- Email: [email protected]
SURGICAL TREATMENT OF ORAL LYMPHANGIOMA IN CHILDREN
ORAL AND MAXILLOFACIAL PATHOLOGY e102 Abstracts health professionals to this condition as a possible differential diagnosis and possibly enabling and optimizing aspects involved in the diagnosis and treatment of these patients.
CPP243 - SURGICAL TREATMENT OF ORAL LYMPHANGIOMA IN CHILDREN. PRISCILA LAIZA RUBIM LEÃO, LEANDRO JUNQUEIRA OLIVEIRA, SHEYLA VIANA OMONTE, EDSON COSTA E. SILVA, HELVÉCIO MARANGON JÚNIOR, MARTINHO CAMPOLINA REBELLO HORTA, PAULO EDUARDO ALENCAR DE SOUZA. A 9-year-old male patient presented a soft well-defined mass in the left border of the tongue, dark red colored, measuring 2.0 x 1.5 cm, with 2 years of evolution. The lesion showed translucent superficial vesicles, creating the appearance of frog eggs. Repeated trauma in the region and aesthetic complaints were reported. The differential diagnoses included lymphangioma and lymphohemangioma. An incisional biopsy was performed and the histopathologic examination showed oral mucosa with numerous subepithelial dilated lymphatic vessels filled with homogeneous eosinophilic material. The diagnosis of lymphangioma was established and the lesion was completely removed surgically with satisfactory healing. After 11 months follow-up, a 1.0 x 0.5 cm nodule with superficial vesicles appeared at the same location. The hypothesis of lymphangioma recurrence was proposed and excisional biopsy was performed. The diagnosis was confirmed by histopathology and the patient is under follow-up, without signs of recurrence after 4 months.
CCP244 - DISREGARD OF CASES: DELAYS IN DIAGNOSIS OF ORAL SQUAMOUS CELL CARCINOMA. CATARINA RODRIGUES ROSA DE OLIVEIRA, CAMILA MARIA BEDER RIBEIRO, THAYNÁ MELO DE LIMA, HELISSA MAYANE NUNES DA SILVA OLIVEIRA, ANNA CAROLINA OMENA VASCONCELLOS LE CAMPION, VANESSA DE CARLA BATISTA DOS SANTOS, SONIA MARIA SOARES FERREIRA. Oral squamous cell carcinoma (OSCC) is presented as the most common malignancy in the oral cavity. Its etiology is multifactorial. There are several causes of delay in the diagnosis of OSCC, such as patient and professional’s misinformation, as well as the difficulty to access treatment. The objective of this study is to report 2 cases of delays in OSCC with facial extension, causing destruction and leading to patients’ morbidity as a reflection of disregard and lack of focused public policies for prevention, diagnosis and treatment of this pathology. First case is a female patient, 66 years old, diagnosed in 2016 and the second is a male patient, 85 years old, diagnosed in 2008. As a result of these facts, nowadays there are cases like these in which the destruction of facial tissues remains impressive. These cases emphasize the need of attention to OSCC, head and neck cancer. This serves as a warning to health professionals and managers for the negligence of these patients.
CPP245 - ORAL INVOLVEMENT OF HYPERIMMUNOGLOBULIN E SYNDROME. EDUARDO EUDES NÓBREGA DE ARAÚJO, THAYANARA DA SILVA MELO, GUILHERME SOARES, MARINA LINS MAYMONE DE MELO, ALESSANDRA TAVARES CARVALHO, JAIR CARNEIRO LEÃO, LUIZ ALCINO MONTEIRO GUEIROS.
OOOO August 2017 Hyperimmunoglobulin E Syndrome (HIES) is a primary immunodeficiency characterized by recurrent skin and respiratory tract infections, associated with elevated serum levels of immunoglobulin E. An 8-year-old male patient was referred with multiple ulcerated lesions on the lips, tongue, mouth floor, palate and gums, with a clinical diagnosis of autosomal dominant HIES. Medical history included elevated serum IgE, eosinophilia, recurrent cutaneous abscess, bone fractures and unresponsive mucocutaneous candidiasis. Oral lesions included white plaques intermingled with erythematous lesions in a widespread distribution in the oral mucosa, diagnosed as mucocutaneous candidiasis. Delayed teeth eruption was also observed. An adequate clinical response was achieved with fluconazole 50 mg daily for 15 days, followed by preventive maintenance (fluconazole 50 mg twice/week). After 45 days, he presented with insidious pulmonary tuberculosis followed by sepsis. The patient failed to respond to treatment and died a few days later.
CPP246 - NASOPALATINE DUCT CYST TREATMENT: REPORT OF TWO CASES. PRISCILA LAIZA RUBIM LEÃO, LEANDRO JUNQUEIRA OLIVEIRA, SHEYLA VIANA OMONTE, EDSON COSTA E. SILVA, JESSYCA MICHELLE ALMEIDA, MARTINHO CAMPOLINA REBELLO HORTA, PAULO EDUARDO ALENCAR DE SOUZA. A 62-year-old male patient showed a purplish swelling in the anterior hard palate midline, measuring 1.5 cm, with pain and 40 days of evolution. CT showed a hypodense unilocular area in the incisive foramen region. A 25-year-old male patient presented a swelling in the central hard palate, with pain and 3 weeks of evolution. Radiography showed a unilocular radiolucent area with 2 cm in the anterior maxilla. In both cases, the related teeth responded to the vitality tests, the diagnosis hypothesis of nasopalatine duct cyst was proposed and needle aspiration reveals a translucent liquid. The treatment of both was surgical excision with full palatal flap and curettage. Histopathologic examination showed, in both cases, cystic capsule of fibrous connective tissue, with neurovascular bundle, lined by stratified squamous and cuboidal epithelium, establishing the diagnosis of nasopalatine duct cyst. Both patients were followed-up for 18 months with no signs of recurrence.
CPP247 - PERIPHERAL OSSIFYING FIBROMA IN MAXILLA: CASE REPORT. MARCÍLIO PONTES DE SOUZA, ZINALTON GOMES DE ANDRADE, CAMILA TATYANNE SANTOS DE FREITAS, SARA OLIVEIRA SANTOS, FRANCISCO AMADIS BATISTA, JECONIAS CAMARA. Peripheral ossifying fibroma is a non-neoplastic proliferative lesion that affects the gingival mucosa caused by trauma in the region. This condition progresses slowly, producing a swelling in the affected area and it is often asymptomatic. Female patient, 54 years old, revealed difficulty feeding herself and to use her prosthetics. On examination, was noted a small nodule in the molars on the palate area that appeared 1 year ago, measuring 5 cm in diameter, hard consistency aspect, mild discomfort on palpation. After clinical evaluation was performed incisional biopsy and the material was sent for histopathologic analysis. There were 2 irregular fragments of brownish color, measuring the largest 2 cm x 1.3 cm x 1 cm. Histopathologic findings revealed lesions of mesenchymal origin constituted by the proliferation of spindle cells with moderate deposition of hyaline material and the
CPP243 - SURGICAL TREATMENT OF ORAL LYMPHANGIOMA IN CHILDREN. PRISCILA LAIZA RUBIM LEÃO, LEANDRO JUNQUEIRA OLIVEIRA, SHEYLA VIANA OMONTE, EDSON COSTA E. SILVA, HELVÉCIO MARANGON JÚNIOR, MARTINHO CAMPOLINA REBELLO HORTA, PAULO EDUARDO ALENCAR DE SOUZA. A 9-year-old male patient presented a soft well-defined mass in the left border of the tongue, dark red colored, measuring 2.0 x 1.5 cm, with 2 years of evolution. The lesion showed translucent superficial vesicles, creating the appearance of frog eggs. Repeated trauma in the region and aesthetic complaints were reported. The differential diagnoses included lymphangioma and lymphohemangioma. An incisional biopsy was performed and the histopathologic examination showed oral mucosa with numerous subepithelial dilated lymphatic vessels filled with homogeneous eosinophilic material. The diagnosis of lymphangioma was established and the lesion was completely removed surgically with satisfactory healing. After 11 months follow-up, a 1.0 x 0.5 cm nodule with superficial vesicles appeared at the same location. The hypothesis of lymphangioma recurrence was proposed and excisional biopsy was performed. The diagnosis was confirmed by histopathology and the patient is under follow-up, without signs of recurrence after 4 months.
CCP244 - DISREGARD OF CASES: DELAYS IN DIAGNOSIS OF ORAL SQUAMOUS CELL CARCINOMA. CATARINA RODRIGUES ROSA DE OLIVEIRA, CAMILA MARIA BEDER RIBEIRO, THAYNÁ MELO DE LIMA, HELISSA MAYANE NUNES DA SILVA OLIVEIRA, ANNA CAROLINA OMENA VASCONCELLOS LE CAMPION, VANESSA DE CARLA BATISTA DOS SANTOS, SONIA MARIA SOARES FERREIRA. Oral squamous cell carcinoma (OSCC) is presented as the most common malignancy in the oral cavity. Its etiology is multifactorial. There are several causes of delay in the diagnosis of OSCC, such as patient and professional’s misinformation, as well as the difficulty to access treatment. The objective of this study is to report 2 cases of delays in OSCC with facial extension, causing destruction and leading to patients’ morbidity as a reflection of disregard and lack of focused public policies for prevention, diagnosis and treatment of this pathology. First case is a female patient, 66 years old, diagnosed in 2016 and the second is a male patient, 85 years old, diagnosed in 2008. As a result of these facts, nowadays there are cases like these in which the destruction of facial tissues remains impressive. These cases emphasize the need of attention to OSCC, head and neck cancer. This serves as a warning to health professionals and managers for the negligence of these patients.
CPP245 - ORAL INVOLVEMENT OF HYPERIMMUNOGLOBULIN E SYNDROME. EDUARDO EUDES NÓBREGA DE ARAÚJO, THAYANARA DA SILVA MELO, GUILHERME SOARES, MARINA LINS MAYMONE DE MELO, ALESSANDRA TAVARES CARVALHO, JAIR CARNEIRO LEÃO, LUIZ ALCINO MONTEIRO GUEIROS.
OOOO August 2017 Hyperimmunoglobulin E Syndrome (HIES) is a primary immunodeficiency characterized by recurrent skin and respiratory tract infections, associated with elevated serum levels of immunoglobulin E. An 8-year-old male patient was referred with multiple ulcerated lesions on the lips, tongue, mouth floor, palate and gums, with a clinical diagnosis of autosomal dominant HIES. Medical history included elevated serum IgE, eosinophilia, recurrent cutaneous abscess, bone fractures and unresponsive mucocutaneous candidiasis. Oral lesions included white plaques intermingled with erythematous lesions in a widespread distribution in the oral mucosa, diagnosed as mucocutaneous candidiasis. Delayed teeth eruption was also observed. An adequate clinical response was achieved with fluconazole 50 mg daily for 15 days, followed by preventive maintenance (fluconazole 50 mg twice/week). After 45 days, he presented with insidious pulmonary tuberculosis followed by sepsis. The patient failed to respond to treatment and died a few days later.
CPP246 - NASOPALATINE DUCT CYST TREATMENT: REPORT OF TWO CASES. PRISCILA LAIZA RUBIM LEÃO, LEANDRO JUNQUEIRA OLIVEIRA, SHEYLA VIANA OMONTE, EDSON COSTA E. SILVA, JESSYCA MICHELLE ALMEIDA, MARTINHO CAMPOLINA REBELLO HORTA, PAULO EDUARDO ALENCAR DE SOUZA. A 62-year-old male patient showed a purplish swelling in the anterior hard palate midline, measuring 1.5 cm, with pain and 40 days of evolution. CT showed a hypodense unilocular area in the incisive foramen region. A 25-year-old male patient presented a swelling in the central hard palate, with pain and 3 weeks of evolution. Radiography showed a unilocular radiolucent area with 2 cm in the anterior maxilla. In both cases, the related teeth responded to the vitality tests, the diagnosis hypothesis of nasopalatine duct cyst was proposed and needle aspiration reveals a translucent liquid. The treatment of both was surgical excision with full palatal flap and curettage. Histopathologic examination showed, in both cases, cystic capsule of fibrous connective tissue, with neurovascular bundle, lined by stratified squamous and cuboidal epithelium, establishing the diagnosis of nasopalatine duct cyst. Both patients were followed-up for 18 months with no signs of recurrence.
CPP247 - PERIPHERAL OSSIFYING FIBROMA IN MAXILLA: CASE REPORT. MARCÍLIO PONTES DE SOUZA, ZINALTON GOMES DE ANDRADE, CAMILA TATYANNE SANTOS DE FREITAS, SARA OLIVEIRA SANTOS, FRANCISCO AMADIS BATISTA, JECONIAS CAMARA. Peripheral ossifying fibroma is a non-neoplastic proliferative lesion that affects the gingival mucosa caused by trauma in the region. This condition progresses slowly, producing a swelling in the affected area and it is often asymptomatic. Female patient, 54 years old, revealed difficulty feeding herself and to use her prosthetics. On examination, was noted a small nodule in the molars on the palate area that appeared 1 year ago, measuring 5 cm in diameter, hard consistency aspect, mild discomfort on palpation. After clinical evaluation was performed incisional biopsy and the material was sent for histopathologic analysis. There were 2 irregular fragments of brownish color, measuring the largest 2 cm x 1.3 cm x 1 cm. Histopathologic findings revealed lesions of mesenchymal origin constituted by the proliferation of spindle cells with moderate deposition of hyaline material and the