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KMID : 0362720180560120707
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Journal of the Korean Dental Association
2018 Volume.56 No. 12 p.707 ~ p.713
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Multiple myeloma: Report of two cases with emphasis on the panoramic imaging features
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Yeom Han-Gyeol
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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.
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KEYWORD
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Multiple myeloma, panoramic radiographs, imaging diagnosis, dentistry, radiographic features
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