Luís Otávio Pereira da Silva, Roberta Rayra Martins Chaves, Maurício Augusto Aquino de Castro, Wagner Henriques de Castro, Ricardo Santiago Gomez, Ricardo Alves Mesquita
{"title":"Ultrasound-guided fine-needle aspiration: effective diagnosis of a pleomorphic adenoma in the upper lip","authors":"Luís Otávio Pereira da Silva, Roberta Rayra Martins Chaves, Maurício Augusto Aquino de Castro, Wagner Henriques de Castro, Ricardo Santiago Gomez, Ricardo Alves Mesquita","doi":"10.1016/j.oooo.2025.01.044","DOIUrl":"10.1016/j.oooo.2025.01.044","url":null,"abstract":"<div><div>Fine-needle aspiration (FNA) is a highly accurate and cost-efficient method commonly employed for salivary gland issues, encompassing a spectrum from inflammation to tumors, which may be either neoplastic or not. A 25-year-old female patient presented with a 50-mm nodule, circumscribed, on the upper right lip, rubbery in consistency and smooth surface, with coloration similar to that of the mucosa, evolving over 6 years. Ultrasound-guided FNA was performed and material was assessed for liquid-based cytology (LBC). Examination of the LBC revealed the presence of individual or clustered cells with normochromic nuclei displaced to the periphery and eosinophilic cytoplasm with morphology resembling that of a plasma cell, suggestive of pleomorphic adenoma. An incisional biopsy was performed, and a diagnosis of the pleomorphic adenoma was made. The patient was treated by surgical approach and is without recurrence. The ultrasound-guided FNA is an ancillary tool for diagnosis of salivary gland diseases.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e8"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria Renata Caballero, Lettieri Pinto, Victor Samuel de Almeida Lopes, Keila Martha Amorim Barroso, Paulo Rogerio Ferreti Bonan
{"title":"Mycobacterium fortuitum infection after cosmetic procedure with poly-l-lactic acid: a case report","authors":"Maria Renata Caballero, Lettieri Pinto, Victor Samuel de Almeida Lopes, Keila Martha Amorim Barroso, Paulo Rogerio Ferreti Bonan","doi":"10.1016/j.oooo.2025.01.031","DOIUrl":"10.1016/j.oooo.2025.01.031","url":null,"abstract":"<div><div>A 60-year female patient sought care at the dental diagnostic service of the Lauro Wanderley University Hospital with an infection caused by Mycobacterium fortuitum, a type of nontuberculosis mycobacterium and rapidly developed after the aesthetic procedure of filling with poly-l-lactic acid, better known commercially as Sculptra. At the extra-oral examination, the patient presented swelling on the right side of the face, near the labial commissure, without abnormalities intraorally. The patient did not present systemic diseases or report the use of alcohol, cigarettes, or illicit drugs. The infection was confirmed by ultrasonography, blood count, and culture test, and has been treated with an association of antibiotics, such as levofloxacin and ciprofloxacin, and accompanied by a specialized doctor.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e6"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Daiana da Silva Ferreira, Ana Rita Vianna Potrich, Amanda de Farias Gabriel, Lauren Neumann Villarinho, Julia Souza Führ, Marco Antonio Trevizani Martins, Manoela Domingues Martins
{"title":"Medication-related osteonecrosis of the jaw: a case report","authors":"Daiana da Silva Ferreira, Ana Rita Vianna Potrich, Amanda de Farias Gabriel, Lauren Neumann Villarinho, Julia Souza Führ, Marco Antonio Trevizani Martins, Manoela Domingues Martins","doi":"10.1016/j.oooo.2025.01.079","DOIUrl":"10.1016/j.oooo.2025.01.079","url":null,"abstract":"<div><div>Medication-related osteonecrosis of the jaw (MROJ) represents a challenge for patients taking antiangiogenic and antiresorptive medications. Here we present a case involving a 55-year-old man with lupus and type 2 diabetes, treated with alendronate sodium. After multiple extractions, there was bone exposure accompanied by an infectious condition in the operated regions. In addition, he had ulcers and erythema on the oral mucosa. Surgical interventions of debridement of necrotic bone tissue, antimicrobial photodynamic therapy (aPDT) and photobiomodulation (FBM) were used as treatment, we addressed his MROJ. After carrying out the proposed treatment, the lesions are in remission but are still being monitored. Laser technology, increasingly favored for surgeries and therapies such as aPDT and FBM, was fundamental. Although this multidimensional approach shows promise, thorough studies are imperative to assess relapse risks and long-term outcomes. This study emphasizes the continued need to refine MROJ treatments, given their complexity and profound implications.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e15"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Juliana Figueiredo da Roza, Carlos Augusto Aquino Negreiros, Letícia da Silva Soares Gomes, Sabrina Elora de Almeida Correa, Natasha Araújo Mota, Jeconias Câmara, Tatiana Nayara Libório-Kimura
{"title":"Psammomatoid juvenile ossifying fibroma in a male patient with crouzon syndrome","authors":"Juliana Figueiredo da Roza, Carlos Augusto Aquino Negreiros, Letícia da Silva Soares Gomes, Sabrina Elora de Almeida Correa, Natasha Araújo Mota, Jeconias Câmara, Tatiana Nayara Libório-Kimura","doi":"10.1016/j.oooo.2025.01.081","DOIUrl":"10.1016/j.oooo.2025.01.081","url":null,"abstract":"<div><div>A 16-year-old male patient, with Crouzon syndrome and severe bone deformity was referred to a hospital after an orthodontics evaluation, which detected a hyperdense circumscribed image in the maxilla during a facial computed tomography examination. The patient had anosmia and clinically a slight painless bulging in the anterior maxilla. An excisional biopsy with peripheral osteotomy was performed and the material was sent for histopathological analysis with under hypothesis of osteoma or fibrous dysplasia. Microscopically, there were benign fibro-osseous lesions characterized by hypercellular fibrous connective tissue, containing multiple ossicles with variable sizes and shapes, from spherical, oval to irregular and eosinophilic, with few basophilic areas similar to calcification, many with a brush border. Vital bone trabeculae were observed bordering the lesion and erythrocyte extravasation was compatible with psammomatoid juvenile ossifying fibroma. There was no need for further treatment and the patient remains under oral and maxillofacial follow-up for future orthognathic surgery.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Pages e15-e16"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Henrique da Graça Pinto, Cintia Baena Elchin, Belmiro José Matos, Neide Pena Coto, Dorival Pedroso da Silva, Reinaldo Brito e Dias
{"title":"Case report of an extensive fibrous dysplasia and maxillofacial prosthetic rehabilitation","authors":"Henrique da Graça Pinto, Cintia Baena Elchin, Belmiro José Matos, Neide Pena Coto, Dorival Pedroso da Silva, Reinaldo Brito e Dias","doi":"10.1016/j.oooo.2025.01.074","DOIUrl":"10.1016/j.oooo.2025.01.074","url":null,"abstract":"<div><div>Fibrous dysplasia is a lesion that affects the maxillofacial region and comprises a group of developmental dysplastic lesions characterized with the bone replacement by cellular fibrous tissue interspersed with irregular bony trabeculae and can cause severe deformity and facial asymmetry. Melanoderma patient, female, 32 years old reported that she had been in follow-up for 17 years old until the lesion growth became very significant at 30 years old and required partial maxillectomy. Clinically, the lesion appeared as an expandable mass at the right maxilla, with normal mucosal color and facial asymmetry. The computed tomography showed a displaced sinus floor and a hyperdense region with no defined limits. The patient was rehabilitated with an immediate, temporary, and restorative closed prosthesis over a 12-month rehabilitation treatment.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e14"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Camila de Oliveira Barbeiro, Roberto Henrique Barbeiro, Anderson Tangerino Ferreira da Silva, Ana Carla Campos, Andreia Bufalino, Fernando Chahud, Jorge Esquiche León
{"title":"Intraoral T-cell CD30+ lpd with lymphomatoid papulosis type c features mimics lymphoma on microscopy and immunophenotype","authors":"Camila de Oliveira Barbeiro, Roberto Henrique Barbeiro, Anderson Tangerino Ferreira da Silva, Ana Carla Campos, Andreia Bufalino, Fernando Chahud, Jorge Esquiche León","doi":"10.1016/j.oooo.2025.01.012","DOIUrl":"10.1016/j.oooo.2025.01.012","url":null,"abstract":"<div><div>Previous studies have demonstrated that eosinophilic ulcer of the oral mucosa represents a subset of CD30+ lymphoproliferative disorder, with subsequent authors suggesting that several of them are reminiscent of lymphomatoid papulosis (LyP) of the skin. Microscopically, diffused infiltration by small-to-large-sized atypical lymphoid cells, frequently expressing CD30, is characteristic of LyP, which encompasses a clinicopathological spectrum including type A, B, C, D, E, and LyP with DUSP22/IRF4 rearrangement. To date, approximately 27 intraoral LyP cases have been reported. Of them, 7 cases were diagnosed as LyP type C, frequently confused with anaplastic large cell lymphoma (ALCL). A 60-year-old male was referred with a symptomatic ulcer in the tongue 1 month ago. After incisional biopsy, microscopy showed numerous atypical large cells suspicious of ALCL, which were immunopositively for CD3, CD4, CD30, and TIA-1. Ki-67 stained the largest cells. EBER was negative. CD56 and ALK were negative. After 3 weeks, the lesion completely healed.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e2"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernando Luiz Zanferrari, Aaron Bensaul Trujillo Lopez, Jose Luis Dissenha, Lara Feltraco, Bruna Bernardino Silva, Priscila Queiroz Mattos da Silva, Laurindo Moacir Sassi
{"title":"Osteonecrosis of the jaw evolution in patients with breast cancer, with 3 years of follow-up: report of a case","authors":"Fernando Luiz Zanferrari, Aaron Bensaul Trujillo Lopez, Jose Luis Dissenha, Lara Feltraco, Bruna Bernardino Silva, Priscila Queiroz Mattos da Silva, Laurindo Moacir Sassi","doi":"10.1016/j.oooo.2025.01.069","DOIUrl":"10.1016/j.oooo.2025.01.069","url":null,"abstract":"<div><div>Zoledronic acid is one of the therapeutic alternatives in patients with breast cancer, to inhibit bone resorption in patients with metastatic breast cancer lesions. This paper aims to present a clinical evolution of osteonecrosis of the jaw associated with the use of medication, with 3 years of follow-up. A 58-year-old Caucasian female patient, diagnosed with breast cancer in 2017, used zoledronic acid once a month for 2 years. After 2 years, she presented bone exposure in his jaw due to the use of a poorly adapted prosthesis. The surgical approach had to be maxillary bone removal. Patient with tomographic follow-up for 3 years. It shows us the relevance of Dental clinicians of dental monitoring before, during, and after starting these medications.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e13"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Danielle Machado Farias, Anne Evelyn Oliveira Moura, Eduardo Eudes Nóbrega de Araújo, Amanda Almeida Leite, Mirela Godoi Nunes de Oliveira, Vinícius Belém Rodrigues, Elaine Judite de Amorim Carvalho
{"title":"Cementoblastomas: a report of 2 cases","authors":"Danielle Machado Farias, Anne Evelyn Oliveira Moura, Eduardo Eudes Nóbrega de Araújo, Amanda Almeida Leite, Mirela Godoi Nunes de Oliveira, Vinícius Belém Rodrigues, Elaine Judite de Amorim Carvalho","doi":"10.1016/j.oooo.2025.01.070","DOIUrl":"10.1016/j.oooo.2025.01.070","url":null,"abstract":"<div><div>This report describes 2 cases of cementoblastoma in patients with distinct ages, an adolescent, and elderly. A 17-year-old female presented with a painful swelling in the posterior mandible. Computed tomography revealed a hyperdense and well-delimited lesion, surrounded a hypodense halo, associated with the root of the right mandibular first molar. The second case refers to a 61-year-old female who presented with a painless lesion identified in a routine radiographic examination. The imaging features were similar to the first case. The lesion involved the root of the mandibular left first molar. Cementoblastoma was the clinic-radiographic diagnosis in both cases, which were excised with extractions of involved teeth. Macroscopically, masses of calcified tissue fused to the dental roots were observed. Microscopically, trabeculae of cementoid material adhered to the dental roots, cementoblasts, and cementocytes were noted, confirming the diagnosis of cementoblastoma. The patients remain without signs of recurrence after 8 months of treatment.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e13"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Liova Amaru Chabot-Diaz, Fabrício Bitu Sousa, Ana Paula Negreiros Nunes Alves, Karuza Maria Alves Pereira, Farah Essguí Orellana Martinez, Alana Lima dos Santos, Mário Rógerio Lima Mota
{"title":"Lymphoepithelial carcinoma at the lingual apex: a case report","authors":"Liova Amaru Chabot-Diaz, Fabrício Bitu Sousa, Ana Paula Negreiros Nunes Alves, Karuza Maria Alves Pereira, Farah Essguí Orellana Martinez, Alana Lima dos Santos, Mário Rógerio Lima Mota","doi":"10.1016/j.oooo.2025.01.051","DOIUrl":"10.1016/j.oooo.2025.01.051","url":null,"abstract":"<div><div>Lymphoepithelial carcinoma (LEC) rarely occurs in the oral cavity, an association with Epstein-Barr virus (EBV) is commonly observed in nasopharyngeal lesions. A biopsy of a lingual apex nodule was sent from an 85-year-old female. Clinically, the lesion was described as oval, sessile, firm, and normochromic. Histopathological analysis showed a malignant neoplasm composed of epidermoid cells isolated or arranged in islands and cords, exhibiting a syncytial appearance. The cells were pleomorphic, with vesiculated nuclei containing acidophilic macronuclei. The stroma was markedly lymphoid with few eosinophils. It penetrated the tumor proliferation, making it difficult to visualize the islands and cords of epidermoid cells. Tumor cells were immunostained for anti-CKPool, anti-EMA, and anti-EBV, suggesting a diagnosis of LEC. The patient was referred to the Head and Neck Service for oncologic treatment. A combination of histopathology and immunohistochemistry is essential for the diagnosis of LEC. Oral lesions may also be associated with EBV.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e10"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}