Gingival Anaplastic Large-Cell Lymphoma Mimicking Hyperplastic Benignancy as the First Clinical Manifestation of AIDS: A Case Report and Review of the Literature

This paper presents an unusual case of gingival ALCL, which mimicked a benign hyperplastic lesion that occurred in a 57-year-old white man representing the first clinical manifestation of acquired immunodeficiency syndrome (AIDS). The patient was referred to the Dental Clinic of PUCPR complaining of...

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Main Authors: Rafaela Elvira Rozza- (Author), Stefânia Jeronimo Ferreira (Author), Diogo Lenzi Capella (Author), Stephan Schwartz (Author), Ana Helena Willrich (Author), Lúcia de Noronha (Author), Aline Cristina Batista Rodrigues Johann (Author), Paulo Henrique Couto Souza (Author)
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Published: Hindawi Limited, 2013-01-01T00:00:00Z.
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100 1 0 |a Rafaela Elvira Rozza-  |e author 
700 1 0 |a Stefânia Jeronimo Ferreira  |e author 
700 1 0 |a Diogo Lenzi Capella  |e author 
700 1 0 |a Stephan Schwartz  |e author 
700 1 0 |a Ana Helena Willrich  |e author 
700 1 0 |a Lúcia de Noronha  |e author 
700 1 0 |a Aline Cristina Batista Rodrigues Johann  |e author 
700 1 0 |a Paulo Henrique Couto Souza  |e author 
245 0 0 |a Gingival Anaplastic Large-Cell Lymphoma Mimicking Hyperplastic Benignancy as the First Clinical Manifestation of AIDS: A Case Report and Review of the Literature 
260 |b Hindawi Limited,   |c 2013-01-01T00:00:00Z. 
500 |a 2090-6447 
500 |a 2090-6455 
500 |a 10.1155/2013/852932 
520 |a This paper presents an unusual case of gingival ALCL, which mimicked a benign hyperplastic lesion that occurred in a 57-year-old white man representing the first clinical manifestation of acquired immunodeficiency syndrome (AIDS). The patient was referred to the Dental Clinic of PUCPR complaining of a lobulated nodule on the gingiva of his upper central incisors. The presence of advanced chronic periodontitis and dental plaque raised suspicion for a benignancy. An excisional biopsy was performed, and large pleomorphic cells with an abundant cytoplasm, sometimes containing prominent nucleoli and "Hallmark" cells, were observed through hematoxylin and eosin staining. The tumor cells showed strong CD30 expression, EMA, Ki-67, and LCA, and negative stain for p80NPM/ALK, CKAE1/AE3, CD20, CD3, CD56, and CD15. The final diagnosis was ALCL (ALK-negative). Further laboratory tests revealed positivity for human immunodeficiency virus (HIV). The patient was submitted to chemotherapy, but four months after diagnosis, the patient died due to pneumonia and respiratory failure. Oral anaplastic large-cell lymphoma (ALCL) is a rare disorder. Only 5 cases involving the gingiva have been reported, and to our knowledge, this is the first case reported of the ALCL, which mimicked a hyperplastic benignancy as the first clinical manifestation of AIDS. 
546 |a EN 
690 |a Dentistry 
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786 0 |n Case Reports in Dentistry, Vol 2013 (2013) 
787 0 |n http://dx.doi.org/10.1155/2013/852932 
787 0 |n https://doaj.org/toc/2090-6447 
787 0 |n https://doaj.org/toc/2090-6455 
856 4 1 |u https://doaj.org/article/cab0dce27c924bccb8a37de6ba584b5a  |z Connect to this object online.