1
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Ben Arfi K, Marchal A, Hafian H, Boulagnon-Rombi C. [Carcinoma cuniculatum: An unusual oral tumor]. Ann Pathol 2019; 39:369-373. [PMID: 31113650 DOI: 10.1016/j.annpat.2019.03.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2018] [Revised: 02/11/2019] [Accepted: 03/23/2019] [Indexed: 11/19/2022]
Abstract
We report on a case of carcinoma cuniculatum (CC) of the maxillary gingival mucosa. A 60-year-old woman presented with an exophytic gingivo-palatal mass with slow growth and osteolytic evolution. A first performed biopsy was negative for malignancy. The diagnosis of CC was established on the surgical representative biopsy. CC is a rare low-grade variant of squamous cell carcinoma that is usually found in the foot or in oral cavity. The pathognomonic microscopic feature of CC is an endo- and/or exophytic lesion composed by a well differentiated squamous epithelium infiltrating into underlying stroma forming a complex pattern of keratin cores and keratin filled "rabbit warren" crypts. CC is a locally evolutive carcinoma with a usually good prognosis usually without lymph node or distant metastatic evolution.
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Affiliation(s)
- Kaouter Ben Arfi
- Laboratoire de pathologie, centre hospitalier universitaire de Reims, rue du Général-Koenig, 51100 Reims, France
| | - Aude Marchal
- Laboratoire de pathologie, centre hospitalier universitaire de Reims, rue du Général-Koenig, 51100 Reims, France
| | - Hilal Hafian
- Département de médecine et chirurgie orales, centre hospitalier universitaire de Reims, rue Cognac-Jay, 51100 Reims, France
| | - Camille Boulagnon-Rombi
- Laboratoire de pathologie, centre hospitalier universitaire de Reims, rue du Général-Koenig, 51100 Reims, France.
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2
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Donzel M, Zidane-Marinnes M, Paindavoine S, Breheret R, de la Fouchardière A. Clear cell sarcoma of the soft palate mimicking unclassified melanoma. Pathology 2019; 51:331-334. [PMID: 30837084 DOI: 10.1016/j.pathol.2018.10.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2018] [Revised: 09/30/2018] [Accepted: 10/19/2018] [Indexed: 11/18/2022]
Affiliation(s)
- M Donzel
- Département of Biopathology, Centre Leon Bérard, Lyon, France
| | - M Zidane-Marinnes
- Département de Pathologie Cellulaire et Tissulaire, CHU Angers, Angers, France
| | - S Paindavoine
- Département of Biopathology, Centre Leon Bérard, Lyon, France
| | - R Breheret
- Service ORL-CCF, CHU Angers, Angers, France
| | - A de la Fouchardière
- Département of Biopathology, Centre Leon Bérard, Lyon, France; UMR Inserm 1052 CNRS 5286, Centre Léon Bérard, Lyon, France.
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3
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Truschnegg A, Acham S, Kqiku L, Jakse N, Beham A. Ectomesenchymal chondromyxoid tumor: a comprehensive updated review of the literature and case report. Int J Oral Sci 2018; 10:4. [PMID: 29491357 PMCID: PMC5944469 DOI: 10.1038/s41368-017-0003-9] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/21/2017] [Revised: 11/10/2017] [Accepted: 12/01/2017] [Indexed: 11/09/2022] Open
Abstract
Prompted by a unique case of an ectomesenchymal chondromyxoid tumor (ECT) of the palate in a 54-year-old female, we reviewed the English and German literature on this entity until the end of 2016 using PubMed. The search produced 74 lingual cases with a nearly equal sex distribution and a mean age of 39.3 years, and two extra-lingual cases sharing histological and immunohistological features including nodular growth, round, fusiform or spindle-shaped cellular architecture, and chondromyxoid stroma. Immunophenotyping showed the majority of cases to be positive for glial fibrillary acidic protein (GFAP), S-100 protein, glycoprotein CD57, pancytokeratin (AE1/AE3), and smooth muscle actin (SMA); in isolated cases there was molecular-genetic rearrangement or gain of Ewing sarcoma breakpoint region 1 (EWSR1) but no rearrangement of pleomorphic adenoma gene 1 (PLAG1). At present, ectomesenchymal cells that migrate from the neural crest are considered to play a pivotal role in tumor origin. All cases had a benign course, although there were three recurrences. Because of the rarity of this tumor and the need for differential diagnostic differentiation from myoepithelioma and pleomorphic adenoma, both oral surgeons and pathologists should be aware of this entity.
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Affiliation(s)
- Astrid Truschnegg
- Department of Dental Medicine and Oral Health, Division of Oral Surgery and Orthodontics, Medical University Graz, Billrothgasse 4, 8010, Graz, Austria.
| | - Stephan Acham
- Department of Dental Medicine and Oral Health, Division of Oral Surgery and Orthodontics, Medical University Graz, Billrothgasse 4, 8010, Graz, Austria
| | - Lumnije Kqiku
- Department of Dental Medicine and Oral Health, Division of Preventive an Operative Dentistry, Endodontics, Periodontology, Prosthodontics, Restorative Dentistry and Implantology, Medical University Graz, Billrothgasse 4, 8010, Graz, Austria
| | - Norbert Jakse
- Department of Dental Medicine and Oral Health, Division of Oral Surgery and Orthodontics, Medical University Graz, Billrothgasse 4, 8010, Graz, Austria
| | - Alfred Beham
- IMAH, Institute of Morphological Analytics and Human Genetics, Grabenstraße 23, 8010, Graz, Austria
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4
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Nuamah IK, Parkins G, Badoe EV, Blankson PK, Owusu-Boamah M, Etwire V, Osei-Nkeitia S, Brown E. Epignathus (Palatal teratoma):A case report. West Afr J Med 2018; 35:37-40. [PMID: 29607476] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
A case of a 2.7kg term baby with a large epignathus, a rare congenital teratoma arising from the palate is presented. Birth was by spontaneous vaginal delivery (SVD). The baby survived following a timely multidisciplinary approach to her management. This is the first reported case in Ghana.
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Affiliation(s)
- I K Nuamah
- Departments of Oral and Maxillofacial Surgery, Korle-Bu Teaching Hospital, University of Ghana
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5
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Melo CA, Almeida-Júnior P, de Carvalho Melo AU, Ribeiro CF, Siqueira de Lira CÉ, Melo da Fonte JB, Batista de Melo MF, Takeshita WM, Cavalcanti de Albuquerque-Júnior RL. Giant schwannoma of the hard palate: a literature review and report of an uncommon case. Gen Dent 2018; 66:62-65. [PMID: 29303762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Schwannomas (also known as neurilemomas) are benign tumors that arise from the Schwann cells of the nerve sheath. While they seldom occur in the oral cavity, the tongue is the most common site. Palatal schwannomas are extremely rare. This article reports a case of a large, slowly developing schwannoma that caused bone erosion in the hard palate of an 18-year-old man. The diagnosis was based on histopathologic and immunohistochemical findings. The tumor was completely excised, and no recurrence was observed at a 1-year follow-up. This case is notable for the large dimensions, long period of evolution, and the uncommon anatomical site of the tumor. A review of the main clinical and histologic characteristics of palatal schwannomas reported in the last 40 years is also provided.
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Abstract
Objective This report describes an interesting case providing a brief review of the literature and highlighting the complexity in management and definitive treatment of a premature neonate with an obstructive epignathus teratoma and polydactyly bilaterally. Additionally, this case is unique because of the extremely large size of the oral tumor in relation to the neonate's total body size.
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Affiliation(s)
- Sandra M Halterman
- Broward General Medical Center and Nova Southeastern University, Department of Oral and Maxillofacial Surgery, Fort Lauderdale, Florida, USA.
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7
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El-Musa KA, Shehadi RS, Shehadi S. Surgical Repair of Unidirectional Palatopharyngeal Epignathus: Case Report and Review of Literature. Cleft Palate Craniofac J 2017; 43:367-9. [PMID: 16681411 DOI: 10.1597/03-154.1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Epignathus is an extremely rare, benign, congenital teratoma that arises from within the oral cavity and may be attached to the mandible, palate, or base of the skull. Because of its location, it can cause airway and feeding problems, as well as secondary defects due to the presence of an intraoral tumor. This tumor usually causes death in neonates, due to airway obstruction. Surgical removal is usually impossible, especially in large tumors (Stone, 1951; Bennett, 1970). A patient with a neonatally diagnosed nonobstructive palatopharyngeal epignathus is described. It was associated with a shortened palate, cleft uvula, and velopharyngeal insufficiency, and was successfully excised surgically.
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Affiliation(s)
- Kusai A El-Musa
- Division of Plastic & Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
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8
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Bajpai M, Pardhe N, Vijay P. Superficial Angiomyxoma of Palate. J Coll Physicians Surg Pak 2017; 27:794. [PMID: 29185414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2016] [Accepted: 04/11/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Manas Bajpai
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Nilesh Pardhe
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Pradkhshana Vijay
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
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9
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Chandolia B, Bajpai M, Arora M. Mucoepidermoid Carcinoma in a 62-Year Female. J Coll Physicians Surg Pak 2017; 27:793. [PMID: 29185413] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2017] [Accepted: 08/24/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Betina Chandolia
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Manas Bajpai
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Manika Arora
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
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10
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Bajpai M, Pardhe N, Vijay P. Polymorphous Low Grade Adenocarcinoma of Hard Palate: AHistopathological Pictorial. J Coll Physicians Surg Pak 2017; 27:665-666. [PMID: 29056135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2017] [Accepted: 03/27/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Manas Bajpai
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Nilesh Pardhe
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Pradkhshana Vijay
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
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11
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Damm DD. Gingival mass and Blue lesion of palate. Gen Dent 2017; 65:77-78. [PMID: 28862582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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12
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Bajpai M, Pardhe N, Chandolia B, Arora M. Solitary Fibrous Tumor / Hemangiopericytoma of Palate - Report of a Case with Immunohistochemical Interpretation Using CD 34. J Coll Physicians Surg Pak 2017; 27:457-458. [PMID: 28818175] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2016] [Accepted: 01/16/2017] [Indexed: 06/07/2023]
Affiliation(s)
- Manas Bajpai
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Nilesh Pardhe
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Betina Chandolia
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
| | - Manika Arora
- Department of Oral and Maxillofacial Pathology, NIMS Dental College, Jaipur, India
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13
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Gueiros LA, Barkokebas A, Carvalho AT, Leão JC. Small palatal swelling: an uncommon presentation of intraoral schwannoma. Gen Dent 2017; 65:58-61. [PMID: 28475087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Schwannomas are uncommon benign tumors arising in the nerve-supporting Schwann cells. Intraoral lesions usually present in the tongue or floor of the mouth as a submucosal nodule, while the palate is rarely affected. A 26-year-old white man presented with an asymptomatic submucosal fibroelastic nodule in the hard palate. The 2 × 2-cm lesion was covered by normal-appearing mucosa. Under the working diagnosis of minor salivary gland tumor, an incisional biopsy was performed, and analysis revealed an encapsulated tumor with a well-defined biphasic pattern: hypercellular areas with spindled cells arranged in palisades and less cellular areas formed by irregular arranged masses of elongated cells and fibers. The diagnosis of schwannoma was rendered, and the lesion was excised together with periosteum. No recurrence was observed after 30 months of follow-up. Palatal nodules usually present as minor salivary gland tumors; rarer lesions, such as schwannomas, represent a clinical diagnostic challenge. Clinicians should consider schwannoma in the differential diagnosis for palatal nodules and manage them with incisional biopsy and prompt treatment.
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14
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Abbas SA, Ikram M, Tariq MU, Raheem A, Saeed J. Accuracy of frozen sections in oral cancer resections, an experience of a tertiary care hospital. J PAK MED ASSOC 2017; 67:806-809. [PMID: 28507379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
The aim our study was to determine the accuracy of frozen sections in oral cancer resections. Patients who underwent oral cancer resection at Patel Hospital were included in the study. Tissues for frozen sections were obtained from the mucosal margins and tumour bed. Frozen sections were compared with the paraffin embedded sections which served as the gold standard in our study. Sensitivity, specificity, positive predictive value, negative predictive value, accuracy and kappa statistics were calculated. A total of 299 frozen sections were obtained from 77 patients who underwent oral cancer resection, mean (3.88±0.76). Frozen sections' sensitivity in relation to permanent sections was 72.7% and specificity of 93.9%. The overall accuracy of the test was 90.9%. Kappa value was calculated to be 0.642, which showed a moderate agreement. Frozen sections are accurate enough to be used in assessing intraoperative margin assessment for tumour clearance.
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Affiliation(s)
- Sayed Akbar Abbas
- ENT and Head and Neck Surgery, Department of ENT, Aga Kan University Hospital, Karachi
| | - Mubasher Ikram
- ENT and Head and Neck Surgery, Department of Surgery, Aga Kan University Hospital, Karachi
| | - Muhammad Usman Tariq
- Section of Histopathology, Department of Pathology and Laboratory Medicine, Aga Kan University Hospital, Karachi
| | - Ahmed Raheem
- Data Analyst, Department of Pathology and Laboratory Medicine, Aga Kan University Hospital, Karachi
| | - Javeria Saeed
- Department of ENT, Patel Hospital, Aga Kan University Hospital, Karachi
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15
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Damm DD. Palatal mass. Induration of soft palate. Gen Dent 2017; 65:77-78. [PMID: 28475080] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
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16
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Affiliation(s)
| | - Vince D Cataldo
- Louisiana State University Health Sciences Center, Baton Rouge, LA
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17
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Xu W, Wang Y, Qi X, Xie J, Wei Z, Yin X, Wang Z, Meng J, Han W. Prognostic factors of palatal mucoepidermoid carcinoma: a retrospective analysis based on a double-center study. Sci Rep 2017; 7:43907. [PMID: 28262804 PMCID: PMC5338264 DOI: 10.1038/srep43907] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2016] [Accepted: 01/31/2017] [Indexed: 12/20/2022] Open
Abstract
Mucoepidermoid carcinoma (MEC) of the palate is a common malignancy of minor salivary glands. This study was designed to identify the prognostic factors for MEC of the palate. The medical records of patients diagnosed with MEC of the palate who visited the Department of Oral and Maxillofacial Surgery at Nanjing Stomatological Hospital and the Department of Stomatology at Central Hospital of Xuzhou were retrospectively studied. The prognostic factors were determined using a Cox proportional hazards model. Furthermore, the expression of cancer stem cell (CSC) markers CD44, CD133, Nanog and Sox2 were detected in neoplastic samples of these patients by immunohistochemistry. As a result, both univariate analysis and multivariate analysis proved a high histological grade and an advanced tumor stage as negative prognostic factors for overall survival. By immunohistochemistry staining and survival analysis, a combination of CD44/CD133/SOX2 was found to have the strongest prognostic value for palatal MEC patients. In conclusion, the proposed nomogram which include histological grade and tumor stage along with cancer stem cell markers provides a more accurate long-term prediction for palatal MEC patients.
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Affiliation(s)
- Wenguang Xu
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
| | - Yufeng Wang
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
| | - Xiaofeng Qi
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
| | - Junqi Xie
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
| | - Zheng Wei
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
| | - Xiteng Yin
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
| | - Zhiyong Wang
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
| | - Jian Meng
- Department of Stomatology, Xuzhou Central Hospital, Affiliated Hospital of Medical College of Southeast University, Xuzhou 221009, People’s Republic of China
| | - Wei Han
- Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
- Central Laboratory of Stomatology, Nanjing Stomatological Hospital, Medical School of Nanjing University, No 30 Zhongyang Road, Nanjing, P.R. China
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18
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Nayak A, Nayak MT. Oral squamous papilloma occurring on the palate with review of literature. J Exp Ther Oncol 2016; 11:319-324. [PMID: 27849344] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2016] [Accepted: 07/01/2016] [Indexed: 06/06/2023]
Abstract
Squamous papillomas are common lesions occurring on skin, oral and nasal mucosa and male and female genital organs. Oral squamous cell papilloma (OSP) is a benign proliferation of the stratified squamous epithelium and is generally believed to be caused by Human Papilloma Viruses (HPV). It constitutes around 2.5% of all oral verruco-papillary lesions. We here, report a case of palatal OSP occurring in a 55-year-old male. The aetiological, clinical, diagnostic and treatment aspects of OSP are discussed here.
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Affiliation(s)
- Anjali Nayak
- Department of Oral Medicine & Radiology, Teerthanker Mahaveer Dental College & Hospital, Teerthanker Mahaveer University, Bagadpur, Delhi Road, Moradabad - 244001, Uttar Pradesh, India
| | - Meghanand T Nayak
- Department of Oral & Maxillofacial Pathology, Teerthanker Mahaveer Dental College & Hospital, Teerthanker Mahaveer University, Bagadpur, Delhi Road, Moradabad - 244001, Uttar Pradesh, India
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19
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Syed A, Clark A, Bouquot J. Oral and maxillofacial pathology case of the month: Bilateral Soft, Asymptomatic Palatal Masses. Tex Dent J 2016; 133:650-685. [PMID: 30549749] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
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20
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Liu SA, Wong YK, Lin JC, Poon CK, Tung KC, Tsai WC. Impact of recurrence interval on survival of oral cavity squamous cell carcinoma patients after local relapse. Otolaryngol Head Neck Surg 2016; 136:112-8. [PMID: 17210345 DOI: 10.1016/j.otohns.2006.07.002] [Citation(s) in RCA: 67] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2006] [Indexed: 11/26/2022]
Abstract
OBJECTIVE: The aim of this study was to investigate whether the recurrence interval influenced the survival of oral cavity squamous cell carcinoma patients after relapse. STUDY DESIGN AND SETTING: Retrospective charts were reviewed at a medical center. METHODS: We retrospectively reviewed 1687 chart records of oral cancer patients. Statistical methods included descriptive statistics, bivariate analyses, Kaplan-Meier survival analyses, and Cox proportional hazard models for investigating the relationship between the recurrence interval and survival of oral cancer patients after relapse. RESULTS: Local recurrence rate was 31.3 percent. Kaplan-Meier survival analyses showed the 5-year overall survival after recurrence was 31.56 percent. Cox proportional hazard model revealed that those with recurrence interval less than 18 months tended to have a higher probability of death than those with recurrence interval greater than or equal to 18 months (relative risk, 1.743; 95% confidence interval, 1.298–2.358). CONCLUSION: The interval from initial treatment to recurrence is an independent prognostic factor for oral squamous cell carcinoma patients. Those with a shorter disease-free interval tend to have a less favorable outcome. © 2007 American Academy of Otolaryngology-Head and Neck Surgery Foundation. All rights reserved.
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Affiliation(s)
- Shih-An Liu
- Department of Otolaryngology, Taichung Veterans General Hospital, Taichung, Taiwan
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Douglas WG, Rigual NR, Giese W, Bauer J, Wiseman SM, Loree TR, Schwarz J, Alrawi S, Hicks WL. Advanced Soft Palate Cancer: The Clinical Importance of the Parapharyngeal Space. Otolaryngol Head Neck Surg 2016; 133:66-9. [PMID: 16025055 DOI: 10.1016/j.otohns.2005.03.007] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
OBJECTIVE: To identify the incidence of parapharyngeal space (PPS) recurrences and how they impact survival in advanced-stage soft-palate carcinoma patients. STUDY DESIGN AND SETTING: One hundred thirty-seven patients' charts were reviewed from 1971 to 1996. Inclusion criteria were patients who received a per-oral resection, discontinuous neck dissection, and postoperative adjuvant radiation therapy; 15 patients met criteria for inclusion. The incidence of PPS recurrences, regional failure, and survival were endpoints that were analyzed. RESULTS: There were no local failures in our study. Regional failures excluding the PPS (levels I-V) were 27%, and 40% occurred within the PPS. Cervical adenopathy was associated with 83% of the PPS recurrences. Median survival for PPS recurrences was 26 months, compared with 67 months for levels I-V recurrences (n = ns). CONCLUSIONS: The incidence of PPS recurrences is substantial in advanced-stage soft-palate cancer. PPS recurrences negatively impact survival; without effective salvage techniques for these recurrences or effective adjuvant therapy, poor patient outcomes can be expected.
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Affiliation(s)
- Wade G Douglas
- Department of Head and Neck, Plastics and Reconstructive Surgery, Roswell Park Cancer Institute, Buffalo, NY 14263, USA
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Oral Pathology Quiz #92. Case number 2. J N J Dent Assoc 2016; 87:12, 16. [PMID: 30299036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
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Ng P, Clark E. A cautionary tale; squamous cell carcinoma of the gingiva. N Z Dent J 2015; 111:153-156. [PMID: 26761982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
BACKGROUND AND OBJECTIVES Oral squamous cell carcinoma is characterised by varied clinical manifestations and is often diagnosed at an advanced stage. This article highlights a case of gingival squamous cell carcinoma which was initially diagnosed and treated as localised periodontitis. METHODS A 64-year-old Caucasian male had a 2-year history of discomfort and swelling around his upper anterior teeth. His dentist diagnosed localised periodontitis around tooth 11. The patient was treated with regular scaling but showed no improvement. Teeth 11 and 21 were subsequently extracted. He returned later with a swelling in his anterior maxilla and was referred to the Whangarei Hospital Dental Department. RESULTS The histopathological report confirmed a diagnosis of squamous cell carcinoma. The patient was referred to Auckland for treatment and underwent a tracheostomy, maxillectomy, bilateral selective neck dissection and fibula free flap reconstruction. All lymph nodes retrieved and margins of the lesion were clear, and the patient did not require radiotherapy. He will be monitored over the next 5 years for recurrence. CONCLUSIONS Gingival squamous cell carcinoma can be easily misdiagnosed. Suspicious lesions which are non-responsive to conventional therapy should be biopsied, even if they are not in the classic high risk anatomical areas of the oral cavity.
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Lin YH, Lin YS. Hemangioma of the soft palate. Ear Nose Throat J 2015; 94:472. [PMID: 26670751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023] Open
Affiliation(s)
- Yu-Hsuan Lin
- Department of Otolaryngology, Head and Neck Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
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25
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Inagaki T, Adachi M, Azuma M, Muramatsu Y. Huge palatal mass. N Z Med J 2015; 128:62. [PMID: 26365848] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
| | - Makoto Adachi
- DDS, PhD, Department of Oral and Maxillofacial Surgery, Asahi University Murakami Memorial Hospital, 3-23 Hashiotocho, Gifu, Gifu 500-8523, Japan.
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Farrkh A, Closmann JJ, Parashar P, Borris TJ. Clinicopathologic correlation: palatal mass interfering with seating of a maxillary denture. Gen Dent 2015; 63:78-79. [PMID: 26147173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
This paper is a clinicopathologic correlation regarding a 61-year-old patient with an ill-fitting maxillary denture. Examination revealed a firm, nontender palatal mass. Descriptions of the clinical findings, work-up, differential diagnosis, histological observations, and diagnosis of the lesion are presented.
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Abstract
OBJECTIVE The aim of this study was to analyze the clinicopathological and immunohistochemical features of oral papillomas. MATERIALS AND METHODS Biopsies of oral papillomas analyzed in the laboratory between 1996-2012 were extracted from the database and used to conduct this retrospective review. The following clinical data were extracted: sex, age, location, clinical appearance, time of evolution, recurrence and first clinical diagnosis. Immunohistochemical analysis for Human Papillomavirus (HPV)and histological evaluation of the lesions were performed. RESULTS A total of 205 papillomas were identified in 197 patients (♂=110, ♀ = 87; mean age = 48.4 ± 17.9 years).The majority of the lesions (n = 47) occurred on the soft palate (23%). The border of the tongue was the second most common site (n = 20, 9.8%). Lesions were more common in males than in females (ratio = 1.26:1). Statistical analysis did not show any correlation between the assessed variables. Clinically, papillomas were predominantly described by the practitioners as small nodules, with a papillary surface (98.1%) and pedunculated attachment(83.1%). Data supported a low recurrence (2.0%) and multiplicity (2.0%). Evolution time varied from a few weeks to several years. Most frequent misdiagnosis was condyloma. Immunohistochemistry rarely showed HPV presence (9.3%). Microscopically, lesions were very often keratinized (93.2%) and showed chronic inflammatory cells (68.8%). CONCLUSIONS In this series papillomas showed a slight male predilection and occurred mostly in the sixth decade of life. Histologically, they were usually keratotic and exhibited variable inflammation. HPV virus was rarely detected by immunohistochemistry. No statistical correlation could be established between clinicopathological features.
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Affiliation(s)
- Martina Frigerio
- Oral and Maxillofacial Pathology Unit, Faculty of Medicine, Geneva University Hospital , Geneva , Switzerland
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28
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Werther PL, Alawi F, Lindemeyer RG. Mucoepidermoid carcinoma of the palate in adolescence. J Dent Child (Chic) 2015; 82:57-61. [PMID: 25909845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Although relatively rare, minor salivary gland tumors are more likely to be malignant in pediatric patients than in adults. Mucoepidermoid carcinoma (MEC) represents the most common malignant tumor of the salivary glands. It is critical to differentiate such tumors from common benign salivary gland lesions. The purposes of this report are to present the case of a 15-year-old female with MEC of the palate, and to discuss the importance of a thorough intraoral examination on all patients regardless of age, as well as the need for timely referral for appropriate diagnosis and treatment.
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Affiliation(s)
- Patti L Werther
- Pediatric dentist and orthodontist in private practice, Ardmore, Pa.; Division of Pediatric Dentistry, University of Pennsylvania School of Dental Medicine, Philadelphia, Pa., USA
| | - Faizan Alawi
- Department of Pathology, University of Pennsylvania School of Dental Medicine, Philadelphia, Pa., USA
| | - Rochelle G Lindemeyer
- Division of Pediatric Dentistry, University of Pennsylvania School of Dental Medicine, Philadelphia, Pa., USA.
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Luo W, Lindley SW, Lindley PH, Krempl GA, Seethala RR, Fung KM. Mammary analog secretory carcinoma of salivary gland with high-grade histology arising in hard palate, report of a case and review of literature. Int J Clin Exp Pathol 2014; 7:9008-9022. [PMID: 25674280 PMCID: PMC4313953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/16/2014] [Accepted: 12/01/2014] [Indexed: 06/04/2023]
Abstract
Mammary gland analog secretary carcinoma (MASC) of salivary gland is typically a tumor of low histologic grade and behaves as a low-grade malignancy with relatively benign course. This tumor shares histologic features, immunohistochemical profile, and a highly specific genetic translocation, ETV6-NTRK3, with secretory carcinoma of breast. Histologically, it is often mistaken as acinic cell carcinoma, adenocarcinoma not otherwise specified, and other primary salivary gland tumors. Here we report a case of MASC with high-grade transformation and cervical lymph node metastases confirmed with ETV6-NTRK3 translocation arising in the hard palate of a 41 year-old adult. Interestingly, the metastatic carcinoma has lower grade than the original tumor which strongly support malignant transformation of the original tumor. Most commonly, MASC arises from the parotid gland and less often in minor salivary glands. Metastasis is relatively uncommon and high-grade histology has only been reported in four cases with three of them arising from the parotid gland and the location of the fourth one has not been reported. This is the first case with high grade histology that arise from minor salivary gland and it emphasizes the importance of molecular screening of salivary gland tumor with high-grade histology for ETV6-NTRK3 translocation. In our literature of 115 cases that includes the current case, MASC occurred predominantly in adult with only a few cases under 18 years of age and a male to female ratio of 1.2:1. Parotid gland is more commonly affected but there is also significant occurrence in minor salivary glands. Except for the cases with high grade histology, the overall prognosis is good.
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MESH Headings
- Adult
- Biomarkers, Tumor/analysis
- Biomarkers, Tumor/genetics
- Biopsy
- Breast Neoplasms/chemistry
- Breast Neoplasms/genetics
- Breast Neoplasms/pathology
- Breast Neoplasms/therapy
- Carcinoma/chemistry
- Carcinoma/genetics
- Carcinoma/pathology
- Carcinoma/therapy
- Cranial Irradiation
- Female
- Humans
- Immunohistochemistry
- Lymphatic Metastasis
- Magnetic Resonance Imaging
- Neoplasm Grading
- Oncogene Proteins, Fusion/genetics
- Palatal Neoplasms/chemistry
- Palatal Neoplasms/genetics
- Palatal Neoplasms/pathology
- Palatal Neoplasms/therapy
- Palate, Hard/chemistry
- Palate, Hard/pathology
- Palate, Hard/radiation effects
- Palate, Hard/surgery
- Radiotherapy, Adjuvant
- Recombination, Genetic
- Salivary Gland Neoplasms/chemistry
- Salivary Gland Neoplasms/genetics
- Salivary Gland Neoplasms/pathology
- Salivary Gland Neoplasms/therapy
- Tomography, X-Ray Computed
- Treatment Outcome
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Affiliation(s)
- Wenyi Luo
- Department of Pathology, University of Oklahoma Health Sciences CenterOK 73104, USA
| | - Sarah W Lindley
- Department of Pathology, University of Oklahoma Health Sciences CenterOK 73104, USA
| | - Peter H Lindley
- Department of Radiology, University of Oklahoma Health Sciences CenterOK 73104, USA
| | - Gregory A Krempl
- Department of Otorhinolaryngology, University of Oklahoma Health Sciences CenterOK 73104, USA
| | - Raja R Seethala
- Department of Pathology, University of Pittsburgh Health SystemUSA
| | - Kar-Ming Fung
- Department of Pathology, University of Oklahoma Health Sciences CenterOK 73104, USA
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Li J, Guo L, Wang K. [Large mixed tumors of salivary: two cases reports]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2014; 28:1714-1715. [PMID: 25735114] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
It is rare that large mixed tumors of salivary gland located in the nose and uvula. The patient who had mixed tumors of salivary gland at nose found exophytic growth tumor for half a year. The other patient who had mixed tumors of salivary gland at uvula felt swallowing foreign body sensation for one year, and dysphagia for one month. After surgical resection, the symptoms disappear.
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31
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McCartan D, Delap T. Pleomorphic adenoma of the soft palate; an important benign disease in an unusual location. Ulster Med J 2014; 83:181-182. [PMID: 25571611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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32
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Parikh F, Kulkarni B, Goyle S. Kaposi's sarcoma. J Assoc Physicians India 2014; 62:649. [PMID: 25672049] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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Naidu A, Lifferth D, Fuentes RS. Oral and maxillofacial pathology. Case of the month. Polymorphous low-grade adenocarcinoma. Tex Dent J 2014; 131:426-465. [PMID: 25163215] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
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34
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Metternich FU, Wenzel S, Sagowski C, Jäkel T, Koch U. Das ultraschallaktivierte Skalpell “Ultracision Harmonic Scalpel®”Erste Ergebnisse bei der Chirurgie der Zunge und des weichen Gaumens. HNO 2014; 50:733-8. [PMID: 12243028 DOI: 10.1007/s00106-001-0596-2] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
The ultrasonically activated scalpel (UAS) performs tissue dissection and coagulation simultaneously by an ultra-high-frequency movement of the blade. In the present prospective study, results of UAS in the surgery of the tongue and the soft palate are analysed. 25 patients with carcinoma of the tongue and 11 patients with carcinoma of the soft palate were examined in regard to intra- and postoperative hemostasis, wound healing and postoperative pain. Also, the quality of the histo-pathological specimen obtained by UAS was evaluated. In 68% (17/25) of partial tongue resections, and in 82% (9/11) of soft palate resections efficient intraoperative hemostasis did not require electrocoagulation or suture ligature. In 32% (8/25) of tongue malignancies, all with extension to the tongue base, and in 18% (2/11) of soft palate resections additional ligation was required because of arterial bleeding from vessels exceeding 1.0 mm in diameter. Wound healing was uneventful in all cases. The histopathological evaluation, especially in the margin area, was not impaired. The UAS offers a tissue dissection with efficacious intra- and postoperative hemostasis. Arterial bleeding from vessels exceeding 1.0 mm in diameter should be sutured additionally. The combination of simultaneous tissue dissection and hemostasis enables a good overall view and control of the surgical situs. In addition, based on the mechanical function the UAS has only little thermical effect on neighbouring tissues and enables a controlled tumor resection without damaging vital structures.
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Affiliation(s)
- F U Metternich
- Klinik und Poliklinik für Hals-Nasen-Ohren-Heilkunde des Universitätsklinikums Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg.
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35
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Jones AC, McGuff HS, Holbrook J. Oral and maxillofacial pathology case of the month. Kaposi sarcoma. Tex Dent J 2013; 130:1184-1229. [PMID: 24600801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Anne Cale Jones
- Department of Pathology, University of Texas Health Science Center at San Antonio, Texas, USA
| | - H Stan McGuff
- Department of Pathology, University of Texas Health Science Center at San Antonio, Texas, USA
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36
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Stander S, Holmes H, Dreyer WP, Afrogheh A, Mohamed N, Hille J, Osman N. Oral medicine case book 49: Plasmablastic lymphoma. SADJ 2013; 68:184-186. [PMID: 23971300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- S Stander
- Division of Oral Medicine and Periodontics, University of the Western Cape
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37
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Naidu A, Kovach TA, Wright JM, Schow SR. Oral and maxillofacial pathology case of the month: non-Hodgkin's lymphoma. Tex Dent J 2013; 130:286-363. [PMID: 23767156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/02/2023]
Affiliation(s)
- Aparna Naidu
- Department of Diagnostic Sciences, Texas A&M University, Baylor College of Dentistry, Dallas, TX, USA
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39
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Abstract
Adenoid cystic carcinoma is the most frequent pathology occurring in the minor salivary glands .It is usually slow growing; however, it can spread via perineural invasion, haematogenous and lymphatogenous metastasis. Most common sites of metastasis are lung and bone. Involvement of the other sites is not common. In this article, we present a woman with coincident lung and liver metastases.
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Affiliation(s)
- Ali Akhavan
- Department of Radiotherapy, Yazd Shahid Sadoghi University of Medical Sciences, Yazd, Iran.
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40
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Porrini R, Valente G, Colombo E, Cannas M, Sabbatini M. Non pigmented melanocytic nevus of the oral cavity: a case report with emphasis on the surgical excision procedures. Minerva Stomatol 2013; 62:43-49. [PMID: 23422682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
We report a case of a 37-year-old caucasian woman presenting a 1 cm pinkish nodular asymptomatic lesion of the hard palate, slowly growing in the last years. The lesion underwent to biopsy. Histological analysis showed the nevus tissue layered under a continuous squamous epithelium. The stroma contained nests of medium-sized round cells, with regular monomorphous nuclei. The nevus cells were immunohistochemically positive for S-100 protein, while melanin, visualized by Masson-Fontana silver staining, was absent. Therefore a diagnosis of non pigmented melanocytic nevus was formulated. Because of its rarity and to avoid any risk of malignant transformation, a surgical treatment with wide excision was chosen; the surgical wound was previously covered with a membrane of fibrin and autologous platelets, and subsequently sutured, resulting in a total heal. This procedure seems to be the most reliable to approach melanocytic lesions of the oral cavity. Clinical diagnosis of non-pigmented nevi, either flat or protruding, is difficult, because the nevus shows a pinkish colour that is indistinguishable from that of the surrounding mucosa. Moreover, attention is required when similar clinical evidence occurs, because the localization inside the oral cavity may offer several problems of differential diagnosis.
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41
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Khan AA, Garg A, Dhawan S, Agarwal PK, Siraj F, Aggarwal S. T cell non-Hodgkin's lymphoma with colesional mucormycosis presenting as palatal perforation: a case report. J Indian Med Assoc 2012; 110:499-500. [PMID: 23520681] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Non-Hodgkin's lymphoma (NHL) is predominantly a disease of lymph nodes, but extranodal involvement is not very uncommon. Palatal involvement by NHL is rare. Mucormycosis is a devastating fungal infection commonly seen in immunocompromised individuals, including those with NHL, but it is affecting the same region has been reported very rarely. Simultaneous infiltration of hard palate by NHL and mucormycosis is extremely unusual. Herein we describe a patient who presented with palatal hole with histopathological examination revealing presence of lymphoma with colesional mucormycosis. The identification of mucor was vital because chemotherapy alone in the absence of antifungals would have had devastating consequences as the mortality of untreated mucormycosis is high.
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Song JY, Lee SK, Kim SG, Rotaru H, Baciut M, Dinu C. Angiomatoid fibrous histiocytoma on the hard palate: case report. Oral Maxillofac Surg 2012; 16:237-242. [PMID: 21965132 DOI: 10.1007/s10006-011-0297-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2011] [Accepted: 09/19/2011] [Indexed: 05/31/2023]
Abstract
BACKGROUND Angiomatoid fibrous histiocytoma (AFH) is a rare, soft tissue sarcoma, which is slow growing with low metastatic potential. We recently had a patient present with AFH, which had a palatal perforation and it looked like a cyst in the occlusal view. Therefore, the radiological and histological features of AFH are reported herein. In addition, the differential diagnosis for this lesion is also discussed with a review of the literature. CASE REPORT A 23-year-old woman presented with a spontaneous perforation of the palate. Clinically, a painless and ulcerative lesion was shown on the mid-palate area. Radiological findings revealed a well-demarcated, homogeneous, oval-shaped radiolucent lesion in the occlusal view. Histological examination with incisional biopsy, showed a relatively well-defined cystic-like mass including tumor cells. Taking into consideration the histological and immunohistochemical findings, the presented lesion was diagnosed as AFH. Under general anesthesia, the patient underwent a modified cylindrical partial maxillectomy including safety margins. DISCUSSION In the present case, clinically differential diagnosis can be made with various diseases that have palatal perforations such as trauma, infection, neoplasia, collagen vascular disease, and idiopathic conditions. The treatment recommended in the literature has been radial excision. The prognosis of the tumor has been favorable.
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Affiliation(s)
- Ji-Young Song
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, Gangneung, Gangwon-do, 210-702, South Korea
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Terada T. Squamous cell carcinoma arising within verrucous carcinoma of the oral cavity: a case report. Int J Clin Exp Pathol 2012; 5:363-366. [PMID: 22670182 PMCID: PMC3365816] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 11/11/2011] [Accepted: 03/05/2012] [Indexed: 06/01/2023]
Abstract
The author herein reports a case of squamous cell carcinoma (SCC) arising within verrucous carcinoma (VC) of the hard palate. An 84-year-old woman was admitted to our hospital complaining of oral discomfort. Oral examination revealed a pedunculated verrucous tumor (15 x 15 mm) in the hard palate. A biopsy revealed verrucous tumor. Resection of the lesion with wide margins was performed. Grossly, the palate tumor was pedunculated and verrucous, but a depressed area (8 x 7 mm) was recognized. Microscopically, the verrucous ares showed verrucous proliferation of squamous epithelium with little cellular atypia, and was interpreted as VC without invasion. The depressed lesion was obvious SCC with invasion. There were direct transitions between the VC and SCC. Immunohistochemically, the VC and SCC tumor cells were negative for human papilloma virus antigens. P53 protein was expressed in both VC and SCC, though the expression in SCC was much more strong and broad than that in VC. The Ki-67 antigen was also expressed in the VC and SCC, and Ki-67 labeling index ranged was 12% in VC and 64% in SCC. These findings indicate that SCC may arise within VC.
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MESH Headings
- Aged, 80 and over
- Biomarkers, Tumor/analysis
- Biopsy
- Carcinoma, Squamous Cell/chemistry
- Carcinoma, Squamous Cell/pathology
- Carcinoma, Squamous Cell/surgery
- Carcinoma, Verrucous/chemistry
- Carcinoma, Verrucous/pathology
- Carcinoma, Verrucous/surgery
- Female
- Humans
- Immunohistochemistry
- Neoplasms, Complex and Mixed/chemistry
- Neoplasms, Complex and Mixed/pathology
- Neoplasms, Complex and Mixed/surgery
- Palatal Neoplasms/chemistry
- Palatal Neoplasms/pathology
- Palatal Neoplasms/surgery
- Palate, Hard/chemistry
- Palate, Hard/pathology
- Palate, Hard/surgery
- Predictive Value of Tests
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Affiliation(s)
- Tadashi Terada
- Department of Pathology, Shizuoka City Shimizu Hospital, Shizuoka, Japan.
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Abstract
We present an exceedingly rare case of chondromyxoid fibroma of the nasal cavity and palate. This rare tumor usually occurs in the metaphyses of the long bones. Our patient's tumor was diagnosed by biopsy, and it was resected en bloc. At the 2-year follow-up, the patient was doing well with no signs of recurrence. We review the pathologic characteristics, differential diagnosis, and treatment of chondromyxoid fibroma of the nasal cavity.
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Affiliation(s)
- Brian Thomas
- Section of Otolaryngology, Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH 03756, USA
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45
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Ishibashi N, Yanagawa T, Yamagata K, Karube R, Shinozuka K, Nagata C, Noguchi M, Onizawa K, Bukawa H. Basal cell adenoma arising in a minor salivary gland of the palate. Oral Maxillofac Surg 2012; 16:111-114. [PMID: 21327332 DOI: 10.1007/s10006-011-0263-z] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2010] [Accepted: 01/05/2011] [Indexed: 05/30/2023]
Abstract
BACKGROUND Basal cell adenoma is a benign neoplasm of the salivary glands. This tumor usually arises in the major glands, with the parotid being the most frequent site of occurrence, while it is rare in the minor salivary glands. We report a case of basal cell adenoma of a minor salivary gland on the palate. CASE The patient was a 68-year-old man. Intraoral examination revealed a mass measuring 20 × 20 mm that was elastic-hard, dark violet, non-ulcerated, and covered the normal mucosa. Computed tomography scan and magnetic resonance imaging (MRI) both showed a mass situated in front of the soft palate. The T1-weighted MRI revealed tumor isointensity, and the T2-weighted image showed tumor hyperintensity. The clinical diagnosis was palate tumor, and excision was performed under general anesthesia. Histopathological examination revealed that an encapsulated mass had grown under the epithelium and indicated a diagnosis of basal cell adenoma. DISCUSSION Although no recurrence has been detected in the 3 years and 6 months of follow up, there was a case of malignant transformation of a basal cell adenoma reported. Therefore, careful follow-up observation will continue to be important.
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Affiliation(s)
- Naomi Ishibashi
- Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki 305-8575, Japan.
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Abstract
Hairy polyp is an unusual developmental malformation that is most frequently seen as a pedunculated tumor in the neonate. They are benign lesions containing elements of both ectodermal and mesodermal origin. The symptoms of hairy polyps relate both to their location and their size. Larger lesions produce symptoms due to feeding difficulties and airway obstruction while smaller lesions cause intermittent symptoms resulting from a ball-valve type of obstruction. We present two cases of a soft palate hairy polyp causing respiratory and feeding difficulties and review the literature.
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Affiliation(s)
- Mehmet Yilmaz
- Otolaryngology Head and Neck Surgery Department of Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey
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47
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Ren J, Liu Z, Liu X, Li Y, Zhang X, Li Z, Yang Y, Yang Y, Chen Y, Jiang S. Primary myoepithelial carcinoma of palate. World J Surg Oncol 2011; 9:104. [PMID: 21917131 PMCID: PMC3184273 DOI: 10.1186/1477-7819-9-104] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2011] [Accepted: 09/14/2011] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES The aim of this study was to present a rare neoplasm, Primary myoepithelial carcinoma arising from the palate, and to review its diagnostic criteria, pathologic and clinical characteristics, treatment options and prognosis. CLINICAL PRESENTATION AND INTERVENTION Myoepitheliomas are tumors arising from myoepithelial cells mainly or exclusively. Myoepitheliomas mostly occur in salivary glands, as well as in breast, skin, and lung. Case of myoepitheliomas in palate has rarely been reported. Myoepithelial carcinoma is malignant counterpart of myoepitheliomas. Adenomyoepithelioma is also a different disease from myoepitheliaomas. Immunohistochemically, tumor cells of myoepithelial carcinoma express not only epithelial markers such as cytokeratin, epithelial membrane antigen (EMA), but also markers of smooth muscle origin such as calponin. The immunohistochemical criteria of myoepithelial differentiation are double positive for both cytokeratins and one or more myoepithelial immunomarkers (i.e., S-100 protein, calponin, p63, GFAP, maspin, and actins). Myoepithelial carcinomas of salivary and breast demonstrate copy number gains and gene deletion. The overall prognosis of myoepithelial carcinoma is poor. There is rarely recurrence or metastasis in benign myoepithelial tumors. Complete excision with tumor-free margin is always the preferred treatment, while local radiation therapy and chemotherapy are suggestive treatment options. Here, a rare case of myoepithelial carcinoma arising from the palate has been described and discussed for the treatment and outcome. Pathological and clinical characters of myoepitheliomas are also compared and discussed. CONCLUSION The case report serves to increase awareness and improve the index of diagnosis and treatment of myoepitheliomas.
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Affiliation(s)
- Juan Ren
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Zi Liu
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Xiaoping Liu
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Yi Li
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Xiaozhi Zhang
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Zongfang Li
- Second Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Yunyi Yang
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Ya Yang
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Yuanyuan Chen
- Cancer center, First Hospital of Xi'an Jiaotong University, Xi'an 710061, Shaan'xi Province, 710061, China
| | - Shiwen Jiang
- Department of Basic Biomedical Sciences, Mercer University School of Medicine, GA 31404, USA; Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905, USA
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Farah-Klibi F, Bacha D, Ferjaoui M, Ben Jilani S, Zermani R. [Lipomatous pleomorphic adenoma of the hard palate]. Tunis Med 2011; 89:719-720. [PMID: 21948667] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
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49
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Dym H, Movahed R. Granulocytic sarcoma of palate. Case report and review of literature. N Y State Dent J 2011; 77:24-27. [PMID: 21735867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
A rare case of granulocytic sarcoma of the hand and palate, also known as chloroma, occurring in an adolescent patient is presented. Diagnostic clinical criteria, along with treatment pictures, are also reviewed.
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Affiliation(s)
- Harry Dym
- Department of Dentistry/Oral & Maxillofacial Surgery at The Brooklyn Hospital Center, Brooklyn, NY, USA.
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Mitra S, Kundu S, Pattari SK, Ghosal AG. Metastatic pleural effusion: a rare presentation of salivary gland adenoid cystic carcinoma. Indian J Chest Dis Allied Sci 2011; 53:107-110. [PMID: 21545072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
Adenoid cystic carcinoma, an uncommon malignant salivary gland neoplasm, is known for its long clinical course, indolent growth, local recurrence and late distant metastasis. We report an unusual case of adenoid cystic carcinoma of the palate in a 64-year-old woman, undiagnosed for more than 15 years, who presented as malignant pleural effusion.
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Affiliation(s)
- Subhra Mitra
- Department of Respiratory Medicine and Tuberculosis, Institute of Postgraduate Medical Education and Research and SSKM Hospital, Kolkata - 700 020, India.
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