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Carcinoma of the palate
ABSTRACTS
5’12
OF CURREKT
LI’NRATURE
O.S., O.M. & O.P. April. 1961
Clinically, it is frequently confused with benign tun~ora. Two cases reportcll. The first involved a 32-year-old n-hitc woman whose chief con1plnint WRS recr~rrent tentlnrness and swelling of the left munclil,ular cuspitl nren of two months’ duration. Excision:ll biopsy was reported on mirroscopic examinntiou ns ossifying librous tlysplasitr or 2~ ljos. sible osteogenic sarcoma. The lesion rccurrell in six wf*eks, and the diagnosis of ostc!llgcnic carcinoma was made on a sceond biopsy. Trcatturnt following the diagnosis of osteogenic sarcoma include11 irracl i:rt,ion followecl by s11rgery, which inclujled R left httmimandibulectomy. There was no cvillencc of n&\-e tlisease thirteen months after surgery. The second ease was that of an IS-year-old white girl who hag1 had n pninful swelling in t.he right mandibular region for four weeks. Following r~~~nov:~l of Iho rrcot111 ~prcmol:~~.. the swelling increascll. An exririaunl llinpxy was ~lorlc! flour wc~ck< afttbr the 01l~l of symptoms, and the diagnosis of osteogenic sarcon~n W:LB mn(lr. ‘I’rc:atitwtit inclu~lrll irradiation followed by surgery. Nine months after trt*atment no ovi(lellco of active disease was found. The authors feel that early diagnosis and an aggrcssivc approach in therapy l.:~kc!s this disease out of the hopeless category. T. J. c:. iLrL?
Lymphangioma
of the Tongue.
H. Mnson
Morlit.
A. M. A. Arch.
Rurg. 81: 761, Novcm-
ber, 1960. Lymphangiomaa are tumors composed of true lymph channels and cyst.ic dilatations. This article reports efforts to treat eight patients with lymphangioma of the tongue, t,hroc of whom were followed for ten to fifteen years. In Jl tight patients, the tumors wcr(? not.4 at or shortly after birth. They were grapelike cxc.~csccnccs on the surface. The tongue protruded from the mouth as it increased in size, and the teeth wcrc forced out of occlusion. Surgery is the treatment of choiecb. The author cites the importanr.e of marking ihc lines of excision on the tongue prior to making the incisiorr. The procedure is descrihccl in d&nil and Ule article is recommended to the oral surgcor~. T. J. C.
Cadnoma
of the Palate.
E:. I?. Sherokov.
Am. J. Burg. 100: 530, October,
l!NO.
Thirteen Panamanian women with epidermoid carcinoma of the pnlatc were seen. All of these women had, for years, smoked rolled tobacco leaves of small cigars with thr! lit end within the mouth and against the mueosa of the hard palate. TAocal pain WYB.S A foul discharge was seen when the mucosal surface was the most common symptom. broken and infection occurred. The check is reflected by cutting Surgical extirpation is the method of choice. The through the lower lip in the midline and extending the incision below the mandible. The diseased part is mandibular attachments are freed, which gives excellent exposure. on the surface. The neck dissection precedes t.hc intraoral work. Although surgical excision of these tumors is considered relatively simple, reconstruction of the defect is recognized as a problem. T. J. C.
5’12
OF CURREKT
LI’NRATURE
O.S., O.M. & O.P. April. 1961
Clinically, it is frequently confused with benign tun~ora. Two cases reportcll. The first involved a 32-year-old n-hitc woman whose chief con1plnint WRS recr~rrent tentlnrness and swelling of the left munclil,ular cuspitl nren of two months’ duration. Excision:ll biopsy was reported on mirroscopic examinntiou ns ossifying librous tlysplasitr or 2~ ljos. sible osteogenic sarcoma. The lesion rccurrell in six wf*eks, and the diagnosis of ostc!llgcnic carcinoma was made on a sceond biopsy. Trcatturnt following the diagnosis of osteogenic sarcoma include11 irracl i:rt,ion followecl by s11rgery, which inclujled R left httmimandibulectomy. There was no cvillencc of n&\-e tlisease thirteen months after surgery. The second ease was that of an IS-year-old white girl who hag1 had n pninful swelling in t.he right mandibular region for four weeks. Following r~~~nov:~l of Iho rrcot111 ~prcmol:~~.. the swelling increascll. An exririaunl llinpxy was ~lorlc! flour wc~ck< afttbr the 01l~l of symptoms, and the diagnosis of osteogenic sarcon~n W:LB mn(lr. ‘I’rc:atitwtit inclu~lrll irradiation followed by surgery. Nine months after trt*atment no ovi(lellco of active disease was found. The authors feel that early diagnosis and an aggrcssivc approach in therapy l.:~kc!s this disease out of the hopeless category. T. J. c:. iLrL?
Lymphangioma
of the Tongue.
H. Mnson
Morlit.
A. M. A. Arch.
Rurg. 81: 761, Novcm-
ber, 1960. Lymphangiomaa are tumors composed of true lymph channels and cyst.ic dilatations. This article reports efforts to treat eight patients with lymphangioma of the tongue, t,hroc of whom were followed for ten to fifteen years. In Jl tight patients, the tumors wcr(? not.4 at or shortly after birth. They were grapelike cxc.~csccnccs on the surface. The tongue protruded from the mouth as it increased in size, and the teeth wcrc forced out of occlusion. Surgery is the treatment of choiecb. The author cites the importanr.e of marking ihc lines of excision on the tongue prior to making the incisiorr. The procedure is descrihccl in d&nil and Ule article is recommended to the oral surgcor~. T. J. C.
Cadnoma
of the Palate.
E:. I?. Sherokov.
Am. J. Burg. 100: 530, October,
l!NO.
Thirteen Panamanian women with epidermoid carcinoma of the pnlatc were seen. All of these women had, for years, smoked rolled tobacco leaves of small cigars with thr! lit end within the mouth and against the mueosa of the hard palate. TAocal pain WYB.S A foul discharge was seen when the mucosal surface was the most common symptom. broken and infection occurred. The check is reflected by cutting Surgical extirpation is the method of choice. The through the lower lip in the midline and extending the incision below the mandible. The diseased part is mandibular attachments are freed, which gives excellent exposure. on the surface. The neck dissection precedes t.hc intraoral work. Although surgical excision of these tumors is considered relatively simple, reconstruction of the defect is recognized as a problem. T. J. C.