書誌事項
- タイトル別名
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- A case of sarcoidosis occurring in the mandible
- カガクコツ ニ ハッショウ シタ サルコイドーシス ノ 1レイ
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Sarcoidosis is a multisystemic noncaseating epitheloid cell granulomatous disorder of undetermined etiology. It most often affects the lungs, but rarely occurs in the jaw bones. We report a case of sarcoidosis that developed in the mandible.<br>A 39-year-old woman was referred to our department to remove the right mandibular first molar because of severe caries. Multiple cervical lymph nodes were palpated in the right side of the neck. Impaired wound healing was noted after tooth extraction. Contrast-enhanced computed tomography （CT） demonstrated an osteolytic lesion in the right lower molar region and enlarged, homogenously enhanced lymph nodes in the right side of the neck. For systemic investigations, thoracic and abdominal CT scanning was performed. These examinations revealed bilateral pulmonary hilar, mediastinal, para-aorta, and hepatic portal lymphadenopathies. The suspected diagnosis was sarcoidosis or malignant lymphoma. Lymphadenectomy of the right cervical region and biopsy of the lesion of the mandible were performed to confirm the definitive diagnosis. Histopathologically, both specimens revealed noncaseating epitheloid cell granulomas. Thus, the final histopathological diagnosis was sarcoidosis. There was no evidence of disease progression 5 years after diagnosis.
収録刊行物
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- 日本口腔外科学会雑誌
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日本口腔外科学会雑誌 60 (6), 348-353, 2014
社団法人 日本口腔外科学会
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詳細情報 詳細情報について
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- CRID
- 1390282681507881088
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- NII論文ID
- 130005083474
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- NII書誌ID
- AN00189163
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- ISSN
- 21861579
- 00215163
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- NDL書誌ID
- 025625100
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
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