Faculty Bibliography

Cutaneous T-cell lymphoma rarely involves the oral cavity. Only 14 detailed cases of oral cutaneous T-cell lymphoma have been described in the English-language literature; this report describes eight additional cases observed among 824 patients evaluated at our cutaneous T-cell lymphoma center since 1968. Oral involvement occurs late in the course of cutaneous T-cell lymphoma and usually is associated with poor prognosis; most patients die of disease complications within 3 years of the diagnosis of oral involvement.

Oral symptoms of multiple myeloma are common. A patient with refractory multiple myeloma is described because of this unusual orofacial manifestations, including severe intraoral hemorrhage, a massive, erosive maxillofacial lesion with extension into the cranial fossa, and rapid growth of a large intraoral mass.

Oral lesions commonly seen by primary care physicians represent manifestations of local or systemic disease of infectious, immunogenic, malignant, or traumatic etiology. The patient's history will readily show whether the lesions are acute or chronic, single or multiple, primary or recurrent--classifications that greatly simplify the differential diagnosis.