Primary extranodal XXXX affecting the periodontium.

@entity1 @entity706 @entity133 @entity1892 @entity1893
BACKGROUND: @entity1893 may arise in extranodal tissues within the head and neck region. These lesions may occur in the oral cavity, but rarely appear on the gingiva. Due to their malignant nature, rapid identification, diagnosis, and treatment of @entity1893 are essential to @entity1 survival. METHODS: An unusual case of primary extranodal @entity1893 is described. The small lesion arose on the @entity133 . Upon excision, the tissue was submitted for microscopic examination, with the expectation that the lesion would be benign and excision would constitute the entirety of treatment. However, a diagnosis of primary extranodal large @entity1892 was returned. RESULTS: In addition to excision of the lesion, the @entity1 underwent a complete work-up to rule out other systemic lesions. Chemotherapy and radiation therapy were performed. The @entity1 has remained healthy, without recurrence of @entity706 for 3 years. CONCLUSIONS: This case reinforces the importance of submitting excised tissues for microscopic examination even when the lesion appears totally benign. In addition, it highlights the need for complete excision of suspected lesions, with generous borders of normal tissue. With current periodontal plastic surgical techniques, most defects remaining after soft tissue biopsy can be managed with good esthetic results.
