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Double Lip With Blepharochalasis: Case Report of a Patient With Ascher's Syndrome
ORAL AND MAXILLOFACIAL PATHOLOGY e154 Abstracts multidisciplinary treatment were done. The patient underwent plastic surgery and is still being followed up. Odontogenic neoplasms composed of predominantly clear cells are quite unusual and represent a diagnostic challenge.
PE-111 - DIFFUSE LARGE B CELL NON-HODGKIN LYMPHOMA: A RARE CASE IN LOWER LIP. ITALO CORDEIRO DE TOLEDO, ALEXANDRE BELLOTTI, ENEIDA FRANCO VENCIO, REJANE FARIA RIBEIROROTTA. UNIVERSIDADE FEDERAL DE GOIÁS. Lymphoma of mucosa-associated lymphoid tissue (MALT) is classified by the World Health Organization as B-cell lymphoma of extranodal marginal zone MALT. Most of these nonHodgkin’s lymphomas (NHL) occur in adults and are rare in the mouth. The asymptomatic insidious course impairs early detection. A case report presented the clinical features and diagnosis process of a lower lip NHL. Woman, 68, reported good general health but complained about a lump in her lower lip that had developed over a 1-month period. The nodular lesion was painless, firm to palpation, and covered by normal mucosa. The clinical hypothesis was pleomorphic adenoma. The histopathological report and immunohistochemical panel established the final diagnosis of diffuse large B-cell NHL of a minor salivary gland. The patient underwent eight chemotherapy cycles within 6 months and had a positive clinical response. She is being followed-up by a multidisciplinary team.
PE-112 - DISPLACEMENT OF DENTAL IMPLANT INTO THE FOCAL OSTEOPOROTIC BONE MARROW DEFECT. AGNES ASSAO CARVALHO, MÁRCIA MARIA DALMOLIN BARROS, FRANCISCO BÁRBARA ABREU GARCIA, NATÁLIA GALVÃO OLIVEIRA, DENISE TOSTES. UNIVERSIADE DE SÃO PAULO - FACULDADE DE ODONTOLOGIA DE BAURU. Focal osteoporotic bone marrow defects of the jaws are asymptomatic radiolucent lesions that occur predominantly in the molar region of middle-aged women. Woman, 83, was referred to a private clinic for an implant rehabilitation treatment. Radiographically, a radiolucent area around the implant in the molar region was observed. A biopsy specimen underwent histopathological analysis, which revealed hematopoietic bone marrow characterized by granulocytes, monocytes, and lymphocytes. In addition, megakaryocytes, erythrocytes, fat cells, and irregular fragments of bone tissue were also detected. Based on clinical, radiographic, and microscopical features, the definitive diagnosis was focal osteoporotic bone marrow. According to the etiopathogenesis of focal osteoporotic bone marrow defect, previous trauma could induce deficiencies in bone repair. In this case, it is probably related to tooth extraction or implant placement.
PE-113 - DOUBLE LIP WITH BLEPHAROCHALASIS: CASE REPORT OF A PATIENT WITH ASCHER’S SYNDROME. GUSTAVO EIDT, LEO KRAETHER NETO, MICHELE GASSEN KELLERMANN. UNIVERSIDADE DE SANTA CRUZ DO SULeUNISC. This case report documents the diagnosis and treatment of a patient with Ascher’s syndrome. Double lip, blepharochalasis, and nontoxic thyroid enlargement are the triad found in this entity. Young man, 16, complained about his upper lip. The double lip condition was most obvious when he laughed. The patient also presented bilateral blepharochalasis on his upper eyelids. The
OOOO February 2014 third sign of the syndrome, thyroid gland enlargement, is not constant and was not present in this case. Despite of the absence of functional problems, the double lip condition was treated because of its disfiguring effect on smiling. Treatment consisted of simple excision using an electric scalpel and wound closure by primary sutures. Wound repair was uneventful. Both the young patient and his parents were content with the outcome of surgery and decided to have the eyelids corrected at a later date.
PE-114 - ECTODERMAL DYSPLASIA: LITERATURE REVIEW AND CASE REPORT. ANTONIONE SANTOS BEZERRA PINTO, MOARA E SILVA CONCEIÇÃO PINTO. FATECI. The current report reviews the literature addressing the clinical, genetic, diagnostic, treatment, radiographic, and histopathological features of hypohidrotic ectodermal dysplasia and documents a patient with this disease. Ectodermal dysplasia is one of a rare group of related changes characterized by aplasia of ectodermal tissues such as hair, nails, teeth, and skin. The dentist should be aware of this condition to ensure a correct choice of treatment. Diagnosis is based on a thorough medical history and additional tests as indicated.
PE-115 - ECTOPIC TOOTH ANKYLOSED IN THE LATERAL BONE WALL OF THE MAXILLARY SINUS. LILIAN CALDAS QUIRINO, LUIS EDUARDO PAGOTTO, DÉCIO DOS SANTOS PINTO JÚNIOR, FÁBIO DAUMAS NUNES, JULIANA SEO, JOÃO AGUSTO COLOMBINI. FACULDADE DE ODONTOLOGIA USP. Ectopic teeth erupting in the maxillary sinus are rarely reported. Woman, 38, demonstrated radiographic evidence of ectopic tooth in the right maxillary sinus that had been growing for 8 years. Radiographic examination showed a radiopaque mass linked to the lateral wall of the maxillary sinus in intimate contact with the third molar’s root but causing no sinus pathology or obstruction. Surgical management via Caldwell-Luc access was performed under general anesthesia. The ectopic third molar with the calcified mass was easily removed from the bone wall with a chisel. Histopathological examination showed dental tissue fragment displaying mostly dentinal tissue, basophilic line adjacent to the root, bone tissue, and amorphous eosinophilic mineralized mass. The patient is being followed-up. The causes of eruption of a tooth into the maxillary sinus are unclear, but several hypotheses are offered in the literature, such as developmental disturbances (cleft palate), trauma, cyst, infection, genetic factors, and dense bone.
PE-116 - ELASTOFIBROMATOUS LESION IN THE ORAL MUCOSA. ANA TEREZINHA MARQUES MESQUITA, MAURÍCIO DA ROCHA DOURADO, PRISCILLA BARBOSA DINIZ, JOÃO LUIZ DE MIRANDA, ESMERALDA MARIA DA SILVEIRA, JORGE ESQUICHE LEÓN. UNIVERSIDADE FEDERAL DOS VALES DO JEQUITINHONHA E MUCURI. Elastofibromas are tumor-like lesions composed of elastic and fibrous connective tissue and often associated with local trauma. Although solar elastosis is routinely seen in actinic cheilitis cases, intraoral trauma-induced elastosis, usually referred as elastofibromatous lesions, is rarely reported. Woman, 63, was referred for management of a lesion located in the right buccal mucosa that had been detected during routine oral examination. The patient reported no local trauma or prior surgery. Intraoral examination disclosed a whitish-translucent plaque. Histopathological examination revealed epithelial hyperplasia and
PE-111 - DIFFUSE LARGE B CELL NON-HODGKIN LYMPHOMA: A RARE CASE IN LOWER LIP. ITALO CORDEIRO DE TOLEDO, ALEXANDRE BELLOTTI, ENEIDA FRANCO VENCIO, REJANE FARIA RIBEIROROTTA. UNIVERSIDADE FEDERAL DE GOIÁS. Lymphoma of mucosa-associated lymphoid tissue (MALT) is classified by the World Health Organization as B-cell lymphoma of extranodal marginal zone MALT. Most of these nonHodgkin’s lymphomas (NHL) occur in adults and are rare in the mouth. The asymptomatic insidious course impairs early detection. A case report presented the clinical features and diagnosis process of a lower lip NHL. Woman, 68, reported good general health but complained about a lump in her lower lip that had developed over a 1-month period. The nodular lesion was painless, firm to palpation, and covered by normal mucosa. The clinical hypothesis was pleomorphic adenoma. The histopathological report and immunohistochemical panel established the final diagnosis of diffuse large B-cell NHL of a minor salivary gland. The patient underwent eight chemotherapy cycles within 6 months and had a positive clinical response. She is being followed-up by a multidisciplinary team.
PE-112 - DISPLACEMENT OF DENTAL IMPLANT INTO THE FOCAL OSTEOPOROTIC BONE MARROW DEFECT. AGNES ASSAO CARVALHO, MÁRCIA MARIA DALMOLIN BARROS, FRANCISCO BÁRBARA ABREU GARCIA, NATÁLIA GALVÃO OLIVEIRA, DENISE TOSTES. UNIVERSIADE DE SÃO PAULO - FACULDADE DE ODONTOLOGIA DE BAURU. Focal osteoporotic bone marrow defects of the jaws are asymptomatic radiolucent lesions that occur predominantly in the molar region of middle-aged women. Woman, 83, was referred to a private clinic for an implant rehabilitation treatment. Radiographically, a radiolucent area around the implant in the molar region was observed. A biopsy specimen underwent histopathological analysis, which revealed hematopoietic bone marrow characterized by granulocytes, monocytes, and lymphocytes. In addition, megakaryocytes, erythrocytes, fat cells, and irregular fragments of bone tissue were also detected. Based on clinical, radiographic, and microscopical features, the definitive diagnosis was focal osteoporotic bone marrow. According to the etiopathogenesis of focal osteoporotic bone marrow defect, previous trauma could induce deficiencies in bone repair. In this case, it is probably related to tooth extraction or implant placement.
PE-113 - DOUBLE LIP WITH BLEPHAROCHALASIS: CASE REPORT OF A PATIENT WITH ASCHER’S SYNDROME. GUSTAVO EIDT, LEO KRAETHER NETO, MICHELE GASSEN KELLERMANN. UNIVERSIDADE DE SANTA CRUZ DO SULeUNISC. This case report documents the diagnosis and treatment of a patient with Ascher’s syndrome. Double lip, blepharochalasis, and nontoxic thyroid enlargement are the triad found in this entity. Young man, 16, complained about his upper lip. The double lip condition was most obvious when he laughed. The patient also presented bilateral blepharochalasis on his upper eyelids. The
OOOO February 2014 third sign of the syndrome, thyroid gland enlargement, is not constant and was not present in this case. Despite of the absence of functional problems, the double lip condition was treated because of its disfiguring effect on smiling. Treatment consisted of simple excision using an electric scalpel and wound closure by primary sutures. Wound repair was uneventful. Both the young patient and his parents were content with the outcome of surgery and decided to have the eyelids corrected at a later date.
PE-114 - ECTODERMAL DYSPLASIA: LITERATURE REVIEW AND CASE REPORT. ANTONIONE SANTOS BEZERRA PINTO, MOARA E SILVA CONCEIÇÃO PINTO. FATECI. The current report reviews the literature addressing the clinical, genetic, diagnostic, treatment, radiographic, and histopathological features of hypohidrotic ectodermal dysplasia and documents a patient with this disease. Ectodermal dysplasia is one of a rare group of related changes characterized by aplasia of ectodermal tissues such as hair, nails, teeth, and skin. The dentist should be aware of this condition to ensure a correct choice of treatment. Diagnosis is based on a thorough medical history and additional tests as indicated.
PE-115 - ECTOPIC TOOTH ANKYLOSED IN THE LATERAL BONE WALL OF THE MAXILLARY SINUS. LILIAN CALDAS QUIRINO, LUIS EDUARDO PAGOTTO, DÉCIO DOS SANTOS PINTO JÚNIOR, FÁBIO DAUMAS NUNES, JULIANA SEO, JOÃO AGUSTO COLOMBINI. FACULDADE DE ODONTOLOGIA USP. Ectopic teeth erupting in the maxillary sinus are rarely reported. Woman, 38, demonstrated radiographic evidence of ectopic tooth in the right maxillary sinus that had been growing for 8 years. Radiographic examination showed a radiopaque mass linked to the lateral wall of the maxillary sinus in intimate contact with the third molar’s root but causing no sinus pathology or obstruction. Surgical management via Caldwell-Luc access was performed under general anesthesia. The ectopic third molar with the calcified mass was easily removed from the bone wall with a chisel. Histopathological examination showed dental tissue fragment displaying mostly dentinal tissue, basophilic line adjacent to the root, bone tissue, and amorphous eosinophilic mineralized mass. The patient is being followed-up. The causes of eruption of a tooth into the maxillary sinus are unclear, but several hypotheses are offered in the literature, such as developmental disturbances (cleft palate), trauma, cyst, infection, genetic factors, and dense bone.
PE-116 - ELASTOFIBROMATOUS LESION IN THE ORAL MUCOSA. ANA TEREZINHA MARQUES MESQUITA, MAURÍCIO DA ROCHA DOURADO, PRISCILLA BARBOSA DINIZ, JOÃO LUIZ DE MIRANDA, ESMERALDA MARIA DA SILVEIRA, JORGE ESQUICHE LEÓN. UNIVERSIDADE FEDERAL DOS VALES DO JEQUITINHONHA E MUCURI. Elastofibromas are tumor-like lesions composed of elastic and fibrous connective tissue and often associated with local trauma. Although solar elastosis is routinely seen in actinic cheilitis cases, intraoral trauma-induced elastosis, usually referred as elastofibromatous lesions, is rarely reported. Woman, 63, was referred for management of a lesion located in the right buccal mucosa that had been detected during routine oral examination. The patient reported no local trauma or prior surgery. Intraoral examination disclosed a whitish-translucent plaque. Histopathological examination revealed epithelial hyperplasia and