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Meriem H, Bouhairi MEL, Ben Yahya I. Non HIV oral Kaposi Sarcoma: Rare case report literature review. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2022. [DOI: 10.1016/j.adoms.2021.100225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Alves CGB, Assis MS, Maciel ADS, da Silva JC, Leite-Ribeiro PM, Lins-Kusterer L, Sarmento VA. Clinical and Laboratory Profile of People Living with HIV/AIDS with Oral Kaposi Sarcoma. AIDS Res Hum Retroviruses 2021; 37:870-877. [PMID: 34538064 DOI: 10.1089/aid.2020.0311] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
The aim of this article was to evaluate the clinical and laboratory profile of people with oral Kaposi's sarcoma (KS) associated with AIDS (KS-AIDS), followed-up at a public university hospital in Salvador, Bahia, Brazil, in the past 10 years. We identified patients diagnosed with KS-AIDS, presenting oral manifestation from January 2007 to December 2017. We searched, in the hospital information systems, the patient demographics, diagnostic data, treatment, image studies, and oral photographic records. Of the 39 cases of KS-AIDS identified at the institution, 14 (22.8%) presented oral lesions. There was a predominance of black men, with a mean age of 32.5 years. Most cases (85.1%) manifested signs of KS simultaneously with the diagnosis of HIV infection, with extremely low initial CD4 T cell counts (average of 52.6 cells/mm2) and visceral involvement (64.3%). The palate (32.1%) and gingiva (21.4%) were the most affected oral sites. Histologically, the tumors exhibited proliferation of spindle cells between vascular clefts and extravasated erythrocytes. Oral KS-AIDS was frequent in young black adult men, with severe immunosuppression and high viral load counting, mostly with lesions manifested in the same period of diagnosis of infection by the HIV.
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Affiliation(s)
| | - Midian Sousa Assis
- Oral Care Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil
- Propedeutics and Integrated Clinic Department, School of Dentistry, Federal University of Bahia, Salvador, Brazil
| | - Anderson da Silva Maciel
- Oral Care Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil
- Propedeutics and Integrated Clinic Department, School of Dentistry, Federal University of Bahia, Salvador, Brazil
| | - Janaína Caribé da Silva
- Propedeutics and Integrated Clinic Department, School of Dentistry, Federal University of Bahia, Salvador, Brazil
| | - Patricia Miranda Leite-Ribeiro
- Oral Care Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil
- Propedeutics and Integrated Clinic Department, School of Dentistry, Federal University of Bahia, Salvador, Brazil
| | - Liliane Lins-Kusterer
- Oral Care Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil
- Department of Preventive and Social Medicine, School of Medicine, Federal University of Bahia, Salvador, Brazil
| | - Viviane Almeida Sarmento
- Oral Care Department, University Hospital Professor Edgard Santos, Federal University of Bahia, Salvador, Brazil
- Propedeutics and Integrated Clinic Department, School of Dentistry, Federal University of Bahia, Salvador, Brazil
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Cheo SW, Ahmad Akbar RZ, Abd Rahman F, Abdul Rashid WNF', Tan YA, Low QJ. Immune reconstitution inflammatory syndrome and human immunodeficiency virus infection. QJM 2020; 113:809-812. [PMID: 32275748 DOI: 10.1093/qjmed/hcaa122] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/31/2020] [Revised: 04/01/2020] [Indexed: 11/13/2022] Open
Affiliation(s)
- S W Cheo
- From the Department of Internal Medicine, Hospital Lahad Datu, Peti Bersurat 60065, Lahad Datu, Sabah 91110, Malaysia
| | - R Z Ahmad Akbar
- From the Department of Internal Medicine, Hospital Lahad Datu, Peti Bersurat 60065, Lahad Datu, Sabah 91110, Malaysia
| | - F Abd Rahman
- Department of Oral Pathology and Oral Medicine, Hospital Queen Elizabeth, Kota Kinabalu, Sabah 88200, Malaysia
| | - W N F 'a Abdul Rashid
- From the Department of Internal Medicine, Hospital Lahad Datu, Peti Bersurat 60065, Lahad Datu, Sabah 91110, Malaysia
| | - Y A Tan
- Department of Internal Medicine, Hospital Queen Elizabeth, Kota Kinabalu, Sabah 88200, Malaysia
| | - Q J Low
- Department of Internal Medicine, Hospital Sultanah Nora Ismail, Jalan Korma, Taman Soga, Batu Pahat, Johor 83000, Malaysia
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Nodular lesion on the posterior dorsal surface of the tongue. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 131:e145-e150. [PMID: 32988806 DOI: 10.1016/j.oooo.2020.08.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2020] [Revised: 08/09/2020] [Accepted: 08/17/2020] [Indexed: 11/21/2022]
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Keleş E, Türker C, Artaş G, Karlıdağ T. Tonsillar Kaposi Sarcoma in an HIV-Negative Patient: A Case Report. Turk Arch Otorhinolaryngol 2019; 57:46-49. [PMID: 31049254 DOI: 10.5152/tao.2018.3487] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Accepted: 09/04/2018] [Indexed: 12/29/2022] Open
Abstract
Kaposi's sarcoma (KS) is a rare malignancy associated with AIDS and usually affects skin. The most common causative agent is the Human Herpes Virus Type 8 (HHV-8). In the literature, there are few case reports about KS with no association to AIDS. In this case report, we report a 72-year-old HIV (-) woman who presented to our clinic with a complaint of fast swelling in the right palatine tonsil and was histopathologically diagnosed as tonsillar KS.
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Affiliation(s)
- Erol Keleş
- Department of Otorhinolaryngology, Fırat University School of Medicine, Elazığ, Turkey
| | - Cihan Türker
- Department of Otorhinolaryngology, Fırat University School of Medicine, Elazığ, Turkey
| | - Gökhan Artaş
- Department of Pathology, Fırat University School of Medicine, Elazığ, Turkey
| | - Turgut Karlıdağ
- Department of Otorhinolaryngology, Fırat University School of Medicine, Elazığ, Turkey
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Trento CL, Veltrini VC, Santos RNMD, Santos VTDG. Gravidarum granuloma associated to an osseointegrated implant: case report. REVISTA DE ODONTOLOGIA DA UNESP 2014. [DOI: 10.1590/rou.2014.024] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Introduction: Pyogenic granuloma, known as gravidarum granuloma or pregnancy granuloma, is a benign non-neoplastic reactive oral lesion that may occur in pregnant women. It is usually a highly vascularized mass, which has exophytic characteristics, and it may be sessile or pedunculated. Its surface has usually a smooth or lobular aspect, with its coloration ranging from red to pink. The pain sensitivity will depend on the degree of injury involving the traumatic lesion, but it is frequently painless. Adjacent areas to dental implants are rare for the appearance of this type of granuloma. Objective: The aim of this case report was to present a clinic case of gravidarum granuloma in the region of lower lingual gingiva, adjacent to an osseointegrated implant in a 33-year-old woman, with 3 months of gestation, who had the lesion since the beginning of her pregnancy. Conclusion: Gravidarum granuloma was diagnosed in association to a dental implant, and it highlights the necessity for improvements of oral hygiene in the peri-implant regions. Surgical treatment with excisional biopsy plus hygiene control were enough to settle the case.
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Rapidis AD. Sarcomas of the head and neck in adult patients: current concepts and future perspectives. Expert Rev Anticancer Ther 2014; 8:1271-97. [DOI: 10.1586/14737140.8.8.1271] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Seoung HG, Kim GH, Song GA, Kim JH, Oh MY, Choi JC, Koh JH, Park CJ. Esophageal pyogenic granuloma: endosonographic findings and endoscopic treatments. Clin Endosc 2013; 46:81-4. [PMID: 23423701 PMCID: PMC3572358 DOI: 10.5946/ce.2013.46.1.81] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/17/2012] [Revised: 02/23/2012] [Accepted: 03/23/2012] [Indexed: 11/14/2022] Open
Abstract
Pyogenic granuloma is a benign inflammatory vascular lesion, mainly found in the skin and oral mucosa. A few cases of pyogenic granuloma in the gastrointestinal tract have been reported, and the esophagus was the main site in these cases. These patients were diagnosed with pyogenic granuloma after they underwent upper endoscopy and biopsy. Endoscopic resection is a favorable treatment option for esophageal pyogenic granuloma. Recently, we observed characteristic endosonographic findings in two cases with esophageal pyogenic granuloma, which were then treated successfully by endoscopic resection.
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Affiliation(s)
- Hyeog Gyu Seoung
- Department of Internal Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
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Pantanowitz L, Khammissa RAG, Lemmer J, Feller L. Oral HIV-associated Kaposi sarcoma. J Oral Pathol Med 2012; 42:201-7. [DOI: 10.1111/j.1600-0714.2012.01180.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Kaposi sarcoma: review and medical management update. Oral Surg Oral Med Oral Pathol Oral Radiol 2012; 113:2-16. [DOI: 10.1016/j.tripleo.2011.05.011] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2011] [Revised: 05/11/2011] [Accepted: 05/15/2011] [Indexed: 12/21/2022]
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Kaposi’s sarcoma of the head and neck: A review. Oral Oncol 2010; 46:135-45. [DOI: 10.1016/j.oraloncology.2009.12.006] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2009] [Revised: 12/17/2009] [Accepted: 12/18/2009] [Indexed: 12/15/2022]
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Bottler T, Kuttenberger J, Hardt N, Oehen HP, Baltensperger M. Non-HIV-associated Kaposi's sarcoma of the tongue. Int J Oral Maxillofac Surg 2007; 36:1218-20. [DOI: 10.1016/j.ijom.2007.04.008] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/22/2005] [Revised: 01/12/2007] [Accepted: 04/19/2007] [Indexed: 11/27/2022]
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Kalpidis CDR, Lysitsa SN, Lombardi T, Kolokotronis AE, Antoniades DZ, Samson J. Gingival Involvement in a Case Series of Patients With Acquired Immunodeficiency Syndrome-Related Kaposi Sarcoma. J Periodontol 2006; 77:523-33. [PMID: 16512768 DOI: 10.1902/jop.2006.050226] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND This case series presents the polymorphic clinical characteristics of gingival acquired immunodeficieny syndrome (AIDS)-related Kaposi sarcoma (KS), a malignancy that is gradually becoming uncommon in developed nations. An up-to-date overview of the related epidemiology, etiopathogenesis, histopathology, and treatment is provided, along with a pictorial guide to ease clinical diagnosis. METHODS The oral/maxillofacial pathology records at Aristotle University and the University of Geneva were retrospectively reviewed. Thirty-two cases diagnosed with oral AIDS-related KS were retrieved between 1991 and 2004. KS diagnosis was established histologically by incisional biopsies from intraoral lesions. All charts contained clinical oral examination data, radiological images, and detailed photographic records. RESULTS Thirteen patients (12 males and one female) presented with KS gingival involvement (40.6%). Eleven of the male patients were homosexual/bisexual men. The mean age of the patients at the time of intraoral KS diagnosis was 42.1 years, and the mean CD4 cell count was 103 (0 to 481). Gingival epidemic KS presented with various degrees of pigmentation and a wide range of clinical patterns, from relatively flat macules (early stage) to tumors with variable nodular morphology (advanced disease). Solitary or multiple gingival involvement may appear concomitantly with palatal and/or cutaneous lesions. CONCLUSIONS Even though the incidence of intraoral KS had fallen precipitously in developed countries after the mid-1990s, gingival KS should be considered in the differential diagnosis of every pigmented gingival lesion. Periodontists are in a unique position to identify gingival involvement of intraoral KS and facilitate early diagnosis.
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Affiliation(s)
- Christos D R Kalpidis
- Department of Periodontology and Implant Biology, School of Dentistry, Aristotle University, Thessaloniki, Greece
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