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Multiple polyps of the buccal mucous membrane
MULTIPLE
POLYPS
OF THE
BUCCAL
MUCOUS
MEMBRANE’::
I;LTII’I,E polypi and l)apillom;~ta, \\-hich oc’c’ur \vith varying frequency Since in maIly regions of the body, are quite rare in the 01x1 earit-. there hare been only a few cases reported, a brief suls-ey of similar occ’urrences and those 011other epithelial surfaces seems indicated for comparison. Single papillary lesions occur rather commonly in the month. hut multiple r,e\-?-=Bing and (+erhay’ re“papillomata” have been describeti only rarely. ported a case in which a Z-year-old man under treatment for syphilis essome hibited small oral tumors “similar t,o ordinary genital proliferations.” of t.hese lesions were hemispherical and sessile, while others were more volAlthough no microsccbpy was included in this uminoas and pednnculated. report, a (liagnosis of multiple papillomatn was made. Thoma’ illustrated a case in which multiple lmpillomata mere present on t,he tongue. Ewing” described papillomata of the fungiform papillae of the tongue in children. and R.iga’s disease. in which multiple papillomas on either side of the lingual frenum result from the irritation of coughing in pertnssis. ln~ccal papillomatosis.” in which a large portion He also described “diffuse of t.he tongue ancl floor of the mouth are covered 1)~ papillomatous growths: Eggston and Wolff’ man)- of these may undergo carcinomatous changr. stated that multiple l)ayillomas occur in the region of the lingua1 tonsil and They clesc~rilxcl a diffuse papillomatosis of the clorsal papillae of the tongue. in children. with octhe tongue. mouth. and pharyns occurring particularly casional involvement of the lar-ns. trachea, and esophagus. On the skin. two groups of multiple V~~LWOIIS diseases have been clescribed. The first group is composed of verrucae of virus etiology, and inof this group are characterized cludes a variety of lesions. The papillomatn by localized acanthosis and hpperkeratosis. The underlying papillae are clepressed and the papillary body stretched and flattened. Those epidermal The second group cells which are infected nndergu granular degeneration.” is regarded to be of neoplastic etiology, and is described 1)~ dermatologists as a group of lesions in which hq-perkeratosis and papillomatosis are founcl.F In the respirator)tract. multiple papillomas occur infrequently. Ringertz; clescribed mnlticentric~ papillomatnsis of the nasal cavity. Eggston allcl IVolff4 papillary excrescences in the nose and paranasal sinuses, clescrihecl “soft” They also OCCLW in the laryns. esand multiple papillomas of the pharyns. pec+llly in children. and sometimes iur-nlre the l,ronchi.4. r Multiple tlYlC ~~ilpillC~l~l~ta ill’e kIlOWIl to OPCUI’ in the breast. hla(lder, urinaiy tract. stomach. intestine>. ;11i(l orary.
M
$?illl
Case Report The patielit. :I 66-yca~~ltl white ~voman, .entered the hospital for treatIn the routine physical esanlination ment of postgastrectomy syndroine. The pamultiple excrescences were noted in the buccal mucous membranes. tient stated that she had been aware of these lesions **for pears,” Inlt had not known them to be as large as at present. Fig.
1.
Fig.
2.
pan>-. 7. Ringertz, N.: Maxilla, 8. Willis, R. A.:
Cavities Malignant ‘I’omow ;Irising in the Nasal and Paranasal Acta oto-l:tryIlg. supp. 27, 19%. Pathology of Turuours. St. Louis, If%?, The c’. T. Jlosb~-. Coupan?-.
ant1
POLYPS
OF THE
BUCCAL
MUCOUS
MEMBRANE’::
I;LTII’I,E polypi and l)apillom;~ta, \\-hich oc’c’ur \vith varying frequency Since in maIly regions of the body, are quite rare in the 01x1 earit-. there hare been only a few cases reported, a brief suls-ey of similar occ’urrences and those 011other epithelial surfaces seems indicated for comparison. Single papillary lesions occur rather commonly in the month. hut multiple r,e\-?-=Bing and (+erhay’ re“papillomata” have been describeti only rarely. ported a case in which a Z-year-old man under treatment for syphilis essome hibited small oral tumors “similar t,o ordinary genital proliferations.” of t.hese lesions were hemispherical and sessile, while others were more volAlthough no microsccbpy was included in this uminoas and pednnculated. report, a (liagnosis of multiple papillomatn was made. Thoma’ illustrated a case in which multiple lmpillomata mere present on t,he tongue. Ewing” described papillomata of the fungiform papillae of the tongue in children. and R.iga’s disease. in which multiple papillomas on either side of the lingual frenum result from the irritation of coughing in pertnssis. ln~ccal papillomatosis.” in which a large portion He also described “diffuse of t.he tongue ancl floor of the mouth are covered 1)~ papillomatous growths: Eggston and Wolff’ man)- of these may undergo carcinomatous changr. stated that multiple l)ayillomas occur in the region of the lingua1 tonsil and They clesc~rilxcl a diffuse papillomatosis of the clorsal papillae of the tongue. in children. with octhe tongue. mouth. and pharyns occurring particularly casional involvement of the lar-ns. trachea, and esophagus. On the skin. two groups of multiple V~~LWOIIS diseases have been clescribed. The first group is composed of verrucae of virus etiology, and inof this group are characterized cludes a variety of lesions. The papillomatn by localized acanthosis and hpperkeratosis. The underlying papillae are clepressed and the papillary body stretched and flattened. Those epidermal The second group cells which are infected nndergu granular degeneration.” is regarded to be of neoplastic etiology, and is described 1)~ dermatologists as a group of lesions in which hq-perkeratosis and papillomatosis are founcl.F In the respirator)tract. multiple papillomas occur infrequently. Ringertz; clescribed mnlticentric~ papillomatnsis of the nasal cavity. Eggston allcl IVolff4 papillary excrescences in the nose and paranasal sinuses, clescrihecl “soft” They also OCCLW in the laryns. esand multiple papillomas of the pharyns. pec+llly in children. and sometimes iur-nlre the l,ronchi.4. r Multiple tlYlC ~~ilpillC~l~l~ta ill’e kIlOWIl to OPCUI’ in the breast. hla(lder, urinaiy tract. stomach. intestine>. ;11i(l orary.
M
$?illl
Case Report The patielit. :I 66-yca~~ltl white ~voman, .entered the hospital for treatIn the routine physical esanlination ment of postgastrectomy syndroine. The pamultiple excrescences were noted in the buccal mucous membranes. tient stated that she had been aware of these lesions **for pears,” Inlt had not known them to be as large as at present. Fig.
1.
Fig.
2.
pan>-. 7. Ringertz, N.: Maxilla, 8. Willis, R. A.:
Cavities Malignant ‘I’omow ;Irising in the Nasal and Paranasal Acta oto-l:tryIlg. supp. 27, 19%. Pathology of Turuours. St. Louis, If%?, The c’. T. Jlosb~-. Coupan?-.
ant1