| 파노라마방사선영상에서 관찰되는 다발골수종: 증례보고 |
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염한결 |
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서울대학교 치의학대학원 영상치의학교실 |
| Multiple myeloma: Report of two cases with emphasis on the panoramic imaging features |
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Han-Gyeol Yeom |
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Department of Oral and Maxillofacial Radiology, School of Dentistry, Seoul National University |
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| Abstract |
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Multiple myeloma is a lymphohematopoietic disorder leading to abnormal hemostasis and significant pathologic changes of skeletal system. It induces multiple circular or oval-shaped radiolucent lesions which are characterized by 'punched-out appearance'. The surrounding trabecular bone normally shows no significant sclerotic reaction. Multiple myeloma patients may visit dental clinics, without perception of the disease themselves, due to discomfort from edema of orofacial region, oral ulcers, tooth mobility, pain or gingival bleeding. Multiple myeloma is susceptible to various complications, including delayed hemostasis and infection, which could occur during routine dental treatment such as periodontal and surgical operation. For radiographic diagnosis of multiple myeloma, common radiologic features of this tumor could be visualized by panoramic radiographs in the dental clinics, and further medical examinations and treatment can be recommended as a result. |
| Key Words:
Multiple myeloma;panoramic radiographs;imaging diagnosis;dentistry;radiographic features; |
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