突出了NHL之间的差异,还提供骨髓炎和骨肉瘤。
A very unusual radiographic presentation of non-Hodgkin lymphoma (NHL) involving the maxilla is described. The patient was initially managed with antibiotics prescribed to treat what was thought to represent an odontogenic infection. After unsuccessful antibiotic therapy, the patient was referred to an oral surgery clinic where CBCT was performed. CBCT revealed an atypical generalized sclerosis of the affected bone rather than the usual lytic radiographic pattern associated with NHL. Destruction of the sinus floor with infiltration of the sinus was also present. This rare radio-opaque radiographic presentation is described in detail together with the clinical presentation and histopathological findings. The important radiographic features suggesting malignancy that were present in this atypical case of NHL are discussed. A differential diagnosis highlighting the differences between NHL, osteomyelitis and osteosarcoma is also provided.