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Primary B-lymphoblastic lymphoma of gallbladder involving mandibular bone

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Abstract

We report the case of a 75-year-old man who presented for evaluation of painless hematuria persisting for more than 1 month. At the time of presentation, the patient did not report any systemic symptoms and had no fever, weight loss, or dysuria. Computed tomography showed several enhancing, sessile polyps in the gall bladder (1.5 cm or smaller). There was no associated stone or biliary dilation. Since no other abnormality was evident, we performed laparoscopic cholecystectomy. He was diagnosed as having B-cell lymphoblastic lymphoma (B-LBL) after surgical resection of the gall bladder (GB). As the left mandibular swelling was developed after the diagnosis of the B-LBL involving GB, facial magnetic resonance imaging (MRI) was added to the imaging scan. Facial MRI revealed mass formation in the left mandible, left medial pterygoid, masticator, and buccinator muscles. The biopsy samples from the mandibular bone were also diagnosed as B-LBL. The definitive pathological diagnosis was B-LBL, stage IV. Systemic chemotherapy was done with subsequent response in size of the left mandible mass.

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Acknowledgments

This work was supported by a Chung-Ang University Research Grant. Dr. Kim receive institutional research support from Chung-Ang University.

Conflict of interest

All authors had no conflict of interest on this study.

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Authors and Affiliations

  1. Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea

    Hee-Jun Kim

  2. Division of Hemato-Oncology, Chung-Ang University College of Medicine, Seoul, Korea

    Hee-Jun Kim

  3. Department of Pathology, Chung-Ang University College of Medicine, Seoul, Korea

    Tae Jin Lee

  4. Department of Surgery, Chung-Ang University College of Medicine, 102 Heukseok-Ro, Dongjak-gu, Seoul, 156-755, Korea

    Yoo Shin Choi

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  1. Hee-Jun Kim
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  2. Tae Jin Lee
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Correspondence to Yoo Shin Choi.

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Kim, HJ., Lee, T.J. & Choi, Y.S. Primary B-lymphoblastic lymphoma of gallbladder involving mandibular bone. Int J Hematol 99, 790–793 (2014). https://doi.org/10.1007/s12185-014-1582-2

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  • DOI: https://doi.org/10.1007/s12185-014-1582-2

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