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Giant Sialolith in Submandibular Gland: Case Report
OOOO Volume 117, Number 2 PE-137 - FOREIGN-BODY GRANULOMA IN ORAL CAVITY: FILLERS FOR COSMETIC PURPOSES. FELIPE ALAVARCE DE OLIVEIRA, GILBERTO GALLO ESTEVES, JOSÉ BURGOS PONCE, KAREN HENRIETTE PINKE, RAFAELA ALVES DA SILVA ALAVARCE, CLEVERSON TEIXEIRA SOARES, VANESSA SOARES LARA. FACULDADE DE ODONTOLOGIA DE BAURUeUSP.
Soft tissue augmentation by filler injections in the orofacial region is the most common cosmetic procedure over the last 10 years. However, filling materials can promote adverse reactions, including hematomas, swelling, itching, hypersensitivity, tissue necrosis, migration to distant sites, and foreign body granuloma. Woman, 76, had a yellowish, firm, nodular lesion at the midline of the upper vestibule. She reported lip injection of a permanent filler to augment tissue several years earlier. Histopathological analysis showed numerous spherical foreign bodies encircled by macrophages and multinucleated giant cells of the foreign body type. Peripherally, the lesion was surrounded by a fibrous capsule. Immunohistochemical study revealed positive results for macrophage marker (CD68). The definitive diagnosis was foreign body granuloma caused by filler injection. Facial fillers are often used to soften the results of the ageing process. The oral pathologist should be aware of this possibility, since this foreign material with lipoblast-like cells can be confused with liposarcoma.
PE-138 - FUNGAL INFECTION (PARACOCCIDIOIDOMYCOSIS): CASE REPORT. BARBAHRA CAROLYNIE AMORIM REIS, DANIEL DO CARMO CARVALHO, DIMITRE RAMOS GRANDEZ ARAÚJO, IGOR BRASIL VILLAR, LUCIANO HENRIQUE DE JESUS, RICARDO FARIAS BRITO. FACULDADE CATHEDRAL. Paracoccidioidomycosis is a fungal disease that usually affects people in South America, mainly Brazil and Venezuela. It is seen in males and people who work in agriculture and are more susceptible to infection by Paracoccidioides brasiliensis. Usually such infection initially presents as pulmonary infection due to aspiration of the microorganism’s spores, but it can spread through the lymphatic system and bloodstream to affect other tissues. The patient, who had severe periodontal disease, sought the Service Oral and Maxillofacial Surgery of the State of Roraima complaining of tooth mobility. Panoramic radiographs showed a radiolucent lesion measuring about 3 cm with welldefined borders associated with the root remnant of tooth #34. On examination the lesion resembled a blackberry in the region of the buccal mucosa and alveolar mucosa and extended to the labial commissure. Treatment included surgical intervention and drug therapy with antifungal agents.
PE-139 - GIANT CELL FIBROMA: CASE REPORT. CAROLINE FARIAS LEMOS, BERNARDO FERREIRA BRASILEIRO, LUIZ CARLOS FERREIRA DA SILVA, NAYANE CARVALHO CHAGAS, MARTA RABELLO PIVA. UNIVERSIDADE FEDERAL DE SERGIPE.
Giant cell fibroma (GCF) can present as a sessile or pedunculated lump that is asymptomatic and usually less than 1 cm in diameter. Most cases occur in people age 10 to 30 years and are seen most commonly in the lower gum, then the upper gums, tongue, and palate. Microscopically, GCF is an unencapsulated mass of fibrous connective tissue that contains numerous fibroblasts, some of which are multinucleate. These cells are easily observed in the periphery of the lesion, whereas central areas typically consist of fibroblasts. The epithelial surface is
ABSTRACTS Abstracts e159 corrugated and often atrophic. Patient, 10, complained of a mass under the tongue that was painless. Examination revealed the lesion was nodular, pedunculated, and vegetative with a verrucous surface. Treatment consisted of excisional biopsy. The specimen was sent for pathological analysis, which identified a GCF.
PE-140 - GIANT SIALOLITH IN SUBMANDIBULAR GLAND: CASE REPORT. MARÍLIA LINS E SILVA, FELIPE BRAVO MACHADO DE ANDRADE, CAMILA EPITÁCIO CRAVO TEIXEIRA, RICARDO PAREDES PAIVA SOBREIRA DE MOURA, ÉRICA CAVALCANTI PASSOS DE MEDEIROS, BRUNO BRASIL MARECHAL, SÉRGIO BARTOLOMEU DE FARIAS MARTORELLI. UNIVERSIDADE FEDERAL DE PERNAMBUCO (UFPE). Sialoliths are slow-growing calcified masses that arise in salivary glands or their ducts. These lesions increase salivary viscosity, which can produce gland obstruction. Woman, 75, came to the surgery clinic of the Central Institute of Oral Health Human resources in the State of Pernambuco complaining of facial pain. During the interview, she reported pain on eating and intermittent swelling in the submandibular region. Examination revealed a symmetrical face, submandibular swelling, and extraoral and intraoral pain on palpation, in addition to the presence of hardened tissue and purulent discharge from Wharton’s duct. Radiographic examination showed the presence of a dense body suggestive of giant sialolith. Given the provisional diagnosis of sialolith, surgery was done to remove the calculus and preserve the affected gland. Postoperative follow-up showed complete healing and normal salivary flow within 1 month.
PE-141 - GIANT SUBMANDIBULAR SIALOLITH: CASE REPORT. GUSTAVO HENRIQUE CAMPOS RODRIGUES, VANESSA JULIANA GOMES CARVALHO, FABIO DE ABREU ALVES, CELSO AUGUSTO LEMOS JUNIOR, GRAZIELLA CHAGAS JAGUAR. FOUSP/A. C. CAMARGO CANCER CENTER. Sialolithiasis is one of the most common diseases of the salivary gland, but giant sialoliths have rarely been reported. The submandibular gland and its duct appear to be the sites most susceptible to this disease. Woman, 48, had a history of an asymptomatic mass in the left neck region lasting 3 years. Intraoral examination revealed a hard, mobile nodule on the left submandibular gland. An extensive osteophagic area involving the left submandibular region was observed on panoramic radiography, strongly suggestive of sialolith. Interestingly, the stone was removed without anesthesia during palpation of the submandibular gland. The sialoliths measured 45 mm in length. Follow-up showed an asymptomatic and normally functioning gland. It is known that such long-standing stones usually produce severe pain and irreversible functional damage. The standard treatment is gland resection. This case may be useful in developing a conservative approach to management.
PE-142 - GIGANTIC TONGUE HEMANGIOMA: CASE REPORT. JULIANA TRISTÃO WERNECK, RAPHAELLA POSTORIVO, MARIA ELISA RANGEL JANINI, VALDIR MEIRELLES, ELOÁ BORGES LUNA, JOSÉ ALEXANDRE DE ROCHA CURVELLO, ALINE CORRÊA ABRAHÃO. UFRJ. Hemangioma is a benign tumor characterized by the proliferation of endothelial cells and often occurs in children with a
Soft tissue augmentation by filler injections in the orofacial region is the most common cosmetic procedure over the last 10 years. However, filling materials can promote adverse reactions, including hematomas, swelling, itching, hypersensitivity, tissue necrosis, migration to distant sites, and foreign body granuloma. Woman, 76, had a yellowish, firm, nodular lesion at the midline of the upper vestibule. She reported lip injection of a permanent filler to augment tissue several years earlier. Histopathological analysis showed numerous spherical foreign bodies encircled by macrophages and multinucleated giant cells of the foreign body type. Peripherally, the lesion was surrounded by a fibrous capsule. Immunohistochemical study revealed positive results for macrophage marker (CD68). The definitive diagnosis was foreign body granuloma caused by filler injection. Facial fillers are often used to soften the results of the ageing process. The oral pathologist should be aware of this possibility, since this foreign material with lipoblast-like cells can be confused with liposarcoma.
PE-138 - FUNGAL INFECTION (PARACOCCIDIOIDOMYCOSIS): CASE REPORT. BARBAHRA CAROLYNIE AMORIM REIS, DANIEL DO CARMO CARVALHO, DIMITRE RAMOS GRANDEZ ARAÚJO, IGOR BRASIL VILLAR, LUCIANO HENRIQUE DE JESUS, RICARDO FARIAS BRITO. FACULDADE CATHEDRAL. Paracoccidioidomycosis is a fungal disease that usually affects people in South America, mainly Brazil and Venezuela. It is seen in males and people who work in agriculture and are more susceptible to infection by Paracoccidioides brasiliensis. Usually such infection initially presents as pulmonary infection due to aspiration of the microorganism’s spores, but it can spread through the lymphatic system and bloodstream to affect other tissues. The patient, who had severe periodontal disease, sought the Service Oral and Maxillofacial Surgery of the State of Roraima complaining of tooth mobility. Panoramic radiographs showed a radiolucent lesion measuring about 3 cm with welldefined borders associated with the root remnant of tooth #34. On examination the lesion resembled a blackberry in the region of the buccal mucosa and alveolar mucosa and extended to the labial commissure. Treatment included surgical intervention and drug therapy with antifungal agents.
PE-139 - GIANT CELL FIBROMA: CASE REPORT. CAROLINE FARIAS LEMOS, BERNARDO FERREIRA BRASILEIRO, LUIZ CARLOS FERREIRA DA SILVA, NAYANE CARVALHO CHAGAS, MARTA RABELLO PIVA. UNIVERSIDADE FEDERAL DE SERGIPE.
Giant cell fibroma (GCF) can present as a sessile or pedunculated lump that is asymptomatic and usually less than 1 cm in diameter. Most cases occur in people age 10 to 30 years and are seen most commonly in the lower gum, then the upper gums, tongue, and palate. Microscopically, GCF is an unencapsulated mass of fibrous connective tissue that contains numerous fibroblasts, some of which are multinucleate. These cells are easily observed in the periphery of the lesion, whereas central areas typically consist of fibroblasts. The epithelial surface is
ABSTRACTS Abstracts e159 corrugated and often atrophic. Patient, 10, complained of a mass under the tongue that was painless. Examination revealed the lesion was nodular, pedunculated, and vegetative with a verrucous surface. Treatment consisted of excisional biopsy. The specimen was sent for pathological analysis, which identified a GCF.
PE-140 - GIANT SIALOLITH IN SUBMANDIBULAR GLAND: CASE REPORT. MARÍLIA LINS E SILVA, FELIPE BRAVO MACHADO DE ANDRADE, CAMILA EPITÁCIO CRAVO TEIXEIRA, RICARDO PAREDES PAIVA SOBREIRA DE MOURA, ÉRICA CAVALCANTI PASSOS DE MEDEIROS, BRUNO BRASIL MARECHAL, SÉRGIO BARTOLOMEU DE FARIAS MARTORELLI. UNIVERSIDADE FEDERAL DE PERNAMBUCO (UFPE). Sialoliths are slow-growing calcified masses that arise in salivary glands or their ducts. These lesions increase salivary viscosity, which can produce gland obstruction. Woman, 75, came to the surgery clinic of the Central Institute of Oral Health Human resources in the State of Pernambuco complaining of facial pain. During the interview, she reported pain on eating and intermittent swelling in the submandibular region. Examination revealed a symmetrical face, submandibular swelling, and extraoral and intraoral pain on palpation, in addition to the presence of hardened tissue and purulent discharge from Wharton’s duct. Radiographic examination showed the presence of a dense body suggestive of giant sialolith. Given the provisional diagnosis of sialolith, surgery was done to remove the calculus and preserve the affected gland. Postoperative follow-up showed complete healing and normal salivary flow within 1 month.
PE-141 - GIANT SUBMANDIBULAR SIALOLITH: CASE REPORT. GUSTAVO HENRIQUE CAMPOS RODRIGUES, VANESSA JULIANA GOMES CARVALHO, FABIO DE ABREU ALVES, CELSO AUGUSTO LEMOS JUNIOR, GRAZIELLA CHAGAS JAGUAR. FOUSP/A. C. CAMARGO CANCER CENTER. Sialolithiasis is one of the most common diseases of the salivary gland, but giant sialoliths have rarely been reported. The submandibular gland and its duct appear to be the sites most susceptible to this disease. Woman, 48, had a history of an asymptomatic mass in the left neck region lasting 3 years. Intraoral examination revealed a hard, mobile nodule on the left submandibular gland. An extensive osteophagic area involving the left submandibular region was observed on panoramic radiography, strongly suggestive of sialolith. Interestingly, the stone was removed without anesthesia during palpation of the submandibular gland. The sialoliths measured 45 mm in length. Follow-up showed an asymptomatic and normally functioning gland. It is known that such long-standing stones usually produce severe pain and irreversible functional damage. The standard treatment is gland resection. This case may be useful in developing a conservative approach to management.
PE-142 - GIGANTIC TONGUE HEMANGIOMA: CASE REPORT. JULIANA TRISTÃO WERNECK, RAPHAELLA POSTORIVO, MARIA ELISA RANGEL JANINI, VALDIR MEIRELLES, ELOÁ BORGES LUNA, JOSÉ ALEXANDRE DE ROCHA CURVELLO, ALINE CORRÊA ABRAHÃO. UFRJ. Hemangioma is a benign tumor characterized by the proliferation of endothelial cells and often occurs in children with a