Jamerson Carvalho Silva, Isabela Teixeira Fernandes, André Sampaio Souza, Flávia Caló de Aquino Xavier, Jean Nunes dos Santos
{"title":"Carcinoma mucoepidermoid arising as an intraoral swelling and osseous involvement: report of a case diagnosed as a cyst","authors":"Jamerson Carvalho Silva, Isabela Teixeira Fernandes, André Sampaio Souza, Flávia Caló de Aquino Xavier, Jean Nunes dos Santos","doi":"10.1016/j.oooo.2025.01.054","DOIUrl":"10.1016/j.oooo.2025.01.054","url":null,"abstract":"<div><div>A 56-year-old female presented with a 30 mm nodular lesion on the left side of the retromolar trigone. The lesion caused slight cortical displacement. The image scans demonstrated a well-defined radiolucent area with often corticated margins, preserving the mandibular canal. On CT images, the lesion eroded through the lingual cortical plate into the gingival soft tissues. The lesion was removed under general anesthesia, and the patient has been under observation for 7 months. Microscopically, solid and multicystic growth patterns were present, with mucous and epidermoid cells. Intermediate cells were also detected. The amount of cyst formation was higher than 80%, with a high proportion of mucous cells and a low rate of mitosis. Atypia was mild, but necrosis and vascular/perineural invasion were absent. Then, a diagnosis of low-grade mucoepidermoid carcinoma stage pT2, pNx was rendered. The patient is currently under periodic review and has no relapse.</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":"143619934","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}
Waldenia Pereira Freire, Diego Filipe Bezerra Silva, Jozinete Vieira Pereira, Robéria Lúcia de Queiroz Figueiredo, Hannah Carmem Verheul Carlos Ribeiro Silva, Pollianna Muniz Alves, Daliana Queiroga de Castro Gomes
{"title":"Diode laser on excision of peripheral odontogenic myxoma: a rare case report","authors":"Waldenia Pereira Freire, Diego Filipe Bezerra Silva, Jozinete Vieira Pereira, Robéria Lúcia de Queiroz Figueiredo, Hannah Carmem Verheul Carlos Ribeiro Silva, Pollianna Muniz Alves, Daliana Queiroga de Castro Gomes","doi":"10.1016/j.oooo.2025.01.056","DOIUrl":"10.1016/j.oooo.2025.01.056","url":null,"abstract":"<div><div>Odontogenic myxoma represents about 3% to 15.44% of all odontogenic tumors. There is still no consensus on the surgical treatment of this lesion. An alternative treatment for these lesions is the high-power laser, which has advantages over conventional surgical treatments such as precise tissue incision, coagulation during the operation, and postoperative benefits. This is a rare case of a 63-year-old male patient with a peripheral odontogenic myxoma measuring approximately 10 cm in the attached gingiva region of tooth 16 removed with a high-power diode laser (808 nm, 3W, in continuous mode, under constant suction, with 400 µm optical fiber). In the present case, there was no need for suturing, no postoperative discomfort, and minimal bleeding during the procedure. In a 12-month follow-up period, there were no signs of recurrence. It was observed that a high-power diode laser is effective in the treatment of odontogenic myxoma.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Pages e10-e11"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619936","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 Ines Borba de Araújo, Maria Helena Monteiro Durães, Emanuelle de Siqueira Leal Capellini, Paulo de Camargo Moraes, Victor Angelo Martins Montalli, Marcelo Sperandio
{"title":"Secondary syphilis: clinical case report","authors":"Maria Ines Borba de Araújo, Maria Helena Monteiro Durães, Emanuelle de Siqueira Leal Capellini, Paulo de Camargo Moraes, Victor Angelo Martins Montalli, Marcelo Sperandio","doi":"10.1016/j.oooo.2025.01.024","DOIUrl":"10.1016/j.oooo.2025.01.024","url":null,"abstract":"<div><div>Syphilis is an infectious disease caused by the bacteria Treponema pallidum. The main form of transmission is through unprotected sexual intercourse. Genitals are the primary site of infection, but oral manifestations can be observed in the primary and secondary stages of the disease. A woman, mixed race, 35 years old, sought the Basic Health Unit complaining of stains in her mouth, body pain, and malaise. On clinical examination, bilateral cervical lymphadenopathy and maculopapular plaques, grayish and with red edges, were observed on the labial mucosa. Rapid Syphilis and HIV tests were carried out with a positive result for Syphilis, with a positive VDRL. Faced with the secondary phase of syphilis, guidance was adopted and referral to the team nurse who prescribed benzathine penicillin for 2 weeks, subsequently remission of the lip lesions. The dentist is essential in diagnosing syphilis, as the oral mucosa manifests lesions caused by the disease.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e4"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620125","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}
Ana Beatriz da Ponte Carvalho do Nascimento, Águida Maria Menezes Aguiar Miranda, Fabio Ramoa Pires, Gabriela Laterça da Silva Abreu, Jade Rocha Vasconcellos Ribeiro, Guilherme Duque Silva, Melissa Vasconcellos Raymundo
{"title":"Secretory carcinoma on the floor of the mouth: clinical case","authors":"Ana Beatriz da Ponte Carvalho do Nascimento, Águida Maria Menezes Aguiar Miranda, Fabio Ramoa Pires, Gabriela Laterça da Silva Abreu, Jade Rocha Vasconcellos Ribeiro, Guilherme Duque Silva, Melissa Vasconcellos Raymundo","doi":"10.1016/j.oooo.2025.01.061","DOIUrl":"10.1016/j.oooo.2025.01.061","url":null,"abstract":"<div><div>Secretory carcinoma is an uncommon subtype of salivary gland cancer, with a predilection for the parotid gland. The case involves a 51-year-old female patient with no comorbidities, and no history of alcohol consumption or tobacco use, who presented with a painless, smooth, firm, oval-shaped nodule exhibiting a purplish hue on the floor of the mouth, with a progression of 5 months. Diagnostic considerations included salivary gland neoplasia or ranula, prompting an incisional biopsy. Intraoperatively, the discharge of viscous fluid was noted, alongside the identification of a solid lesion indicative of salivary gland neoplasia. Histopathological analysis confirmed the presence of secretory carcinoma. The patient was subsequently referred to a primary care facility and later directed to a Head and Neck Surgery Service, where she underwent resection with clear oncological margins. She is presently under outpatient surveillance, having achieved satisfactory recovery without evidence of recurrence over a 13-month follow-up period.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Pages e11-e12"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620723","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}
Juan Martin Pimentel Sola, Ignacio Molina Avila, Ruth Valdez, Yone Chacon, Gerardo Gilligan
{"title":"Solitary oral paracoccidioidomycosis without pulmonary symptoms: a case report","authors":"Juan Martin Pimentel Sola, Ignacio Molina Avila, Ruth Valdez, Yone Chacon, Gerardo Gilligan","doi":"10.1016/j.oooo.2025.01.075","DOIUrl":"10.1016/j.oooo.2025.01.075","url":null,"abstract":"<div><div>To present a rare clinical case of oral Paracoccidioidomycosis without pulmonary symptoms, emphasizing the clinical challenge to diagnose deep mycosis in dental practice. We report a case of a 37-year-old unemployed male patient from Tartagal, Salta, referred to the Stomatology Unit of Hospital Señor del Milagro due to a 3-month history of ulcerative lesions on the lower lip, upper lip, and left buccal mucosa. The clinical hypothesis was a malignant lesion (oral squamous cell carcinoma). A fresh sample was obtained for Giemsa staining, an incisional biopsy was performed for histopathological examination with PAS staining, and a chest X-ray was suggested. The final diagnosis was Oral Paracoccidioidomycosis. The patient was treated with intravenous amphotericin B 50 mg every 24 hours for 10 days, followed by oral itraconazole 200 mg every 12 hours for 9 months. Correct diagnosis of this fungal infection is crucial, emphasizing interdisciplinary collaboration among different specialties.</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":"143620824","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}
Thaís Xavier Pereira da Silva, Janete Dias Almeida, Luis Felipe das Chagas e Silva de Carvalho, Monica Ghislaine Oliveria Alves
{"title":"Secondary oral syphilis mimicking aphthous ulceration in an adolescent: a case report","authors":"Thaís Xavier Pereira da Silva, Janete Dias Almeida, Luis Felipe das Chagas e Silva de Carvalho, Monica Ghislaine Oliveria Alves","doi":"10.1016/j.oooo.2025.01.064","DOIUrl":"10.1016/j.oooo.2025.01.064","url":null,"abstract":"<div><div>A 14-year-old female patient presented with complaints of painful ulcers that first appeared on her tongue 2 months prior. The patient reported having used melaleuca, triamcinolone acetonide, and nystatin with no improvement. Clinically, multiple varying-sized well-defined plaques with ulcerated areas were observed. The lesions were primarily located on the lateral border of the tongue bilaterally and the upper and lower lips mucosa. Diagnostic considerations included syphilis, vitamin B12 deficiency, and major aphthous ulcer. Subsequent testing revealed positive results for VDRL and FTA-ABS, confirming the diagnosis of secondary syphilis. The patient was then referred to an infectious disease specialist for treatment. Syphilis poses a significant public health challenge globally, with increasing incidence rates, particularly among younger populations. The diagnosis of syphilis can be complex due to the overlapping of clinical manifestations with other conditions, in addition to the serious issue of self-medication. Careful evaluation is necessary for accurate diagnosis and treatment.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e12"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619867","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}
Ana Laura Sabino Coelho, Satiro Watanabe, Mário Serra Ferreira, Wilson José Mariano, Eneida Franco Vêncio, Natália Gratão de Oliveira Resende, Maria Alves Garcia Silva
{"title":"Myoepithelial carcinoma ex pleomorphic adenoma of the maxillary sinus: a case report","authors":"Ana Laura Sabino Coelho, Satiro Watanabe, Mário Serra Ferreira, Wilson José Mariano, Eneida Franco Vêncio, Natália Gratão de Oliveira Resende, Maria Alves Garcia Silva","doi":"10.1016/j.oooo.2025.01.053","DOIUrl":"10.1016/j.oooo.2025.01.053","url":null,"abstract":"<div><div>Myoepithelial carcinoma arising from a pleomorphic adenoma is a rare neoplasm of the salivary glands, accounting for 3.6% of salivary gland tumors and 12% of salivary gland malignancies. Here, we present the case of a 58-year-old male patient who presented with swelling of the palate. A prior diagnosis of a “benign tumor” had been established. Oral examination revealed a nodular lesion on the hard palate measuring 4 cm, firm on palpation and partially purplish, with a significant increase noted over the past 4 months. Radiographic imaging demonstrated involvement of the entire maxillary sinus. Histopathological examination revealed dysplastic clear cell nests and dysplastic epithelioid cell cords. Morphological and immunohistochemical analyses confirmed the diagnosis of myoepithelial carcinoma. The patient was referred for treatment with chemotherapy and radiotherapy at the cancer hospital. This case highlights the critical importance of early diagnosis in the management of malignant lesions, as timely intervention significantly impacts patient outcomes.</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":"143619933","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}
Alice Souza Villar Cassimiro Fonseca, Luciana Munhoz, Plauto Christopher Aranha Watanabe, Emiko Saito Arita, Núbia Rafaelle Oliveira de Meneses, Lucila Massu Yoshizaki Akinaga Moreira, Claudio Costa
{"title":"Oral manifestations of proteus syndrome: case report","authors":"Alice Souza Villar Cassimiro Fonseca, Luciana Munhoz, Plauto Christopher Aranha Watanabe, Emiko Saito Arita, Núbia Rafaelle Oliveira de Meneses, Lucila Massu Yoshizaki Akinaga Moreira, Claudio Costa","doi":"10.1016/j.oooo.2025.01.040","DOIUrl":"10.1016/j.oooo.2025.01.040","url":null,"abstract":"<div><div>Proteus Syndrome is a rare, congenital, and nonhereditary disorder, caused by a mutation in the AKT1 gene and with a highly variable phenotype. This condition is characterized by exacerbated, heterogeneous, and progressive growth of multiple tissues, notably bone, causing alterations and asymmetries in the oral and maxillofacial region. Caucasian 32-year-old man came to the dental service complaining of painful symptoms when chewing and generalized gingival inflammation. The extraoral and intraoral clinical examination revealed significant facial asymmetry, limited mouth opening, and unilateral macroglossia. The panoramic radiograph showed bimaxillary asymmetry, bone involvement in a mosaic pattern, midline displacement, and changes in tooth eruption and maturation, and the occlusal radiograph showed images suggesting exostoses or multiple osteomas. A planigraphy of the temporomandibular joint showed a disproportionate increase in the mandibular structures on the left. According to the clinical and imaging findings, the diagnosis of Proteus Syndrome was reached, and periodic follow-up was indicated.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e7"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619994","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}
Júlia Narcizo Cardoso, Melka Coêlho Sá, Antônio Carlos Marqueti, Rosany Larissa Brito de Oliveira, Sara Juliana de Abreu de Vasconcellos, Sueli Aguiar Pereira Araújo, Álvaro Bezerra Cardoso
{"title":"Ossifying fibroma involving maxillary sinus: a case report","authors":"Júlia Narcizo Cardoso, Melka Coêlho Sá, Antônio Carlos Marqueti, Rosany Larissa Brito de Oliveira, Sara Juliana de Abreu de Vasconcellos, Sueli Aguiar Pereira Araújo, Álvaro Bezerra Cardoso","doi":"10.1016/j.oooo.2025.01.045","DOIUrl":"10.1016/j.oooo.2025.01.045","url":null,"abstract":"<div><div>A 13-year-old male patient was referred to the Oral and Maxillofacial Surgery Department due to edema on the right hemiface. During clinical examination, extraorally he presented a volume increase in the paranasal region and, intraorally, bulging of the bottom of the vestibule of the maxilla, with a firm consistency, normal color, and painless on palpation. On imaging examination, a radiopaque lesion was identified in the region of the alveolar bone extending to the maxillary sinus, with limits on the orbital floor and lateral nasal wall. After incisional biopsy, the lesion was excised under general anesthesia. The specimen was submitted to a histopathological study, revealing fibrous connective tissue, trabeculated bone tissue, and fragments of respiratory mucosa, compatible with Ossifying Fibroma. In the 2-year postoperative period, bone repair was observed within normal limits, without signs of recurrence or volume increase in the operated region. The patient presented without complaints or painful symptoms.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Pages e8-e9"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620008","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}
Camille Schipper Schwartz, Karoline Ferreira Farias Catarino, Marcelo Rodrigues Camargos, Eduarda Almeida Borges de Araújo, Fabio Ramoa Pires, Caroline Lopes Paiva, Aguida Maria Menezes Aguiar Miranda
{"title":"Periosteal osteoma in the coronoid process: a case report","authors":"Camille Schipper Schwartz, Karoline Ferreira Farias Catarino, Marcelo Rodrigues Camargos, Eduarda Almeida Borges de Araújo, Fabio Ramoa Pires, Caroline Lopes Paiva, Aguida Maria Menezes Aguiar Miranda","doi":"10.1016/j.oooo.2025.01.050","DOIUrl":"10.1016/j.oooo.2025.01.050","url":null,"abstract":"<div><div>Osteomas are benign neoplasms composed of compact or cancellous bone. They are rarely diagnosed outside the craniofacial skeleton. They can arise on the surface of the bone (periosteal, peripheral, or exophytic osteoma) or in the medullary bone (endosteal or central osteoma). A 52-year-old female patient presented with an increase in hard volume in the left preauricular region and a sclerotic mass circumscribed in the region of the left coronoid process on a panoramic radiograph. Computed tomography revealed a lobulated hyperdense image, measuring approximately 3 cm in its largest diameter in the left coronoid process. Initially, osteoma was suspected and surgical excision under general anesthesia was proposed. Due to intraoperative complications, part of the lesion was not removed. With histopathological confirmation of osteoma, and without aesthetic or functional impact, clinical and radiographic monitoring was defined by the team together with the patient. She continues without signs of growth of the lesion, monitored for 9 months.</div></div>","PeriodicalId":49010,"journal":{"name":"Oral Surgery Oral Medicine Oral Pathology Oral Radiology","volume":"139 5","pages":"Page e9"},"PeriodicalIF":2.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143620013","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}