[Malignant lymphoma or inflammation? Diagnostic and treatment difficulties--2 cases report]

Soft and hard tissue in the oral cavity can be the first coexisting place of systemic diseases manifestation. The aim of this study was to report the diagnostic and treatment difficulties in two patients with malignant lymphomas. The first case was a 66-year-old woman who had undergone surgery procedures connected with radiotherapy and chemotherapy because of malignant lymphoma in nasal cavity in 2001 year. In 2002 she was treated in our department after finding tumor in oral cavity, also diagnosed as malignant lymphoma. The second patient was a 58-year-old man who had undergone an operation (surgery) by reason of maxillary inflammation tumor in 2002 year. On the next year he underwent an operation of removal cervical lymp nodes because of malignant lymphoma. In 2004 year he underwent surgery on account of maxillary tumor suspected by malignant lymphoma, which was diagnosed as inflammation. Conclusions. In differentiation tumors of head and neck one should take an account of lymphoma malignant. The similar clinic and radiological symptoms and laboratory results of malignant lymphomas and inflammations of head and neck can cause the late diagnosis and aggravate the prognosis of this severe disease.