B Premalatha, K Barath Raj, P D Balamurali, M Arulvizhi
{"title":"Unveiling the enigma: Navigating extranodal Rosai-Dorfman disease in the maxilla - A teen's journey.","authors":"B Premalatha, K Barath Raj, P D Balamurali, M Arulvizhi","doi":"10.4103/jomfp.jomfp_61_24","DOIUrl":"10.4103/jomfp.jomfp_61_24","url":null,"abstract":"<p><p>Rosai-Dorfman disease (RDD), a rare histiocytic disorder, typically manifests as widespread lymphadenopathy. We present a unique case of extranodal RDD in a 14-year-old with a solitary maxillary lesion and mild bilateral submandibular lymphadenopathy. Clinical, radiological, and histopathological assessments confirmed RDD, highlighting the importance of a comprehensive approach. Immunohistochemistry, including CD68, CD45, CD 1a, and S100, played a crucial role in diagnosis. Differential diagnoses encompassed Langerhans cell histiocytosis, Erdheim-Chester disease, lymphomas, and histiocytic sarcoma, necessitating meticulous evaluation. Surgical excision was performed due to bone involvement, leading to successful healing in six months. Our case underscores the significance of a multidisciplinary and scientific approach for accurate RDD diagnosis and management, especially in atypical intraoral presentations.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"677-682"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K Sithara, Usha Balan, Pk Rajeesh Mohammed, Akhila S Stanly
{"title":"Atypical jaw swelling in children: An unusual clinical spectrum of Langerhans cell histiocytosis.","authors":"K Sithara, Usha Balan, Pk Rajeesh Mohammed, Akhila S Stanly","doi":"10.4103/jomfp.jomfp_102_24","DOIUrl":"10.4103/jomfp.jomfp_102_24","url":null,"abstract":"<p><p>Langerhans cell histiocytosis (LCH), also called histiocytosis X or eosinophilic granuloma, is a local or systemic unusual clonal proliferative disorder of Langerhans cells. It has a wide spectrum of clinical presentations and can occur in any age group with predominance in children and young adults. This article presents a rare case of LCH in a 2-year-old girl child which was provisionally diagnosed as an infection of the jaw bone of unknown etiology. Correlating the clinical, radiologic, and histologic features with immunohistochemical analysis aided in arriving at a definitive diagnosis of LCH. Oral manifestations being the earliest presentation seen in around 5%-75% of LCH cases emphasize the role of a dentist in the early detection of this lesion. A myriad of clinical spectra due to pathologic infiltration of Langerhans cells into various systems necessitates oral diagnosis to be followed by a full body scan to detect any systemic involvement. Advanced targeted therapies can improve the survival rate and quality of life in patients with LCH.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"708-712"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunomodulatory effects of Triphala and its constituents in oral squamous cell carcinoma and oral precancer.","authors":"Thayalan Dineshkumar, Nirmala Anandan, Krishnan Rajkumar, Indumathi Nandhakumar","doi":"10.4103/jomfp.jomfp_53_24","DOIUrl":"10.4103/jomfp.jomfp_53_24","url":null,"abstract":"<p><p>Oral squamous cell carcinoma shows increased occurrence in those who consume tobacco products, alcohol, betel quid, and areca nut, and is also considered to occur due to genetic alteration. Though there are numerous advancements in treatment, survival remains a question with late diagnosis. Hence, there are continuous inventions of new drugs. The introduction of Ayurveda in the therapy has paved the way for the longevity of the patients affected. One such introduction is the use of Triphala. The current study aims to review the anti-oxidant, anti-proliferative, anti-microbial, and apoptotic action of Triphala and thus evaluate the anti-cancer action of Triphala. A literature search was done, in various electronic databases and the data were extracted according to the predefined criteria. Original studies of 19 reports were included in the analysis. Nineteen (six studies with Triphala combination) In vitro/In vivo studies were included in this systematic review. The included study showed that Triphala effectively modulates the immune system. The effects included were anti-oxidative, immune modulation, anti-proliferative, tumor suppression, apoptotic effect, reversal of precancerous lesion, and anti-microbial action. The analyses also showed that there is no side effect of Triphala up to the recommended dosage. Triphala, is a nourishing supplement that is well-known in Ayurveda for its capacity to restore healthy tissues and promote aging gracefully through its properties such as anti-oxidant, ant-proliferative, anti-inflammatory, cytotoxic apoptotic, and immune-modulatory properties. Hence, Triphala can be a promising drug in the prevention and treatment of oral cancer.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"657-664"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Journey of Oral Pathology in India: Academics to Artificial Intelligence.","authors":"Jagdish V Tupkari","doi":"10.4103/jomfp.jomfp_322_24","DOIUrl":"10.4103/jomfp.jomfp_322_24","url":null,"abstract":"","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"532-534"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819623/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"ENDOGLIN (CD105): A marker of tumour vasculature for assessment of malignant potential of oral submucous fibrosis.","authors":"Subraj Shetty, Treville Pereira, Sandhya Tamgadge, Sandeep Kale, Pooja Kamat, Sourab Kumar","doi":"10.4103/jomfp.jomfp_67_24","DOIUrl":"10.4103/jomfp.jomfp_67_24","url":null,"abstract":"<p><strong>Background: </strong><i>Oral submucous fibrosis</i> (OSMF) is a precancerous condition associated with the use of betel/areca nut in various forms. It is characterized by restricted mouth opening, tongue protrusion and cheek rigidity. Oral submucous fibrosis, is primarily prevalent among the people of the Indian subcontinent and it has been reported that about one third of the OSMF patients develop squamous cell carcinoma.<i>Endoglin (CD-105)</i> is a hypoxia induced protein and a potential marker for activated endothelial cells which signify tumorigenic neoangiogenesis.</p><p><strong>Aim: </strong>To determine expression of CD105 and study relation of neoangiogenesis with the clinical staging and histopathological grading of oral submucous fibrosis.</p><p><strong>Material and method: </strong>Immunohistochemical expression of CD105 was evaluated on forty nine (49) paraffin-embedded tissue sections of diagnosed cases of OSF and seven (7) control samples of healthy volunteers.</p><p><strong>Results: </strong>There were 13 cases in Stage A, 11 cases in Stage B, 13 cases in Stage C, and 12 cases in Stage D. There were 4 cases in Grade 1 (Very early), 19 cases in Grade 2 (Early), 19 cases in Grade 3 (Moderately advance) and 7 cases in Grade 4 (Advance).</p><p><strong>Conclusion: </strong>The present study was first immunohistochemical study to demonstrate MVD, MVP and MVAP with CD105 expression in OSMF cases. However, well-designed studies with larger sample size is required to validate CD105 as a reliable biomarker for malignant transformation in future research.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"589-595"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gingival exophytic lesions - A proposed diagnostic algorithm to approach the clinical enigma.","authors":"Shweta Rehani, Sneha Sethi, Sonia Khorana","doi":"10.4103/jomfp.jomfp_250_24","DOIUrl":"10.4103/jomfp.jomfp_250_24","url":null,"abstract":"<p><p>A diagnostic algorithm is a step-by-step method of diagnosis using a combination of symptoms or signs to identify pathology wherein even various different investigations can also be applied. As solitary gingival exophytic lesions are frequently encountered and commonly misdiagnosed; so well organized diagnostic algorithm is imperative to reach correct diagnosis timely. The purpose of this brief communication is to provide such diagnostic algorithm wherein valuable points such as lesional clinical presentation as well as their microscopic points are incorporated. Such an algorithm is illustrative and can be easily used by dental practitioners in their regular routine dental practice.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"736-737"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bindiya R Narang, Revati S Deshmukh, Sangeeta J Palaskar, Anirudha Bartake, Swati Patil, Priyanka Nitin
{"title":"Potential of phosphatase and tensin gene polymorphisms as salivary biomarkers in oral squamous cell carcinoma - A cross-sectional study.","authors":"Bindiya R Narang, Revati S Deshmukh, Sangeeta J Palaskar, Anirudha Bartake, Swati Patil, Priyanka Nitin","doi":"10.4103/jomfp.jomfp_118_24","DOIUrl":"10.4103/jomfp.jomfp_118_24","url":null,"abstract":"<p><strong>Background: </strong><i>PTEN</i> (phosphatase and tensin homologue) is a tumour suppressor gene which is well known for its negative regulation on phosphatidylinositol 3-kinase (<i>PI3K</i>) pathway, thereby controlling the cellular growth and proliferation in the process of carcinogenesis. In the present study, the frequency of the genotypes of the <i>PTEN</i> gene, (<i>rs2943773</i>, <i>rs1234224</i>, <i>rs9651495</i>, <i>rs3827678</i>, and <i>rs11202600</i>) has been observed in individuals with oral squamous cell carcinoma (OSCC) using real-time polymerase chain reaction (RTPCR).</p><p><strong>Methodology: </strong>Saliva samples were collected from healthy individuals and individuals with OSCC. DNA extraction was done, followed by PCR using fluidigmn technique to observe the frequency of the genotypes.</p><p><strong>Results: </strong>Variation was observed in the distribution of frequencies of the alleles (<i>rs9651495</i> and <i>rs1234224</i>) of the <i>PTEN</i> gene between the healthy individual and those with occurrence of OSCC. The other genotypes did not show any statistically significant difference in the distribution between the study group and the control group, nor any association was observed with OSCC.</p><p><strong>Conclusion: </strong>The variation in the frequency of <i>rs9651495</i> and <i>rs1234224</i> of the <i>PTEN</i> gene suggests an association between the \"<i>PTEN</i>\" gene and \"OSCC\" and hence its use in the panel of diagnostic markers. This also opens the field for future research in the therapeutic applications of the <i>PTEN</i> gene.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"596-601"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819637/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mamata S Kamat, Uma V Datar, Sanjay S Byakodi, Amit A Basannavar
{"title":"Spindle cell variant of ameloblastic carcinoma: A diagnostic challenge.","authors":"Mamata S Kamat, Uma V Datar, Sanjay S Byakodi, Amit A Basannavar","doi":"10.4103/jomfp.jomfp_272_24","DOIUrl":"10.4103/jomfp.jomfp_272_24","url":null,"abstract":"<p><p>An 18-year-old male presented with a 3-week history of progressively enlarging nodular growth in the posterior right mandibular region. The patient denied the use of tobacco in any form or history of trauma, and his family history was unremarkable. Clinical examination revealed a 2 × 3 cm reddish-pink, firm lesion with palpable submandibular lymph nodes. Radiological imaging showed a well-defined radiolucency distal to tooth #47. An incisional biopsy revealed the proliferation of spindle cells and ameloblastomatous epithelium showing features like pleomorphism, cellular crowding, and mitotic figures. Immunohistochemical analysis confirmed odontogenic origin. Based on the above findings, the diagnosis of the spindle cell variant of ameloblastic carcinoma (AC) was rendered. AC, constituting less than 2% of odontogenic tumours, and the spindle cell variant, a rare subtype with fewer than 15 reported cases, pose diagnostic challenges, necessitating careful histopathological and immunohistochemical evaluation for accurate diagnosis and treatment planning.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"713-715"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"From the Editor's desk.","authors":"Radhika M Bavle","doi":"10.4103/jomfp.jomfp_334_24","DOIUrl":"https://doi.org/10.4103/jomfp.jomfp_334_24","url":null,"abstract":"","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"531"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415691","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A case of dermatofibrosarcoma protuberance with myoid differentiation - A rare occurrence.","authors":"Nisha Shetty, Swati Sharma, Adarsh Kudva","doi":"10.4103/jomfp.jomfp_30_24","DOIUrl":"10.4103/jomfp.jomfp_30_24","url":null,"abstract":"<p><p>Dermatofibrosarcoma protuberans (DFSP) of the head and neck is a rare, locally infiltrative, low-grade sarcoma that typically involves the dermis and surrounding structures occurring in middle-aged adults. The common clinical presentation consists of a slowly enlarging, indurated plaque, usually asymptomatic, found on the trunk. In this case report, we present a case of a 37-year-old male patient with facial swelling which was diagnosed as classic DFSP along with myoid differentiation, which is a rare occurrence. Here, we have discussed the clinicopathologic features and histogenesis that can aid in the diagnosis and treatment of this condition.</p>","PeriodicalId":38846,"journal":{"name":"Journal of Oral and Maxillofacial Pathology","volume":"28 4","pages":"683-688"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}