Oral Herpes Simplex Virus Mimicking Tongue Squamous cell Carcinoma in Von Hippel-Lindau Patient: A Case Image.

IF 3.2 Q2 PATHOLOGY
Maryann Zhao, Regan C Manayan, Michiya Nishino, Ernest D Gomez
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引用次数: 0

Abstract

We present the case of a 51-year-old man with Von Hippel-Lindau disease and a history of renal transplantation who developed a persistent, painful tongue lesion with episodes of significant swelling. Given his history of prolonged immunosuppression and elevated cancer risk, oral squamous cell carcinoma was a major concern. However, histopathological evaluation confirmed recrudescent herpes simplex virus (HSV) infection rather than malignancy. The lesion fully resolved with antiviral therapy. This case is notable for its presentation mimicking malignancy in a high-risk patient and highlights the importance of considering infectious etiologies in immunosuppressed individuals. It underscores the need for thorough histopathologic evaluation to prevent misdiagnosis and ensure appropriate treatment, especially in patients at increased risk for both infection and cancer.

Von Hippel-Lindau患者口腔单纯疱疹病毒模拟舌鳞状细胞癌:一个病例图像。
我们提出的情况下,51岁的男子与冯希佩尔-林道病和肾移植史谁发展了一个持续的,疼痛的舌头病变发作显著肿胀。考虑到他长期的免疫抑制史和较高的癌症风险,口腔鳞状细胞癌是主要关注的问题。然而,组织病理学评估证实复发性单纯疱疹病毒(HSV)感染,而不是恶性肿瘤。经抗病毒治疗,病变完全消退。该病例因其表现与高危患者的恶性肿瘤相似而值得注意,并突出了考虑免疫抑制个体感染病因的重要性。它强调需要进行彻底的组织病理学评估,以防止误诊并确保适当的治疗,特别是在感染和癌症风险增加的患者中。
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来源期刊
CiteScore
5.70
自引率
9.50%
发文量
99
期刊介绍: Head & Neck Pathology presents scholarly papers, reviews and symposia that cover the spectrum of human surgical pathology within the anatomic zones of the oral cavity, sinonasal tract, larynx, hypopharynx, salivary gland, ear and temporal bone, and neck. The journal publishes rapid developments in new diagnostic criteria, intraoperative consultation, immunohistochemical studies, molecular techniques, genetic analyses, diagnostic aids, experimental pathology, cytology, radiographic imaging, and application of uniform terminology to allow practitioners to continue to maintain and expand their knowledge in the subspecialty of head and neck pathology. Coverage of practical application to daily clinical practice is supported with proceedings and symposia from international societies and academies devoted to this field. Single-blind peer review The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.
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