Fibroma desmoplásico, reporte de un caso y revisión de la literatura

ResumenEl fibroma desmoplásico es una lesión neoplásica relativamente rara. Se considera un tumor primario de hueso, que se presenta comúnmente en la región mandibular. Se define como un tumor benigno caracterizado por la formación de abundante matriz y fibras colágenas. En marzo de 2004 se presenta el caso de un paciente de 15 años, varón, con aumento gradual en la región derecha de la mandíbula de 4 meses de evolución. Se manifiesta asintomático, con aumento de volumen, con una apariencia radiográfica y tomográfica bien delimitada radiolúcida. A la exploración se observa un infiltrado a través de la cortical lingual. La lesión es similar a las descritas en la literatura de fibroma desmoplásico.AbstractDesmoplastic fibroma (fibromatosis) is rarely seen a primary tumor of bone. Its occurrence as a central lesion in the jaws is even more uncommon. It is rare tumor of bone, especially in the mandibule. In march 2004, a 15 year-old boy presented, with a 4 month history of gradual enlargement of the right mandibule. Painless intraoral and extraoral swelling, the cortical plate of bone overlying the lesions is expanded with thinning, erosion, and infiltration into the surrounding tissues. The lesion is similar to the one described on the articule

Control of Frey?s syndrome in patients treated with botulinum toxin type A

Aim: To identify the severity of Frey?s syndrome and its response to botulinum toxin type A. Methods: Minor test was performed in all cases to assess the extent of the affected area, using the contralateral side as control. Severity was assessed according to the proposal of Luna-Ortiz et al. Response was evaluated after 3 and 6 months, and was compared with the basal data. Results: Frey?s syndrome was documented in 38 patients, but only 23 cases accepted the botulinum toxin type A treatment. Severity was moderate in 8 (35%) and severe in 15 (65%) cases. Mean applied dose was 1.41 MU/cm2 in 21 patients (91%), whereas one patient was treated with 10 MU for a 0.8 cm2 affected area (12.5 MU/cm2 ) and another patient with 10 MU for a 0.5 cm2 affected area (20 MU/cm2 ) due to severity of their symptomatology. Average affected area at the beginning was 14.2 cm2 , while after 3 and 6 months of treatment it was 4.1 cm2 and 4.4 cm2 respectively (p0.05). In conclusion, botulinum toxin A remains as the treatment of choice for Frey?s syndrome

Oral Melanoacanthoma And Oral Melanotic Macule: A Report Of 8 Cases, Review Of The Literature, And Immunohistochemical Analysis

Oral melanoacanthoma (MA) is a rare, benign pigmented lesion, similar to cutaneous MA, characterized by hyperplasia of spinous keratinocytes and dendritic melanocytes. The pathogenesis of oral MA remains uncertain, although its clinical behavior is suggestive of a reactive origin. The most common intraoral sites are the buccal mucosa, lip, palate and gingiva. The average age of presentation is 28 years, mainly in blacks, with a strong female predilection. The oral melanotic macule (MM) is a small, well-circumscribed brown-to-black macule that occurs on the lips and mucous membranes. The etiology is not clear and it may represent a physiologic or reactive process. The average age of presentation is 43 years, with a female predilection. A biopsy is recommended to distinguish these lesions from each other and from other oral melanocytic lesions. We depict four cases each of oral MA and MM, affecting Caucasian and Latin American mestizo patients. The clinicopathological features of these cases reflect its ample spectrum, and to the best of our knowledge, it is the first example of oral MA affecting a Caucasian boy reported in the English literature. Therefore oral MA and MM should be considered in the differential diagnosis of pigmented lesions in the oral mucosa in these populations. © Medicina Oral.125E374E379Mishima, Y., Pinkus, H., Benign mixed tumor of melanocytes and malpighian cells. Melanoacanthoma: Its relationship to Bloch's benign non-nevoid melanoepithelioma (1960) Arch Dermatol, 81, pp. 539-550Buchner, A., Merrell, P.W., Carpenter, W.M., Relative frequency of solitary melanocytic lesions of the oral mucosa (2004) J Oral Pathol Med, 33, pp. 550-557Wright, J.M., Binnie, W.H., Byrd, D.L., Dunsworth, A.R., Intraoral melanoacanthomas (1983) J Periodontol, 54, pp. 107-111Buchner, A., Merrell, P., Hanson, L., Leider, A., Melanocytic hyperplasia of the oral mucosa (1991) Oral Surg, Oral Med Oral Pathol, 71, pp. 58-62Wright, J.M., Intraoral melanoacanthoma: A reactive melanocytic hyperplasia. Case report (1988) J Periodontol, 59, pp. 53-55Tomich, C., Zunt, S.L., Melanoacanthosis (melanoacanthoma) of the oral mucosa (1990) J Dermatol Surg Oncol, 16, pp. 231-236Contreras, E., Carlos, R., Oral melanoacanthosis (melanoachantoma): Report of a case and review of the literature (2005) Med Oral Patol Oral Cir Bucal, 10 (1), pp. 11-12,9-11Fornatora, M.L., Reich, R.F., Haber, S., Solomon, F., Freedman, P.D., Oral melanoacanthomas: A report of 10 cases, review of the literature, and immunohistochemical analysis for HMB-45 reactivity (2003) Am J Dermatopathol, 25, pp. 12-15Matsuoka, L.Y., Glasser, S., Barsky, S., Melanoacanthoma of the lip (1979) Arch Dermatol, 115, pp. 1116-1117Goode, R.K., Crawford, B.E., Callihan, M.D., Neville, B.W., Oral melanoacanthoma. Review of the literature and report of ten cases (1983) Oral Surg Oral Med Oral Pathol, 56, pp. 622-628Scheneider, L.C., Mesa, M.L., Haber, S.M., Melanoacanthoma of the oral mucosa (1981) Oral Surg Oral Med Oral Pathol, 52, pp. 284-287Fatahzadeh, M., Sirois, D.A., Multiple intraoral melanoacanthomas: A case report with unusual findings (2002) Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 94, pp. 54-56Ho, K.K., Dervan, P., O'Loughlin, S., Powell, F.C., Labial melanotic macule: A clinical, histopathologic, and ultrastructural study (1993) J Am Acad of Dermatol, 28, pp. 33-39Sexton, F.M., Maize, J.C., Melanotic macules and melanoacanthomas of the lip. A comparative study with census of the basal melanocyte population (1987) Am J Dermatopathol, 9, pp. 438-444Horlick, H.P., Walther, R.R., Zegarelli, D.J., Silvers, D.N., Eliezri, Y.D., Mucosal melanotic macule, reactive type: A simulation of melanoma (1988) J Am Acad Dermatol, 19, pp. 786-791Buchner, A., Hansen, L.S., Pigmented nevi of the oral mucosa: A clinicopathologic study of 32 new cases and review of 75 cases from the literature: Part I. A clinicopathologic study of 32 new cases (1979) Oral Surg Oral Med Oral Pathol, 48, pp. 131-142Barker, B.F., Carpenter, W.M., Daniels, T.E., Kahn, M.A., Leider, A.S., Lozada-Nur, F., (1997) Oral mucosal melanomas: The WESTOP Banff workshop proceedings, 83, pp. 672-679. , Western Society of Teachers of Oral Pathology. Oral Surg Oral Med Oral Pathol Oral Radiol EndodBarrett, A.W., Raja, A.M., The immunohistochemical identification of human oral mucosal melanocytes (1997) Arch Oral Biol, 42, pp. 77-8

Primary extra-cranial meningioma in the right submandibular region of an 18-year-old woman: a case report

<p>Abstract</p> <p>Introduction</p> <p>Extra-cranial meningioma or ectopic meningioma is a rare tumor. This tumor has been reported in various anatomic sites in the head and neck, mediastinum, skin and soft tissues. We report a rare case of ectopic meningioma in the submandibular region detected by using fine-needle aspiration cytology, histopathology and immunohistochemistry. This case represents another unusual site for extra-cranial meningioma, which prompted us to report it.</p> <p>Case presentation</p> <p>An 18-year-old Dravidian woman presented with swelling in the right submandibular region. The computed tomographic scan findings were suggestive of a neoplastic mass lesion in the right submandibular region. Fine-needle aspiration cytology led to the differential diagnosis of a monomorphic adenoma of a salivary gland or an ectopic meningioma. The patient underwent excision of the submandibular gland and tumor. The histological examination and immunohistochemistry studies confirmed that the lesion was an extra-cranial meningioma. At her two-year follow-up examination, there was no recurrence of the tumor.</p> <p>Conclusion</p> <p>Our experience with this case indicates that, although rare, meningioma should be entertained in the differential diagnosis of a mass lesion in the head and neck region.</p

Orthokeratinized Odontogenic Cyst of the Mandible with Heterotopic Cartilage

Cartilaginous metaplasia is a rare but well-documented phenomenon occurring in the wall of odontogenic keratocyst. The mural cartilage not associated with odontogenic keratocyst has been reported only once in a maxillary teratoid cyst of congenital origin to our knowledge. A case presented is a 38-year-old man with intraosseous keratinizing epidermoid cyst in the mandible, the wall of which contained a nodule of mature hyaline cartilage. The present lesion likely represents a previously undescribed, histologic hybrid consisting of orthokeratinized odontogenic cyst and cartilaginous heterotopia

Oral maxillofacial neoplasms in an East African population a 10 year retrospective study of 1863 cases using histopathological reports

<p>Abstract</p> <p>Background</p> <p>Neoplasms of the oral maxillofacial area are an interesting entity characterized by differences in nomenclature and classification at different centers.</p> <p>We report neoplastic histopathological diagnoses seen at the departments of oral maxillofacial surgery of Muhimbili and Mulago referral hospitals in Tanzania and Uganda respectively over a 10-year period.</p> <p>Methods</p> <p>We retrieved histopathological reports archived at the departments of oral maxillofacial surgery of Muhimbili and Mulago referral hospitals in Tanzania and Uganda respectively over a 10-year period from June 1989–July 1999.</p> <p>Results</p> <p>In the period between June 1989 and July 1999, 565 and 1298 neoplastic oro-facial cases were retrieved of which 284 (50.53%) and 967 (74.54%) were malignant neoplasms at Muhimbili and Mulago hospitals respectively. Overall 67.28% of the diagnoses recorded were malignant with Kaposi's sarcoma (21.98%), Burkiits lymphoma (20.45%), and squamous cell carcinoma (15.22%) dominating that group while ameloblastoma (9.23%), fibromas (7.3%) and pleomorphic adenoma (4.95%) dominated the benign group.</p> <p>The high frequency of malignancies could be due to inclusion criteria and the clinical practice of selective histopathology investigation. However, it may also be due to higher chances of referrals in case of malignancies.</p> <p>Conclusion</p> <p>There is need to reexamine the slides in these two centers in order to bring them in line with the most recent WHO classification so as to allow for comparison with reports from else where.</p

New tumour entities in the 4th edition of the World Health Organization Classification of Head and Neck tumours: odontogenic and maxillofacial bone tumours.

The latest (4th) edition of the World Health Organization Classification of Head and Neck tumours has recently been published with a number of significant changes across all tumour sites. In particular, there has been a major attempt to simplify classifications and to use defining criteria which can be used globally in all situations, avoiding wherever possible the use of complex molecular techniques which may not be affordable or widely available. This review summarises the changes in Chapter 8: Odontogenic and maxillofacial bone lesions. The most significant change is the re-introduction of the classification of the odontogenic cysts, restoring this books status as the only text which classifies and defines the full range of lesions of the odontogenic tissues. The consensus group considered carefully the terminology of lesions and were concerned to ensure that the names used properly reflected the best evidence regarding the true nature of specific entities. For this reason, this new edition restores the odontogenic keratocyst and calcifying odontogenic cyst to the classification of odontogenic cysts and rejects the previous terminology (keratocystic odontogenic tumour and calcifying cystic odontogenic tumour) which were intended to suggest that they are true neoplasms. New entities which have been introduced include the sclerosing odontogenic carcinoma and primordial odontogenic tumour. In addition, some previously poorly defined lesions have been removed, including the ameloblastic fibrodentinoma, ameloblastic fibro-odontoma, which are probably developing odontomas, and the odontoameloblastoma, which is not regarded as an entity. Finally, the terminology "cemento" has been restored to cemento-ossifying fibroma and cemento-osseous dysplasias, to properly reflect that they are of odontogenic origin and are found in the tooth-bearing areas of the jaws