- Email: [email protected]
SYPHILIS WITH EXCLUSIVE MANIFESTATIONS IN ORAL CAVITY - REPORT OF TWO CASES IN IMMUNOCOMPETENT PATIENTS
OOOO Volume 124, Number 2 referred to an oral surgeon with a diffuse and exuberant gingival growth in maxilla and mandible. Important functional problems like tongue dysfunction, sleep apnea and dysphagia, in addition to aesthetic problems, were observed. After image evaluation, the patient was submitted to excisional biopsy under general anesthesia immediately after elective tracheostomy, because severe obstruction of the upper airway prevented nasotracheal intubation. Clinical diagnostic was confirmed after histopathologic analysis that showed intense deposition of collagen bundles arranged in a haphazard fashion in the connective tissue. After 6 months of follow-up without recurrence, important improvement of tongue position, sleep quality and food intake were observed.
CPP167 - ODONTOGENIC MYXOMA IN MANDIBLE: CASE REPORT WITH TEN YEARS EVOLUTION. CAIO CÉSAR DA SILVA BARROS, JOSE LUCAS HENRIQUE DE LIMA, JULIANA BATISTA MELO DA FONTE, RUY GOMES FONSECA DORIA, MARIA DE FÁTIMA BATISTA DE MELO, ANTONIO DE LISBOA LOPES COSTA, RICARDO LUIZ CAVALCANTI DE ALBUQUERQUE JÚNIOR. Odontogenic myxoma (OM) is a benign, slow-growth, mesenchymal-stemed and locally aggressive neoplasia of the maxilla-mandibular, derived from mesenchymal odontogenic tissues, that comprises less than 5% of odontogenic tumors. In this study is reported a case of a 45-year-old female patient presenting an asymptomatic swelling in the anterior mandible, with stony consistency and 10 years evolution, causing expansion of the lower ridges. Cone beam CT scan revealed multilocular lesion with small and regular loci, and well-defined borders. Histopathologic examination of the incisional biopsy revealed a cellular loose connective tissue of myxomatous appearance. The diagnosis was odontogenic myxoma. The patient underwent partial mandibular resection and no recurrence was observed after 2 years follow-up. Although benign, OM may have an adverse clinical outcome as a result of their infiltrative growth and progressive development. In this case, is intended to discuss the different aspects of its biological behavior and diagnostic criteria.
CPP168 - SYPHILIS WITH EXCLUSIVE MANIFESTATIONS IN ORAL CAVITY REPORT OF TWO CASES IN IMMUNOCOMPETENT PATIENTS. SUEMY SIMPLICIO KITAYAMA, PATRÍCIA TEIXEIRA DE OLIVEIRA, ANA MIRYAM COSTA DE MEDEIROS, MARA LUANA BATISTA SEVERO, LÉLIA MARIA GUEDES QUEIROZ, ÉRICKA JANINE DANTAS DA SILVEIRA. Herein we report 2 cases of syphilis with exclusive manifestations in oral cavity. The patient 1 was a male, 23 years old, showing lesions on the tongue with pain lasting for 3 months. Intraoral examination showed a lesion with the shape of a plaque mucosa, located in hard palate and tongue, surrounded by a whitish halo. Patient 2 was male, 36 years old, with tongue lesions with twenty days of evolution. These lesions were red and white plaques in the lateral border of the tongue and in the hard palate. The patients were referred for serologic testing, with a positive result for syphilis [VDRL], fluorescent treponemal antibody positive. Therapy with benzathine-penicillin, administered intramuscularly led to complete remission of oral lesions in both patients. HIV test was negative. Syphilis can be diagnosed because of oral manifestations, it is shown the importance of a dentist on early diagnosis, management, support and follow-up of the patient.
ABSTRACTS Abstracts e87 CPP169 - PERIPHERAL OSSIFYING FIBROMA: AN ATYPICAL CASE REPORT. ERASMO BERNARDO MARINHO, THALES SALLES ANGELIM VIANA, PAULO GOBERLANIO DE BARROS SILVA, MÁRIO ROGÉRIO LIMA MOTA, FABRICIO BITU SOUSA, ANA PAULA NEGREIROS NUNES ALVES. A.M.R.C., a 53-year-old female patient, sought the Stomatology Service with the chief complaint “there has been a mass in my mouth for 2 years; it has been difficult to chew”. Intraoral examination revealed a pedunculated growth on the alveolar ridge of the missing posterior teeth on the left side of the mandible. The lesion measured approximately 4 cm, firm to palpation. Panoramic radiographic examination showed irregular radiopacity interspersed in the soft tissue shadow. The lesion was excised and the specimen was sent for histopathologic examination, which revealed the presence of fibrous connective tissue showing proliferation of fusiform cells through the deposition of mineralized material in form of trabecular bone, osteoid and basophilic cementum-like material. The specimen was covered by squamous epithelium and the diagnostic conclusion was Peripheral Ossifying Fibroma. The 2 months follow-up showed complete healing of the oral mucosa. There has not been any evidence of recurrence after 3 years.
CPP170 - DESMOPLASTIC FIBROMA: A CASE REPORT. ALINE FERNANDA CRUZ, THAÍS LEMOS FERREIRA, MARIANA NEVES DE AZEVEDO, ALESSANDRO OLIVEIRA DE JESUS, JULIO CÉSAR TANOS DE LACERDA, NAYARA SOUZA CRUZ, RENATA GONÇALVES DE RESENDE. A 6-year-old male patient presented with a painless tumoral lesion in the left side of mandible and lock jaw. Clinical exam showed swelling in the left side of the face causing facial asymmetry. Panoramic radiograph showed a multilocular radiolucent area, involving the mandible’s base. An incisional biopsy of the lesion revealed desmoplastic fibroma. A segmental resection of the affect area was performed preserving alveolar bone. The patient remains under observation for 1 year and until now there are no signs of recurrence. Supported by FAPEMIG.
CPP171 - ORAL LIPOMA IN THE TONGUE: A CASE REPORT. JULIANA JASPER, LETÍCIA DE FREITAS CUBA, RUCHIELLI LOUREIRO BORGHETTI, FERNANDA GONÇALVES SALUM, KAREN CHERUBINI, MARIA ANTONIA ZANCANARO DE FIGUEIREDO. Lipoma is the most common benign tumor that occurs at any region where adipose tissue is present. However, as the tongue is devoid of adipocyte it is an extremely rare site for development. Herein we report the case of an 82-year-old male patient that complained about an asymptomatic volume increased during 10 years, with exacerbation during the last month. Examination revealed a 4 cm nodular lesion that was located on the right dorsal region of the tongue. After initial blood tests and Doppler ultrasound that suggested benign tumor without neovascularization, it was performed an excisional biopsy that demonstrated squamous epithelium and an underlying zone displaying a lesion enclosed by a thin collagen fiber capsule and composed of lobules of mature adipose tissue. These findings were consistent with lipoma. The tumor was completely excised and after 6 months of follow-up, there was no recurrence of the lesion.
CPP167 - ODONTOGENIC MYXOMA IN MANDIBLE: CASE REPORT WITH TEN YEARS EVOLUTION. CAIO CÉSAR DA SILVA BARROS, JOSE LUCAS HENRIQUE DE LIMA, JULIANA BATISTA MELO DA FONTE, RUY GOMES FONSECA DORIA, MARIA DE FÁTIMA BATISTA DE MELO, ANTONIO DE LISBOA LOPES COSTA, RICARDO LUIZ CAVALCANTI DE ALBUQUERQUE JÚNIOR. Odontogenic myxoma (OM) is a benign, slow-growth, mesenchymal-stemed and locally aggressive neoplasia of the maxilla-mandibular, derived from mesenchymal odontogenic tissues, that comprises less than 5% of odontogenic tumors. In this study is reported a case of a 45-year-old female patient presenting an asymptomatic swelling in the anterior mandible, with stony consistency and 10 years evolution, causing expansion of the lower ridges. Cone beam CT scan revealed multilocular lesion with small and regular loci, and well-defined borders. Histopathologic examination of the incisional biopsy revealed a cellular loose connective tissue of myxomatous appearance. The diagnosis was odontogenic myxoma. The patient underwent partial mandibular resection and no recurrence was observed after 2 years follow-up. Although benign, OM may have an adverse clinical outcome as a result of their infiltrative growth and progressive development. In this case, is intended to discuss the different aspects of its biological behavior and diagnostic criteria.
CPP168 - SYPHILIS WITH EXCLUSIVE MANIFESTATIONS IN ORAL CAVITY REPORT OF TWO CASES IN IMMUNOCOMPETENT PATIENTS. SUEMY SIMPLICIO KITAYAMA, PATRÍCIA TEIXEIRA DE OLIVEIRA, ANA MIRYAM COSTA DE MEDEIROS, MARA LUANA BATISTA SEVERO, LÉLIA MARIA GUEDES QUEIROZ, ÉRICKA JANINE DANTAS DA SILVEIRA. Herein we report 2 cases of syphilis with exclusive manifestations in oral cavity. The patient 1 was a male, 23 years old, showing lesions on the tongue with pain lasting for 3 months. Intraoral examination showed a lesion with the shape of a plaque mucosa, located in hard palate and tongue, surrounded by a whitish halo. Patient 2 was male, 36 years old, with tongue lesions with twenty days of evolution. These lesions were red and white plaques in the lateral border of the tongue and in the hard palate. The patients were referred for serologic testing, with a positive result for syphilis [VDRL], fluorescent treponemal antibody positive. Therapy with benzathine-penicillin, administered intramuscularly led to complete remission of oral lesions in both patients. HIV test was negative. Syphilis can be diagnosed because of oral manifestations, it is shown the importance of a dentist on early diagnosis, management, support and follow-up of the patient.
ABSTRACTS Abstracts e87 CPP169 - PERIPHERAL OSSIFYING FIBROMA: AN ATYPICAL CASE REPORT. ERASMO BERNARDO MARINHO, THALES SALLES ANGELIM VIANA, PAULO GOBERLANIO DE BARROS SILVA, MÁRIO ROGÉRIO LIMA MOTA, FABRICIO BITU SOUSA, ANA PAULA NEGREIROS NUNES ALVES. A.M.R.C., a 53-year-old female patient, sought the Stomatology Service with the chief complaint “there has been a mass in my mouth for 2 years; it has been difficult to chew”. Intraoral examination revealed a pedunculated growth on the alveolar ridge of the missing posterior teeth on the left side of the mandible. The lesion measured approximately 4 cm, firm to palpation. Panoramic radiographic examination showed irregular radiopacity interspersed in the soft tissue shadow. The lesion was excised and the specimen was sent for histopathologic examination, which revealed the presence of fibrous connective tissue showing proliferation of fusiform cells through the deposition of mineralized material in form of trabecular bone, osteoid and basophilic cementum-like material. The specimen was covered by squamous epithelium and the diagnostic conclusion was Peripheral Ossifying Fibroma. The 2 months follow-up showed complete healing of the oral mucosa. There has not been any evidence of recurrence after 3 years.
CPP170 - DESMOPLASTIC FIBROMA: A CASE REPORT. ALINE FERNANDA CRUZ, THAÍS LEMOS FERREIRA, MARIANA NEVES DE AZEVEDO, ALESSANDRO OLIVEIRA DE JESUS, JULIO CÉSAR TANOS DE LACERDA, NAYARA SOUZA CRUZ, RENATA GONÇALVES DE RESENDE. A 6-year-old male patient presented with a painless tumoral lesion in the left side of mandible and lock jaw. Clinical exam showed swelling in the left side of the face causing facial asymmetry. Panoramic radiograph showed a multilocular radiolucent area, involving the mandible’s base. An incisional biopsy of the lesion revealed desmoplastic fibroma. A segmental resection of the affect area was performed preserving alveolar bone. The patient remains under observation for 1 year and until now there are no signs of recurrence. Supported by FAPEMIG.
CPP171 - ORAL LIPOMA IN THE TONGUE: A CASE REPORT. JULIANA JASPER, LETÍCIA DE FREITAS CUBA, RUCHIELLI LOUREIRO BORGHETTI, FERNANDA GONÇALVES SALUM, KAREN CHERUBINI, MARIA ANTONIA ZANCANARO DE FIGUEIREDO. Lipoma is the most common benign tumor that occurs at any region where adipose tissue is present. However, as the tongue is devoid of adipocyte it is an extremely rare site for development. Herein we report the case of an 82-year-old male patient that complained about an asymptomatic volume increased during 10 years, with exacerbation during the last month. Examination revealed a 4 cm nodular lesion that was located on the right dorsal region of the tongue. After initial blood tests and Doppler ultrasound that suggested benign tumor without neovascularization, it was performed an excisional biopsy that demonstrated squamous epithelium and an underlying zone displaying a lesion enclosed by a thin collagen fiber capsule and composed of lobules of mature adipose tissue. These findings were consistent with lipoma. The tumor was completely excised and after 6 months of follow-up, there was no recurrence of the lesion.