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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorBENITES, Bernar Monteiro
dc.contributor.authorMIRANDA-SILVA, Wanessa
dc.contributor.authorROCHA, André Caroli
dc.contributor.authorPASSOS, Ula Lindoso
dc.contributor.authorFONSECA, Felipe Paiva
dc.contributor.authorSILVA, Celso Arrais Rodrigues da
dc.contributor.authorFREGNANI, Eduardo Rodrigues
dc.identifier.citationAUTOPSY AND CASE REPORTS, v.11, p.e2020218, 2021
dc.description.abstractABSTRACT The Numb Chin Syndrome (NCS) is defined as facial and oral numbness restricted to the mental nerve’s distribution involving the lower lip, skin of the chin, or gingiva of the lower anterior teeth. Hypoesthesia can occur unilaterally or bilaterally. Although this syndrome is rare, its importance is related to the fact that it represents the clinical manifestations of malignant diseases. Breast cancer and non-Hodgkin lymphoma are the most common cause of NCS. The patient, a 58-year-old woman, treated for a Burkitt Lymphoma (BL) nine years ago, described a two-week history of change in sensitivity and pain in the chin region, without relief with the use of analgesics. She had no headache, speech disturbance, dysphagia, visual disturbance, or other neurological symptoms. No surgical intervention has been performed recently. The intraoral examination revealed a healthy oral mucosa and a small area adjacent to the right mental nerve region that was uncomfortable to palpation. No changes were found in the bone trabeculae at cone-beam computed tomography. The contrasted magnetic resonance features made it possible to identify a change in the mandibular body extending to the entire right side, coinciding with the patient’s complaint, indicating a probable mandibular medullary invasion. The patient was submitted to a biopsy to rule out a possible recurrence of BL. The microscopic findings were consistent with the diagnosis of BL. The present report described a very unusual presentation of late recurrent BL nine years after the first treatment, which manifested as an NCS.eng
dc.publisherHospital Universitário da Universidade de São Pauloeng
dc.relation.ispartofAutopsy and Case Reports
dc.subjectBurkitt Lymphomaeng
dc.titleLate recurrence of Burkitt’s lymphoma in the jaw: numb chin syndrome as the only symptomeng
dc.rights.holderCopyright Hospital Universitário da Universidade de São Pauloeng
dc.subject.wosAnatomy & Morphologyeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Bernar Monteiro:Hospital Sírio-Libanês, Brazil, Wanessa:Hospital Sírio-Libanês, Brazil, Ula Lindoso:Hospital Sírio-Libanês, Brazil, Felipe Paiva:Universidade de Minas Gerais, Brasil, Celso Arrais Rodrigues da:Hospital Sírio-Libanês, Brazil, Eduardo Rodrigues:Hospital Sírio-Libanês, Brazil
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Artigos e Materiais de Revistas Científicas - HC/ICHC
Instituto Central - HC/ICHC

Artigos e Materiais de Revistas Científicas - ODS/03
ODS/03 - Saúde e bem-estar

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