scholarly journals A Rare Case of Pyogenic Granuloma in the Tooth Extraction Socket

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Yosuke Iijima ◽  
Nami Nakayama ◽  
Leona Kashimata ◽  
Miki Yamada ◽  
Ryutaro Kawano ◽  
...  
Keyword(s):  
Rare Case ◽  
Tooth Extraction ◽  
Dentigerous Cyst ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Histopathological Diagnosis ◽  
Wisdom Tooth ◽  
Complete Excision ◽  
Extraction Socket ◽  
Second Molar

Pyogenic granuloma (PG) refers to a common, acquired, benign, and vascular tumor that arises in tissues such as the skin and mucous membranes. However, it is extremely rare for PG to arise from an empty socket after tooth extraction. Herein, we describe a rare case of PG that arose from the empty extraction socket of the second molar adjacent to a dentigerous cyst of the left mandibular wisdom tooth in a 57-year-old man. The patient’s second molar was extracted during the same procedure in which the wisdom tooth and cyst were removed. Subsequently, at 42 days after surgery, an exophytic mass was found in the socket of the second molar. An excisional biopsy was performed, and the histopathological diagnosis was PG. Since the PG recurred 90 days after the surgery, a complete excision with bone curettage was performed. During the 12 months of follow-up, there has been no recurrence observed. In conclusion, as tooth extraction is a routine dental practice, clinicians should be aware that PGs can also develop from an extraction socket.

scholarly journals Epithelioid Hemangioma of Lingual Alveolar Mucosa: An Immunohistochemical Case Report

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Rajat Nangia ◽  
Abhiney Puri ◽  
Rakhi Gupta ◽  
Sucheta Bansal ◽  
Amita Negi ◽  
...  
Keyword(s):  
Rare Case ◽  
Neck Region ◽  
Excisional Biopsy ◽  
Vascular Lesion ◽  
Histopathological Diagnosis ◽  
Epithelioid Cells ◽  
Head And Neck Region ◽  
Epithelioid Hemangioma ◽  
Exact Etiology ◽  
History Of

Epithelioid hemangioma is a rare benign vascular lesion that presents as a nodular lesion in the skin of head and neck region. It is a superficial vascular entity which can either be due to tumor or reactive lesion, but the exact etiology is still unknown. We hereby present a rare case which has been reported with the history of small nodular-like growth on mandibular buccal and lingual area. The excisional biopsy was performed and tissue was submitted for histopathological diagnosis. The immunohistochemistry was performed to check the expression of CD31 marker which proved that origin of epithelioid cells was vascular.

Erupting Complex Odontoma: Coronal to Impacted Second Molar Associated with Dentigerous Cyst

2011 ◽  
Vol 5 (2) ◽  
pp. 100-102
Author(s):  
BS Santosh ◽  
V Anuradha ◽  
MC Dayanand
Keyword(s):  
Oral Cavity ◽  
Rare Case ◽  
Dentigerous Cyst ◽  
Second Molar ◽  
Odontogenic Tumours ◽  
Complex Odontoma

ABSTRACT The most common odontogenic tumours are odontomas, they account for 22% of them, but there apparent eruption into oral cavity is rare. We report a rare case of erupting complex odontoma coronal to impacted second molar associated with dentigerous cyst.

A Rare Case of A Complex Odontome Fused to An Upper Wisdom Tooth

2011 ◽  
Vol 5 (1) ◽  
pp. 47-48
Author(s):  
Clarence Pace ◽  
Richard Crosher ◽  
Audrey Pace ◽  
Purush Manivasagam
Keyword(s):  
Rare Case ◽  
Incidental Finding ◽  
Wisdom Tooth ◽  
Panoramic Radiographs ◽  
Second Molar

ABSTRACT A 22 year old man presented with pain arising from his carious lower left second molar. An Orthopantomogram (OPT) revealed an incidental finding of an odontome fused to an upper wisdom tooth, a finding that to the author's knowledge has never been previously reported. This case also illustrates the value of panoramic radiographs in identifying incidental pathology.

Lobular capillary haemangioma (pyogenic granuloma) of the nose

1997 ◽  
Vol 111 (10) ◽  
pp. 941-945 ◽  
Author(s):  
Yousry El-Sayed ◽  
Awad Al-Serhani
Keyword(s):  
Differential Diagnosis ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
University Hospital ◽  
Clinical Impression ◽  
Histopathological Diagnosis ◽  
Study Group ◽  
Capillary Haemangioma ◽  
Clinicopathological Study ◽  
Diagnostic Pitfalls

AbstractObjectiveTo present a number of cases with lobular capillary haemangioma (pyogenic granuloma) of the nose; and to discuss the clinical and histopathological diagnosis of this disorder.MethodsA clinicopathological study of patients diagnosed with nasal lobular capillary haemangioma who were treated at King Abdel Aziz University Hospital, Riyadh from 1986 to 1995.ResultsThe study group consisted of 12 patients (four males and eight females ranging in age from 17 to 65 years; mean 30.1 years). Clinically, most patients presented with epistaxis and a rapidly growing unilateral haemorrhagic mass. Most lesions were located on the septal mucosa. The clinical impression was misleading in some cases. The histological diagnosis was based on the lobular arrangement of capillaries. One case was initially misdiagnosed as angiofibroma. Excisional biopsy was the mainstay of treatment. One instance of recurrence was recorded.ConclusionThis uncommon lesion should be considered in the differential diagnosis of a rapidly growing haemorrhagic lesion within the nasal fossa. Clinical and histological diagnostic pitfalls occur frequently.

scholarly journals Primary Intraosseous Squamous Cell Carcinoma Arising from a Dentigerous Cyst of the Maxillary Wisdom Tooth

2020 ◽  
Vol 13 (2) ◽  
pp. 611-616 ◽  
Author(s):  
Hikaru Takahashi ◽  
Yuichiro Takaku ◽  
Ayako Kozakai ◽  
Hiroshi Otsuru ◽  
Yuya Murata ◽  
...  
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Dentigerous Cyst ◽  
World Health ◽  
Histopathological Diagnosis ◽  
Wisdom Tooth ◽  
Early Stages ◽  
Health Organization ◽  
The Right

The World Health Organization defines primary intraosseous squamous cell carcinoma (PIOSCC) as a squamous cell carcinoma (SCC) arising primarily within the jaws and having no connection with the oral mucosa. Here, we report a case of PIOSCC in which it was difficult to differentiate the condition from pericoronitis of an impacted maxillary wisdom tooth. The patient was a 27-year-old pregnant woman with a pain in the right maxillary wisdom tooth. The pain was diagnosed as pericoronitis of the right maxillary wisdom tooth, and the tooth was extracted under local anesthesia. During extraction, soft tissue was observed in the coronal part of the tooth, and it was diagnosed as SCC arising in a dentigerous cyst. Because the tumor may still be present, surgical resection was performed under general anesthesia. There has been no recurrence or metastasis at the 1-year follow-up. This case was histopathologically considered from being a benign odontogenic tumor to a malignant tumor. However, it revealed an extensive aberrant type and invasion equivalent to SCC. Thus, the histopathological diagnosis was PIOSCC arising from a dentigerous cyst. Although advanced cases of PIOSCC have been published, diagnosis of PIOSCC in the early stages is rare. In this case, we diagnosed pericoronitis of an impacted maxillary wisdom tooth and extracted the tooth. Therefore, we discovered it accidentally. In the early stages, diagnosis can be difficult both clinically and histopathologically.

scholarly journals Gingival Reactive Lesions in Orally Rehabilitated Patients by Free Revascularized Flap

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Gianluca Tenore ◽  
Ahmed Mohsen ◽  
Giorgio Pompa ◽  
Edoardo Brauner ◽  
Andrea Cassoni ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Third Molar ◽  
Excisional Biopsy ◽  
Pyogenic Granuloma ◽  
Trigger Factor ◽  
Removable Partial Denture ◽  
Second Molar ◽  
First Case ◽  
Hygiene Measures ◽  
Local Trauma

The aim is to discuss four cases of gingival reactive hyperplastic lesions in patients with a history of excision of oral neoplastic lesions and rehabilitation by a free revascularized flap of the iliac crest. One female and 3 male patients were referred due to the presence of exophytic lesions at the rehabilitated sites. The clinical examination revealed that the poor oral hygiene was the common trigger factor in all the cases, in addition to trauma from the upper left second molar in the first case, pericoronitis related to a partially erupted lower right third molar in the third case, and poor stability of an upper removable partial denture in the fourth case. All the cases were subjected to elimination of these suspected triggering factors, exclusion of dysplasia, excisional biopsy by CO2 laser, and five follow-up visits. The histological examination of all the cases confirmed the diagnosis of pyogenic granuloma. These presented cases suggest that the limitations in oral functions and maintaining the oral hygiene measures following the free revascularized flap reconstruction surgery probably played a role in the development of gingival reactive hyperplastic lesions with presence of trigger factors such as local trauma, chronic infection, or inadequate prosthesis.

scholarly journals Upbeat vertical nystagmus after brain stem cavernoma resection: a rare case of nucleus intercalatus/nucleus of roller injury

2020 ◽  
Vol 267 (10) ◽  
pp. 2865-2870
Author(s):  
Torstein R. Meling ◽  
Aria Nouri ◽  
Adrien May ◽  
Nils Guinand ◽  
Maria Isabel Vargas ◽  
...  
Keyword(s):  
Rare Case ◽  
Vascular Malformations ◽  
Clinical Manifestations ◽  
Neurological Injury ◽  
Medial Longitudinal Fasciculus ◽  
Blurred Vision ◽  
Complete Excision ◽  
First Case ◽  
Vertical Nystagmus ◽  
Upbeat Nystagmus

Abstract Introduction CNS cavernomas are a type of raspberry-shaped vascular malformations that are typically asymptomatic, but can result in haemorrhage, neurological injury, and seizures. Here, we present a rare case of a brainstem cavernoma that was surgically resected whereafter an upbeat nystagmus presented postoperatively. Case report A 42-year old man presented with sudden-onset nausea, vomiting, vertigo, blurred vision, marked imbalance and difficulty swallowing. Neurological evaluation showed bilateral ataxia, generalized hyperreflexia with left-sided predominance, predominantly horizontal gaze evoked nystagmus on right and left gaze, slight left labial asymmetry, uvula deviation to the right, and tongue deviation to the left. MRI demonstrated a 13-mm cavernoma with haemorrhage and oedema in the medulla oblongata. Surgery was performed via a minimal-invasive, midline approach. Complete excision was confirmed on postoperative MRI. The patient recovered well and became almost neurologically intact. However, he complained of mainly vertical oscillopsia. The videonystagmography revealed a new-onset spontaneous upbeat nystagmus in all gaze directions, not suppressed by fixation. An injury of the rarely described intercalatus nucleus/nucleus of Roller is thought to be the cause. Conclusion Upbeat nystagmus can be related to several lesions of the brainstem, including the medial longitudinal fasciculus, the pons, and the dorsal medulla. To our knowledge, this is the first case of an iatrogenic lesion of the nucleus intercalatus/nucleus of Roller resulting in an upbeat vertical nystagmus. For neurologists, it is important to be aware of the function of this nucleus for assessment of clinical manifestations due to lesions within this region.

Cell Block and Its Impact in the Diagnosis of Jaw Lesions over Fine Needle Aspiration Cytology

2021 ◽  
pp. 1-7
Author(s):  
Kaveri Hallikeri ◽  
Biji Babu ◽  
Archana Sudhakaran ◽  
Roshni Monteiro
Keyword(s):  
Fine Needle Aspiration ◽  
Fine Needle Aspiration Cytology ◽  
Dentigerous Cyst ◽  
Needle Aspiration ◽  
Histopathological Diagnosis ◽  
Cell Block ◽  
Aspiration Cytology ◽  
Fine Needle ◽  
Dentigerous Cysts ◽  
Needle Aspiration Cytology

<b><i>Objectives:</i></b> To determine the role and efficacy of fine needle aspiration cytology (FNAC) and cell block in diagnosis of jaw lesions and compare the agreement between FNAC and cell block to predict the diagnosis. <b><i>Method:</i></b> The sample comprised 51 cases, including 12 odontogenic keratocysts (OKCs), 8 ameloblastomas, 22 radicular cysts, 7 dentigerous cysts, and 1 each of intraosseous mucoepidermoid carcinoma (MEC) and adenomatoid odontogenic tumor (AOT). FNAC samples remaining after hematoxylin and eosin (H&amp;E)-stained cytosmear diagnosis were centrifuged at 3,000 rpm for 10 min. The supernatant was discarded and sediment mixed with 2–3 mL alcohol and filtered. To this, 10% formalin was added, filtered, taken for routine processing, and stained with H&amp;E. The result of FNAC smear and cell block was compared with histopathological diagnosis. <b><i>Results:</i></b> On cytological examination of the smears, 7 OKCs and 22 radicular cysts were diagnosed, whereas ameloblastomas, AOT, intraosseous MEC, and dentigerous cysts were not. This gave an agreement of 56.8% with the biopsy reports. Cell block sections stained with H&amp;E of 12 OKCs, 22 radicular cysts, 1 MEC, and 3 cases of ameloblastoma offered a diagnosis in accordance with the biopsies giving an agreement of 74.5%, while dentigerous cyst and AOT failed to do so. In comparison with FNAC, additionally 5 cases of OKC and 1 of MEC could be detected, and in ameloblastoma, out of 8 cases, only 3 yielded a concordant diagnosis through the cell block technique. <b><i>Conclusion:</i></b> In comparison with FNAC, the architectural pattern and the morphology of the cells were better preserved by the cell block technique. This substantiates that cell block could be used as an ancillary technique to aid in definitive diagnosis of head and neck swellings.

scholarly journals A Case Report of Primordial Odontogenic Tumor That Required Distinction from a Dentigerous Cyst

Reports ◽  
2021 ◽  
Vol 4 (1) ◽  
pp. 4
Author(s):  
Sawako Ono ◽  
Hotaka Kawai ◽  
Shintaro Sukegawa ◽  
Kiyofumi Takabatake ◽  
Keisuke Nakano ◽  
...  
Keyword(s):  
Root Resorption ◽  
Dentigerous Cyst ◽  
Fibrous Tissue ◽  
Clinical Findings ◽  
Odontogenic Tumor ◽  
Columnar Epithelium ◽  
Solid Mass ◽  
Histological Differentiation ◽  
Second Molar ◽  
Primordial Odontogenic Tumor

Primordial odontogenic tumor (POT) is a rare odontogenic tumor characterized by a variably cellular loose fibrous tissue with areas similar to the dental papilla and covered by cuboidal to columnar epithelium. We herein report a case of POT in a 14-year-old boy. Computed tomography (CT) exhibited a round cavity with a defined cortical border circumscribing the tooth of the second molar. However, the gross finding was a solid mass, not a cyst. Histologically, the tumor consisted of dental papillalike myxoid connective tissue covered by columnar epithelium. Therefore, although the clinical diagnosis was dentigerous cyst (DC), we diagnosed POT based on histologic findings. Clinical findings of POT resemble DC, but the clinical behavior of POT is different to DC, such as cortical expansion and root resorption of teeth. Therefore, histological differentiation of POT from DC is critical for accurate diagnosis.

Sign in / Sign up

Export Citation Format

Share Document