@article{oai:repository.lib.tottori-u.ac.jp:00005108, author = {Shibata, Masami and Shibata, Masami and Kodani, Isamu and Kodani, Isamu and Doi, Rieko and Takubo, Kazuko and Takubo, Kazuko and Kidani, Kazunori and Kidani, Kazunori and Sakai, Hiroatsu and Sonoda, Masayuki and Ryoke, Kazuo and Ryoke, Kazuo and Doi, Rieko and Sakai, Hiroatsu and Sonoda, Masayuki}, issue = {3}, journal = {Yonago Acta medica, Yonago Acta medica}, month = {Sep}, note = {Four cases of multiple myeloma presenting symptoms in the oral and maxillofacial region are reported. The main complaints in 2 patients were macroglossia and dysphagia. We doubted these cases were amyloidosis, but examinations performed for possible amyloidosis led us to a diagnosis of multiple myeloma. The other 2 patients presented signs in the mandible. One of them had a mass-type lesion in the gingiva which upon X-ray revealed an osteolytic lesion in the mandible and multiple "punched-out" osteolytic lesions in the cranial bones. The other showed only a diffuse non-homogeneous radiolucent lesion and dental ankylosis. Medical history and biochemical and hematologic findings would be helpful in diagnosing multiple myeloma. Here, we report our summarization of these 4 cases.}, pages = {77--81}, title = {Multiple Myeloma Presenting Symptoms in the Oral and Maxillofacial Region}, volume = {46}, year = {2003} }