Premium
Leukaemic infiltration in the oral and maxillofacial region: An update
Author(s) -
de Sena Ana Carolina Velasco Pondé,
de Arruda José Alcides Almeida,
Costa Fernanda Pereira Delgado,
Lemos Ana Paula Vilaça,
Kakehasi Fabiana Maria,
Travassos Denise Vieira,
Abreu Lucas Guimarães,
Fonseca Felipe Paiva,
Mesquita Ricardo Alves,
Silva Tarcília Aparecida
Publication year - 2021
Publication title -
journal of oral pathology and medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.887
H-Index - 83
eISSN - 1600-0714
pISSN - 0904-2512
DOI - 10.1111/jop.13206
Subject(s) - medicine , survival analysis , critical appraisal , surgery , pathology , alternative medicine
Background The purpose of this study was to integrate the available data published on leukaemic infiltration in the oral and maxillofacial region into a comprehensive analysis of its clinical manifestations, imaginological characteristics, management and survival. Materials and methods An electronic search with no publication date restriction was undertaken in October 2020 in the following databases: PubMed, Web of Science, Scopus and Embase. Overall survival was calculated by survival analysis with the Kaplan‐Meier test. A critical appraisal of included articles was performed using the Joanna Briggs Institute tool. Results A total of 63 studies including 68 patients were selected for data extraction. The most common haematologic diagnosis was acute myeloid leukaemia (47%). The most affected individuals were 40 to 49 years old (20.9%). The male‐to‐female ratio was 1.2:1. The gingiva was the most affected site (37%). Swelling/mass/oedema (33.7%) and enlargement/hyperplasia/hypertrophy (25.5%) were the main clinical findings. Osteolytic lesions with bone destruction were the main imaginological characteristics among the reported cases. Follow‐up was available for 36 patients. Overall, within the 21‐month follow‐up, the survival probability dropped to 14.3%. Conclusion A considerable number of studies reported oral manifestations mainly in individuals with the acute form of leukaemia. Children and adults were affected, but the fifth decade of life was the most common. Dentists should be vigilant since these manifestations may be important for a diagnosis and for the monitoring of the treatment response and recurrence of haematological neoplasia.