A case of localized nodular amyloidosis in the sublingual gland and submucosa of the mouth floor

Takayuki HARA, Kohji ISHIHAMA, Takeshi TOGAWA, Soju SEKI, Noriaki TANAKA, Mikihiko KOGO
2021 Japanese Journal of Oral & Maxillofacial Surgery  
Amyloidosis is a rare disease characterized by the deposition of an insoluble fibrillar protein in various organs and classified into two categories: systemic and localized. In the oral and maxillofacial region, the occurrence sites of localized amyloidosis are the buccal mucosa, sublingual gland, lip, palate and tongue. We report a case of localized nodular amyloidosis in the sublingual gland and submucosa of the mouth floor. A 72-year-old woman presented a nodular mass in the left side of the
more » ... floor of her mouth and was referred to our hospital for further examination and treatment. Intraoral examination showed an elastic-hard, wellcircumscribed mass, covered with normal epithelium, measuring approximately 32 × 15 mm in size. The pathological diagnosis via biopsy was amyloidosis (AL amyloidosis of the Aλ type) . We diagnosed localized amyloidosis, as examination data did not support a diagnosis of systemic amyloidosis and multiple myeloma. The mass was removed surgically under general anesthesia. Seventeen months have since passed, with no sign of recurrence. Key words: localized nodular amyloidosis (限局性結節性アミロイドーシス) , sublingual gland (舌下腺) , floor of the mouth (口底) 1) 大阪大学大学院歯学研究科顎口腔疾患制御学講座 (口腔外科第一教室) (主任:田中 晋教授) 2) 大阪警察病院歯科口腔外科 (主任:石濱孝二部長)
doi:10.5794/jjoms.67.620 fatcat:x3qbwenfyfbezbhqfticf4dhfq