Oral paracoccidioidomycosis:a retrospective study of 95 cases from a single center and literature review

The ecoepidemiological panorama of paracoccidioidomycosis (PCM) is dynamic and still ongoing in Brazil. In particular, data about the oral lesions of PCM are barely explored. The aim of this study was to report the clinicopathological features of individuals diagnosed with oral PCM lesions at an oral and maxillofacial pathology service in Rio de Janeiro, Brazil, in the light of a literature review. A retrospective study was conducted on oral biopsies obtained from 1958 to 2021. Additionally, electronic searches were conducted in PubMed, Embase, Scopus, Web of Science, Latin American and Caribbean Center on Health Sciences Information, and Brazilian Library of Dentistry to gather information from large case series of oral PCM. Ninety-five cases of oral PCM were surveyed. The manifestations were more frequent among males (n=86/90.5%), middle-aged/older adults (n=54/58.7%), and white individuals (n=40/51.9%). The most commonly affected sites were the gingiva/alveolar ridge (n=40/23.4%) and lip/labial commissure (n=33/19.3%); however, one (n=40/42.1%) or multiple sites (n=55/57.9%) could also be affected. In 90 (94.7%) patients, ?mulberry-like? ulcerations/moriform appearance were observed. Data from 21 studies (1,333 cases), mostly Brazilian (90.5%), revealed that men (92.4%; male/female: 11.8:1) and individuals in the fifth and sixth decades of life were the most affected (range: 7-89 years), with the gingiva/alveolar ridge, palate, and lips/labial commissure being the sites most frequently affected. The features of oral PCM lesions are similar to those reported in previous studies from Latin America. Clinicians should be aware of the oral manifestations of PCM, with emphasis on the clinicodemographic aspects and differential diagnoses, especially considering the phenomenon of the emergence of reported cases in rural and/or urban areas of Brazil

Primary melanoma of the oral cavity:a multi-institutional retrospective analysis in Brazil

Melanoma is an aggressive malignant tumor, rarely observed in the oral cavity. The aim of this study was to describe the clinicopathologic features of a series of oral melanomas. A retrospective descriptive study was performed. A total of 15,482 biopsy records from two oral and maxillofacial pathology services in Brazil were analyzed. All cases of oral melanomas were reviewed, and clinical, demographic, histopathological data, treatment, and follow-up status were collected. In addition, immunohistochemistry stains (pan-cytokeratin AE1/AE3, vimentin, ?-SMA, CD45, S-100 protein, HMB-45, Melan A, and Ki-67) were performed. The series comprised of 5 males (71.4%) and 2 females (28.6%), with a mean age of 58.0 ± 9.2 years (range: 45-69 years) and a 2.5:1 male-to-female ratio. The gingiva (n = 3, 42.8%) and hard palate (n = 2, 28.6%) were the most common affected sites, presenting clinically as ulcerated swellings with a brown to black color. Cervical lymph node metastasis was detected in three patients during the first examination. Microscopically, 6 cases (85.7%) were melanotic, and one (14.3%) was amelanotic. Most cases (n = 4, 57.1%) presented a predominance of epithelioid cells. S-100 and HMB-45 were positive in all cases (n = 7, 100.0%). In contrast, only 4 cases (57.1%) were positive for Melan-A. The proliferative index with Ki-67 was high, with labeling index ranging from 70.0% to more than 90% of positive cells. Five patients died from complications of the tumors after a mean follow-up period of 7.8 months. Melanoma is an aggressive malignant tumor that rarely occurs in the oral cavity. It occurs mainly in adult and elderly patients and often is diagnosed in advanced stages. The current findings were similar to previous studies and reflected the characteristics of the services from where lesions were retrieved

What is the frequency of floor of the mouth lesions? A descritive study of 4,016 cases

The aim of this study was to investigate the frequency of oral lesions in the floor of the mouth from representative oral pathology centres in Latin America. This study was conducted on biopsies obtained from January of 1978 to December of 2018 at nine Latin America oral and maxillofacial pathology centres. Gender, age and histopathological diagnosis were evaluated. Data were analysed using descriptive methods. Chi-square test was used for pairwise comparisons. From 114,893 samples, 4,016 lesions (3.49%) occurred in the floor of the mouth. Brazil showed 3,777 cases (94%), Mexico 182 cases (4.5%) and Argentina 57 cases (1.4%). Benign lesions represented 65.1% (2,617 cases), followed by 34.9% (1,404 cases) of malignant disorders. Lesions of epithelial origin were more frequent (1,964 cases; 48.9%), followed by salivary glands (1,245 cases; 31%) and soft tissue lesions (475 cases; 11.7%). The most common histological subtypes were oral squamous cell carcinoma (1,347 cases; 33.5%), ranula (724 cases; 18%), oral leukoplakia (476 cases; 11.8%) and inflammatory fibrous hyperplasia (239 cases; 5.9%). The lesion affected males in 2,129 cases and females in 1,897 cases. In the current study, lesions in the floor of the mouth represented 3.49% of biopsies submitted to oral pathology services and oral squamous cell carcinoma, ranula and leukoplakia were the most common lesions

Mensagem - Casa dos Estdantes do Império 1944-1994, Número Especial

A Casa dos Estudantes do Império (CEI) foi criada em 1944 pelo então Ministério das Coló- nias e pelo Comissariado Nacional da Mocidade Portuguesa sendo destinada ao enquadramento dos estudantes oriundos das Colónias portuguesas (de África, Índia, Macau e Timor). O eco das independências africanas ocorridas ao longo da década de 50 repercutiu-se no império colonial português, onde o regime do Estado Novo registava então grande contestação. Neste contexto histórico muitos jovens estudantes associados à CEI procuraram caminhos de descoberta / construção da identidade dos territó- rios de que eram originários com diversas iniciativas culturais, entre as quais a atividade editorial. A Associação Casa dos Estudantes do Império (ACEI), constituída por associados da CEI, em 1994 e com existência até 1997, reeditou, pela passagem do 50.o aniversário da Casa, dois volumes das Antologias de Poesia de Angola, Moçambique e São Tomé e Príncipe e elaborou um Nú- mero Especial da MENSAGEM, um Boletim publicado pela CEI, de forma irregular, de acordo com as vicissitudes vividas, entre 1948 e 1964. A União das Cidades Capitais de Língua Portuguesa (UCCLA) deliberou levar a efeito uma homenagem aos associados da CEI, iniciada numa cerimónia que teve lugar no Auditório da Reitoria da Universidade de Coimbra, em outubro de 2014, ano em que se perfizeram 70 anos da criação da CEI. Nessa homenagem iniciou-se a distribuição das reedições das referidas Antologias, com novo formato e ainda a distribuição de uma pen com os nomes de todos os associados da CEI, resultado de uma pesquisa levada a efeito na Torre do Tombo. Para 2015, ano em que se perfazem 50 anos sobre a extinção da CEI pela PIDE programaram-se vários eventos. De entre esses eventos constam debates, um Colóquio Internacional, a realizar na Fundação Calouste Gulbenkian, uma exposição na Câmara Municipal de Lisboa e, por fim, a sessão de encerramento no dia 25 de maio, Dia de África, em que intervirão como oradores todos os associados da CEI que vieram a ser Presidentes da República ou Primeiros Ministros dos territórios de onde eram originários. A reedição deste Número Especial da Revista MENSAGEM integra-se nesta justa homenagem.À Memória de Amílcar Cabral Mário de Andrade Carlos Ervedosa e daqueles que partiram cedo demais. Ao Dr. Arménio Ferreira, cuja generosidade e apoio nos anos difíceis prolongaram a existência da Casa. Aos ESTUDANTES AFRICANOS de hoje e do futuro.Ministério dos Negócios Estrangeiros, CPLP, Instituto Camões, Câmara Municipal de Lisboainfo:eu-repo/semantics/publishedVersio

Reflexões sobre as roças em São Tomé e Príncipe

O artigo tem como objetivo apresentar elementos constitutivos da história de São Tomé e Príncipe, segundo menor país do continente africano, que tem como língua oficial o português. Diversas leituras e dados coligidos auxiliaram na redação do texto, que define e contextualiza o universo do sistema latifundiário colonial construído nas duas ilhas e apresenta escolhas políticas e sociais realizadas em função desse sistema ao longo de sua história

Urbs e civitas: a formação dos espaços e territórios urbanos nas minas setecentistas

O presente artigo procura situar a evolução das abordagens acerca da cidade colonial mineira dentro da perspectiva mais ampla dos estudos sobre o urbanismo colonial português. A análise privilegia os trabalhos que, em vez de se aterem aos aspectos ligados à estética urbana, procuraram relacioná-los às questões fundiárias e à constituição das redes e hierarquias urbanas.This article seeks to situate the evolution of approaches to the study of the colonial towns of Minas Gerais placing them in the broader perspective of studies on the Portuguese colonial urbanism. Instead of restricting our approach to questions of urban aesthetics, the analysis focuses on the works that tried to relate these questions to aspects of land ownership and to the establishment of networks and urban hierarchies