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ORAL LYMPHOEPITHELIAL CYST ASSOCIATED WITH SUBGEMMAL NEUROGENOUS PLAQUE—CASE REPORT
ABSTRACTS
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protein, gp100, and SOX 10 antigens. The patient underwent partial maxillectomy with no postsurgical complications after 3month follow-up. The aggressive nature of the lesion and its prognosis are discussed.
ORAL LYMPHOEPITHELIAL CYST ASSOCIATED WITH SUBGEMMAL NEUROGENOUS PLAQUE—CASE REPORT. AMANDA SILVA DE ALMEIDA LIMA, BIANCA VEIGA, NATHALIA ALMEIDA, MARIA ELIZA BARBOSA RAMOS, FABIO ^ PIRES and, MONICA ^ e ISRAEL RAMOA SIMOES Oral lymphoepithelial cyst (OLC) is an unusual lesion with uncertain pathogenicity. OLC has a discreet preference for men and it is frequently reported on the lateral and ventral tongue surface. Subgemmal neurogenous plaque (SNP) is a biphasic neural structure associated with the taste buds. It has a discreet predilection for women and is clinically characterized as a nodule, commonly located on the posterior lateral tongue surface. The aim of this study is to report a case of OLC associated with SNP, its clinical-pathologic characteristics, and treatment. A 53-year-old white woman, smoker, with no systemic involvement, presenting with a lateral tongue asymptomatic nodular lesion, sought help. An excisional biopsy was performed and showed it was OLC associated with an SNP. The patient is being followed and 1 year after the surgery, no recurrence could be observed. The authors believe this is the first case showing an association of OLC and SNP.
CLINICAL APPROACH AND DIAGNOSIS OF EAGLE SYNDROME: A CASE REPORT. THAYANA ALVES FARINHA, LILIAN THEREZINHA VIEIRA LIMA and, RHAYANY DE CASTRO LINDENBLATT RIBEIRO Eagle syndrome is an unusual developmental alteration, characterized by styloid process elongation or calcification of stylohyoid ligament. A female patient visited the stomatology clinic complaining of pain with swallowing and in the region near to the right tonsil. She reported having tonsillectomy and episodes of "shock" during head rotation. On the oral examination, pain on palpation was evident on the right side of the tongue. On the panoramic and temporomandibular joint radiography, the images were compatible with calcification of the styloid ligament bilaterally. Anti-inflammatory therapy was prescreened for 10 days, after which symptoms resolved. The diagnosis is obtained through association of symptoms and imaging exams. The patient was followed for 3 months and was released after 2 years. This case emphasizes the importance of giving value to patient’s symptoms, such might confirm clinical judgment and must be, whenever it’s possible, related to exam images, especially when the probable diagnosis is Eagle syndrome.
MULTIPLE MYELOMA: PRIMARY PALATAL MANIFESTATION. MARTA ACTIS LIMA, SARAH APARECIDA ANTERO, NATHALIA DE ALMEIDA FREIRE, WAGNER PINTO DAS CHAGAS, ^ FABIO RAMOA PIRES, ROSEMIRO DE MENEZES ^ e ISRAEL MACIEL and, MONICA SIMOES Multiple myeloma (MM) is a neoplastic disorder originating from clonal proliferation of malignant plasma cells in the
OOOO January 2020 bone marrow microenvironment. MM is identified by the accumulation of differentiated B cells. The aim of this study is to report a case of a 65-year-old man presenting with a sessile swelling on the left palate measuring 8 cm in its largest diameter and covered by a necrotic membrane on the central surface area. Provisional clinical diagnosis included mucoepidermoid carcinoma and squamous cell carcinoma and an incisional biopsy was performed. Histologic analysis showed a diffuse proliferation of malignant cells with plasmablastic differentiation. Immunoreactions, bone marrow biopsy and systemic evaluation of the patient confirmed the diagnosis of MM. The patient was classified as stage 0 of the disease, underwent chemotherapy and use of thalidomide, and is under clinical control for 6 months.
ADVANCED STAGE SQUAMOUS CELL CARCINOMA OF THE MAXILLA AND OROPHARINX. LOHANNA KAROLINE LUCAS NASCIMENTO RODRIGUES ROSSETE, ESAU TAVARES, HEWELYN DOS REIS BARROS and, TIAGO NOVAES PINHEIRO We report a case of late diagnosis of squamous cell carcinoma in an 88-year-old woman with a history of chewing and smoking tobacco for 77 years. The patient attended the urgency clinic of the authors’ institution complaining of pain related to a lesion on the maxilla with a 1-year duration. Clinical examination revealed a sessile, ulcerated nodule, red-white in color, extending from the maxilla to the oropharynx, affecting the hard palate and right alveolar bone crest. The diagnosis of squamous cell carcinoma was made based on an incisional biopsy specimen, and the patient was referred to a cancer center. Palliative assistance was the only possible approach and the patient died after 4 months. Late diagnosis of squamous cell carcinoma is usually fatal. The authors discuss the challenges of the public health system and the effect of public access for early diagnosis in a continental country like Brazil.
GRANULAR CELL TUMOR ASSOCIATED WITH SUBGEMMAL NEUROGENOUS PLAQUE—A CASE REPORT. GRACE MARA RAMOS ROSENO, LUCIENE DANTAS DAVID, NATHALIA DE ALMEIDA FREIRE, BRUNO BENEVENUTO, MARIO ROMANACH, SARAH ^ e ISRAEL APARECIDA ANTERO and, MONICA SIMOES This study reports the occurrence of a granular cell tumor (GCT) and a subgemmal neurogenous plaque (SNP) in the same anatomic location. A female white 59-year-old patient presented with an asymptomatic fibrous nodule located in the right posterior border of the tongue. A second, slightly erythematous, hyperplastic lesion behind the first one was identified. Both lesions were submitted for excisional biopsy. Histopathologic analysis revealed a GCT and an SNP. GCT is an uncommon, benign, soft tissue neoplasm. It presents as an asymptomatic fibrous submucosal nodule. The SNP is a biphasic structure found in the lateral posterior region of the tongue, characterized as nerve plexus aggregates and ganglion cells. The patient is under follow-up care and after 1 year, no relapses were observed. The authors believe that this is the first case showing the association between GCT and SNP.
e42
protein, gp100, and SOX 10 antigens. The patient underwent partial maxillectomy with no postsurgical complications after 3month follow-up. The aggressive nature of the lesion and its prognosis are discussed.
ORAL LYMPHOEPITHELIAL CYST ASSOCIATED WITH SUBGEMMAL NEUROGENOUS PLAQUE—CASE REPORT. AMANDA SILVA DE ALMEIDA LIMA, BIANCA VEIGA, NATHALIA ALMEIDA, MARIA ELIZA BARBOSA RAMOS, FABIO ^ PIRES and, MONICA ^ e ISRAEL RAMOA SIMOES Oral lymphoepithelial cyst (OLC) is an unusual lesion with uncertain pathogenicity. OLC has a discreet preference for men and it is frequently reported on the lateral and ventral tongue surface. Subgemmal neurogenous plaque (SNP) is a biphasic neural structure associated with the taste buds. It has a discreet predilection for women and is clinically characterized as a nodule, commonly located on the posterior lateral tongue surface. The aim of this study is to report a case of OLC associated with SNP, its clinical-pathologic characteristics, and treatment. A 53-year-old white woman, smoker, with no systemic involvement, presenting with a lateral tongue asymptomatic nodular lesion, sought help. An excisional biopsy was performed and showed it was OLC associated with an SNP. The patient is being followed and 1 year after the surgery, no recurrence could be observed. The authors believe this is the first case showing an association of OLC and SNP.
CLINICAL APPROACH AND DIAGNOSIS OF EAGLE SYNDROME: A CASE REPORT. THAYANA ALVES FARINHA, LILIAN THEREZINHA VIEIRA LIMA and, RHAYANY DE CASTRO LINDENBLATT RIBEIRO Eagle syndrome is an unusual developmental alteration, characterized by styloid process elongation or calcification of stylohyoid ligament. A female patient visited the stomatology clinic complaining of pain with swallowing and in the region near to the right tonsil. She reported having tonsillectomy and episodes of "shock" during head rotation. On the oral examination, pain on palpation was evident on the right side of the tongue. On the panoramic and temporomandibular joint radiography, the images were compatible with calcification of the styloid ligament bilaterally. Anti-inflammatory therapy was prescreened for 10 days, after which symptoms resolved. The diagnosis is obtained through association of symptoms and imaging exams. The patient was followed for 3 months and was released after 2 years. This case emphasizes the importance of giving value to patient’s symptoms, such might confirm clinical judgment and must be, whenever it’s possible, related to exam images, especially when the probable diagnosis is Eagle syndrome.
MULTIPLE MYELOMA: PRIMARY PALATAL MANIFESTATION. MARTA ACTIS LIMA, SARAH APARECIDA ANTERO, NATHALIA DE ALMEIDA FREIRE, WAGNER PINTO DAS CHAGAS, ^ FABIO RAMOA PIRES, ROSEMIRO DE MENEZES ^ e ISRAEL MACIEL and, MONICA SIMOES Multiple myeloma (MM) is a neoplastic disorder originating from clonal proliferation of malignant plasma cells in the
OOOO January 2020 bone marrow microenvironment. MM is identified by the accumulation of differentiated B cells. The aim of this study is to report a case of a 65-year-old man presenting with a sessile swelling on the left palate measuring 8 cm in its largest diameter and covered by a necrotic membrane on the central surface area. Provisional clinical diagnosis included mucoepidermoid carcinoma and squamous cell carcinoma and an incisional biopsy was performed. Histologic analysis showed a diffuse proliferation of malignant cells with plasmablastic differentiation. Immunoreactions, bone marrow biopsy and systemic evaluation of the patient confirmed the diagnosis of MM. The patient was classified as stage 0 of the disease, underwent chemotherapy and use of thalidomide, and is under clinical control for 6 months.
ADVANCED STAGE SQUAMOUS CELL CARCINOMA OF THE MAXILLA AND OROPHARINX. LOHANNA KAROLINE LUCAS NASCIMENTO RODRIGUES ROSSETE, ESAU TAVARES, HEWELYN DOS REIS BARROS and, TIAGO NOVAES PINHEIRO We report a case of late diagnosis of squamous cell carcinoma in an 88-year-old woman with a history of chewing and smoking tobacco for 77 years. The patient attended the urgency clinic of the authors’ institution complaining of pain related to a lesion on the maxilla with a 1-year duration. Clinical examination revealed a sessile, ulcerated nodule, red-white in color, extending from the maxilla to the oropharynx, affecting the hard palate and right alveolar bone crest. The diagnosis of squamous cell carcinoma was made based on an incisional biopsy specimen, and the patient was referred to a cancer center. Palliative assistance was the only possible approach and the patient died after 4 months. Late diagnosis of squamous cell carcinoma is usually fatal. The authors discuss the challenges of the public health system and the effect of public access for early diagnosis in a continental country like Brazil.
GRANULAR CELL TUMOR ASSOCIATED WITH SUBGEMMAL NEUROGENOUS PLAQUE—A CASE REPORT. GRACE MARA RAMOS ROSENO, LUCIENE DANTAS DAVID, NATHALIA DE ALMEIDA FREIRE, BRUNO BENEVENUTO, MARIO ROMANACH, SARAH ^ e ISRAEL APARECIDA ANTERO and, MONICA SIMOES This study reports the occurrence of a granular cell tumor (GCT) and a subgemmal neurogenous plaque (SNP) in the same anatomic location. A female white 59-year-old patient presented with an asymptomatic fibrous nodule located in the right posterior border of the tongue. A second, slightly erythematous, hyperplastic lesion behind the first one was identified. Both lesions were submitted for excisional biopsy. Histopathologic analysis revealed a GCT and an SNP. GCT is an uncommon, benign, soft tissue neoplasm. It presents as an asymptomatic fibrous submucosal nodule. The SNP is a biphasic structure found in the lateral posterior region of the tongue, characterized as nerve plexus aggregates and ganglion cells. The patient is under follow-up care and after 1 year, no relapses were observed. The authors believe that this is the first case showing the association between GCT and SNP.