1/456. Gingival metastasis from a prostate adenocarcinoma: report of a case. prostate cancer is the cause of 10% of cancer-related deaths in males in the united states. Metastases are found late in the course of the disease. Metastatic tumors of the oral cavity are rare, representing about 1% of oral tumors and affect jaws much more frequently than soft tissues. Metastatic prostate cancer tends to involve the bones of the axial skeleton. In a recent review, 22 cases of metastases to the jawbones from prostate cancer were found in 390 cases. On the other hand, only 1 case of a metastasis to the oral soft tissues was reported. The authors describe the second case of oral soft tissue metastasis from a prostate cancer. The metastatic lesion was located in the gingiva. Clinicians should be aware of oral soft tissue metastases since they can be the first sign of a not yet diagnosed malignant tumor and they can be very easily confused with several different benign lesions. ( info) |
2/456. myoepithelioma of the gingiva. Report of a case. myoepithelioma is a rare form of salivary gland tumor composed entirely of myoepithelial cells. It represents about 1 to 1.5% of all salivary gland tumors and is most frequently located in the parotid. The authors present a case of myoepithelioma of the gingiva. The tumor presented a focal strong positivity for cytokeratins, a diffuse positivity for S-100 protein, and a rare focal positivity for actin. No duct formation was observed. myoepithelioma must be differentiated from several benign and malignant epithelial and mesenchymal tumors. ( info) |
3/456. Prenatal ultrasound detection of a congenital epulis in a triple X female fetus: a case report. A case of congenital epulis in a triple X infant, whose intra-oral mass was first detected on a 33-week prenatal ultrasound, is described. Two previous ultrasound studies performed at 21 and 28 weeks' gestation showed normal facial anatomy, suggesting accelerated tumour growth during the third trimester. Genetic amniocentesis also showed the infant to possess a 47, XXX karyotype. ( info) |
4/456. Gastric and gingival localization of mucosa-associated lymphoid tissue (MALT) lymphoma. An immunohistochemical, virological and clinical case report. Non-Hodgkin's lymphomas (NHL) of the mucosa-associated lymphoid tissue (MALT) are characterized by their mucosal and glandular tissue localization. The case described here falls into the European-American classification of a low-grade B-cell lymphoma of the MALT type, with a gingival lesion 2 years after a gastric lesion. The pathogenetic mechanisms of NHL in oral MALT and the diagnosis and treatment are discussed. ( info) |
5/456. Metastasis to maxillary gingiva from carcinoma of breast. A case report. A rare case of metastatic infiltrating duct carcinoma involving gingiva in relation to maxillary left canine-premolar of a 40 year old female is presented. The unilateral gingival enlargement in canine-premolar region was quite unusual. Pertinent history and histological examination revealed that the tumor was a metastatic carcinoma, the primary lesion of which was in the breast. The differential diagnosis of gingival enlargements is discussed in this paper. The resemblance of this mass to an inflammatory hyperplastic condition reflects the need for a detailed case history and examination. ( info) |
6/456. Sturge Weber syndrome with intraoral manifestations. A case report. A 15 Year old female patient with Sturge Weber syndrome is presented. This neurocutaneous syndrome consists of angiomatosis of the skin and mucosa as well as the leptomeninges. This case report describes the classic presentation of the syndrome, emphasizing the oral manifestations. The radiographic and CT scan show the typical "tram line" intracranial calcifications. This case report presents a typical case of Sturge Weber syndrome. It gives the radiological and CT scan findings and the important role played by them in the diagnosis of this syndrome. Emphasis is given to the differentiation of diphenylhydantoin induced gingival hyperplasia from the angiomatous enlargement of the gingiva before any treatment is planned. ( info) |
7/456. High-dose-rate mold brachytherapy of early gingival carcinoma: a clinical report. Two elderly edentulous patients with the diagnosis of early stage cancer of the upper gingiva were treated by customized dental mold brachytherapy. Locoregional tumor control was achieved in both patients. One patient is alive without any evidence of disease 36 months after treatment, the other patient died of distant metastasis shortly after brachytherapy. brachytherapy, being easy to apply with short treatment time and good acute tolerance, is a good choice and effective modality for the management of early stage gingival cancer, particularly in elderly patients. ( info) |
8/456. Odontogenic fibromyxoma arising from the periodontal ligament. A case is reported of an intraosseous odontogenic fibromyxoma which presented as an epulis and appeared to arise from the periodontal ligament of an upper lateral incisor. True neoplasms rarely present in this fashion, and the literature reveals no report of an intraosseous myxomatous neoplasm exhibiting such clinical features. Evidence supporting the periodontal ligament origin of the lesion is presented and discussed. ( info) |
| A solitary juvenile hemangioendothelioma on the maxillary gingiva of a newborn white male has been presented. No recurrence or evidence of systemic involvement has been noted in the 18 months following excision. The literature was reviewed with emphasis on the varying location and behavior of the lesion and the methods of treatment. Simple excision of the isolated, histologically benign neoplasm is recommended provided adequate follow-up is assured. ( info) |
10/456. Unusual peripheral odontogenic tumors in the differential diagnosis of gingival swellings. Differential diagnosis of gingival mass lesions includes several conditions and causes. Peripheral odontogenic tumors may mimic gingival swellings and, although rare, must be included in the differential diagnosis. The purpose of this article is to describe 3 different cases of peripheral odontogenic tumors and to discuss the differential diagnosis of gingival swelling. Histologic examination is mandatory when localized gingival swellings are surgically removed. ( info) |