Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case Report

Plasmablastic lymphoma (PBL) is a rare and aggressive non-Hodgkin lymphoma subtype associated with human immunodeficiency virus (HIV) infection. PBL is extremely aggressive and has a poor response to treatment. Clinically PBL resembles a periodontal disease, Kaposi sarcoma, or melanoma. Delayed diag...

Full description

Bibliographic Details
Main Authors: Mehmet Ali Altay, Selmi Yılmaz, Ayşe Taş, Nelli Yıldırımyan
Format: Article
Language:English
Published: Gazi University 2023-09-01
Series:Acta Odontologica Turcica
Subjects:
Online Access:https://dergipark.org.tr/tr/download/article-file/2658260
_version_ 1827824791042654208
author Mehmet Ali Altay
Selmi Yılmaz
Ayşe Taş
Nelli Yıldırımyan
author_facet Mehmet Ali Altay
Selmi Yılmaz
Ayşe Taş
Nelli Yıldırımyan
author_sort Mehmet Ali Altay
collection DOAJ
description Plasmablastic lymphoma (PBL) is a rare and aggressive non-Hodgkin lymphoma subtype associated with human immunodeficiency virus (HIV) infection. PBL is extremely aggressive and has a poor response to treatment. Clinically PBL resembles a periodontal disease, Kaposi sarcoma, or melanoma. Delayed diagnosis adversely affects the treatment and life expectancy. A 52-year-old male presented with a firm intraoral mass causing a slight elevation noticeable extraorally. Radiologically, loss of lamina dura around the first premolar and loss of both vertical and horizontal bone height around the dental implant replacing the second premolar were present. The biopsy confirmed a diagnosis of PBL. Further evaluation revealed that the patient was positive for HIV. The chemotherapy regimen included etoposide, vincristine, hydroxydaunorubicin, cyclophosphamide, and prednisolone, followed by an autologous hematopoietic stem cell bone marrow transplant. This article attempts to describe the clinical presentation and histopathological evaluation of PBL, and emphasize the paramount role of biopsy, early clinical suspicion, and correct diagnosis.
first_indexed 2024-03-12T02:31:50Z
format Article
id doaj.art-5c7a80e423324598a7bd644c8938423d
institution Directory Open Access Journal
issn 2147-690X
language English
last_indexed 2024-03-12T02:31:50Z
publishDate 2023-09-01
publisher Gazi University
record_format Article
series Acta Odontologica Turcica
spelling doaj.art-5c7a80e423324598a7bd644c8938423d2023-09-05T07:42:59ZengGazi UniversityActa Odontologica Turcica2147-690X2023-09-01403929510.17214/gaziaot.117711429Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case ReportMehmet Ali Altay0Selmi Yılmaz1Ayşe Taş2Nelli Yıldırımyan3AKDENİZ ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİAKDENİZ ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİİSTANBUL MEDİPOL ÜNİVERSİTESİ, DİŞ HEKİMLİĞİ FAKÜLTESİISTANBUL MEDIPOL UNIVERSITY, FACULTY OF DENTISTRYPlasmablastic lymphoma (PBL) is a rare and aggressive non-Hodgkin lymphoma subtype associated with human immunodeficiency virus (HIV) infection. PBL is extremely aggressive and has a poor response to treatment. Clinically PBL resembles a periodontal disease, Kaposi sarcoma, or melanoma. Delayed diagnosis adversely affects the treatment and life expectancy. A 52-year-old male presented with a firm intraoral mass causing a slight elevation noticeable extraorally. Radiologically, loss of lamina dura around the first premolar and loss of both vertical and horizontal bone height around the dental implant replacing the second premolar were present. The biopsy confirmed a diagnosis of PBL. Further evaluation revealed that the patient was positive for HIV. The chemotherapy regimen included etoposide, vincristine, hydroxydaunorubicin, cyclophosphamide, and prednisolone, followed by an autologous hematopoietic stem cell bone marrow transplant. This article attempts to describe the clinical presentation and histopathological evaluation of PBL, and emphasize the paramount role of biopsy, early clinical suspicion, and correct diagnosis.https://dergipark.org.tr/tr/download/article-file/2658260plasmablastic lymphomahuman immunodeficiency virusgingival enlargementoral cavityplazmablastik lenfomainsan immünyetmezlik virüsüdiş eti büyümesiağız boşluğu
spellingShingle Mehmet Ali Altay
Selmi Yılmaz
Ayşe Taş
Nelli Yıldırımyan
Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case Report
Acta Odontologica Turcica
plasmablastic lymphoma
human immunodeficiency virus
gingival enlargement
oral cavity
plazmablastik lenfoma
insan immünyetmezlik virüsü
diş eti büyümesi
ağız boşluğu
title Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case Report
title_full Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case Report
title_fullStr Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case Report
title_full_unstemmed Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case Report
title_short Plasmablastic Lymphoma in a Previously Undiagnosed Human Immunodeficiency Virus-Positive Patient: A Case Report
title_sort plasmablastic lymphoma in a previously undiagnosed human immunodeficiency virus positive patient a case report
topic plasmablastic lymphoma
human immunodeficiency virus
gingival enlargement
oral cavity
plazmablastik lenfoma
insan immünyetmezlik virüsü
diş eti büyümesi
ağız boşluğu
url https://dergipark.org.tr/tr/download/article-file/2658260
work_keys_str_mv AT mehmetalialtay plasmablasticlymphomainapreviouslyundiagnosedhumanimmunodeficiencyviruspositivepatientacasereport
AT selmiyılmaz plasmablasticlymphomainapreviouslyundiagnosedhumanimmunodeficiencyviruspositivepatientacasereport
AT aysetas plasmablasticlymphomainapreviouslyundiagnosedhumanimmunodeficiencyviruspositivepatientacasereport
AT nelliyıldırımyan plasmablasticlymphomainapreviouslyundiagnosedhumanimmunodeficiencyviruspositivepatientacasereport