scholarly journals Solitary Angiokeratoma of the Buccal Mucosa. Report of a Case

2014 ◽  
Vol 18 (3) ◽  
pp. 157-160
Author(s):  
Dimitrios Andreadis ◽  
Athanasios K. Poulopoulos ◽  
Anthi Asimaki ◽  
Eleni Albanidou-Farmaki ◽  
Anastasios K. Markopoulos
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Fabry Disease ◽  
Buccal Mucosa ◽  
Systemic Disease ◽  
Excisional Biopsy ◽  
Rare Occurrence ◽  
Mucosal Involvement ◽  
Oral Involvement ◽  
Microscopic Findings

SUMMARYBackground: Angiokeratoma is an asymptomatic, hyperkeratotic, capillary disorder of the skin present as solitary or multiple, keratotic papules or plaques, which may also be related to Fabry disease. Oral involvement may be observed in cases of widespread muco-cutaneous angiokeratomas, whereas solitary buccal angiokeratoma without systemic/cutaneous involvement is extremely rare.Case Report: A 45-year-old woman was referred with a 3-month, painless, bluish lesion, located on left buccal mucosa. The medical record of the patient was free of any systemic disease or medication. After a careful clinical oral, mucosal as well as skin examination, an excisional biopsy was taken. A routine haematoxylin-eosin staining and additional immunohistochemistry were performed. Differential diagnosis included haemangioma, haematoma or lesions of melanocytic origin. Clinical examination showed a solid, lobulated bluish lesion, located on left buccal mucosa without other skin or mucosal involvement. The microscopic findings revealed dilated vascular spaces covered by normal endothelium without atypia, extending into the epithelium, indicating the diagnosis of angiokeratoma.Conclusions: Despite its rare occurrence, solitary angiokeratoma of oral mucosa should be included in the differential diagnosis of black-bluish lesions. Further investigation for other similar lesions throughout skin or mucosa is needed to avoid complications as haemorrhage.

scholarly journals Paracoccidioidomycosis: Report Case

2019 ◽  
Vol 29 (1) ◽  
pp. 57
Author(s):  
Nancy Alfieri Nunes ◽  
Ana Maria Pires Soubhia ◽  
Gabriela Lopes Dos Santos ◽  
Leonardo Ferreira de Toledo Piza Lopes
Keyword(s):  
Case Report ◽  
Buccal Mucosa ◽  
Paracoccidioides Brasiliensis ◽  
Systemic Disease ◽  
Excellent Result ◽  
Drug Effects ◽  
Pulmonary Involvement ◽  
Oral Diseases ◽  
School Of Dentistry ◽  
Oral Involvement

Paracoccidioidomycosis is a fungal systemic disease with involvement of the lung and buccal mucosa. Objective: A brief bibliographic survey and clinical case report. Case report: A 48-year-old male patient, former smoker, alcoholic and drug user attended the Stomatology Service Lins School of Dentistry with ulcerated lesions in the perioral and intraoral region, with painful symptomatology, weight loss, and severe cough. It was clinically evaluated with suspected paracoccidioidomycosis and underwent complementary tests, including biopsy for evidence of the yeast form of Paracoccidioides brasiliensis. Complementary exams and biopsy were conclusive for paracoccidiodoimycosis, with primary pulmonary involvement and secondary buccal mucosa involvement, being submitted to antifungal treatment with excellent result in thirty days. Conclusion: The dental surgeon must know to diagnose and treat systemic diseases with oral involvement, such as paracoccidioidomycosis, including in a multidisciplinary way, with periodic proservation of the patient, since the lesions may recur due to exacerbation of the clinical picture, drug resistance or even negligence of the patient regarding treatment and adverse drug effects. Key words: Paracocidioidomycosis; Mycoses; Pneumopathies; Oral Diseases

Intraoral Schwannoma: A Rare Case Report

2016 ◽  
Vol 1 (1) ◽  
pp. 20-22
Author(s):  
Ranjan Agrawal ◽  
Prashant Bhardwaj ◽  
Abhinav Srivastava
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Rare Case ◽  
Rare Entity ◽  
Rare Occurrence ◽  
Floor Of The Mouth ◽  
Nerve Sheath ◽  
Rare Case Report ◽  
Sheath Cells

ABSTRACT Schwannomas or neurilemmomas are benign, encapsulated tumor arising from nerve sheath cells. Intracranial Schwannomas are most common with rare occurrence in the extracranial region. It rarely occurs in the floor of the mouth with very few cases reported. We present a rare case report of Schwannoma of the floor of the mouth, thereby highlighting the consideration of this rare entity as one of the differential diagnosis in cases who present to us with swelling of the floor of the mouth and also the importance of immunohistochemistry in coming to the diagnosis. How to cite this article Srivastava A, Mohan C, Bhardwaj P, Agrawal R. Intraoral Schwannoma: A Rare Case Report. Int J Adv Integ Med Sci 2016;1(1):20-22.

scholarly journals Intradural chondroma in the cervical spine: case report

2017 ◽  
Vol 26 (2) ◽  
pp. 257-259 ◽  
Author(s):  
Yusuke Hori ◽  
Masahiko Seki ◽  
Tadao Tsujio ◽  
Masatoshi Hoshino ◽  
Koji Mandai ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Cervical Spine ◽  
Dura Mater ◽  
Spinal Tumors ◽  
Benign Tumors ◽  
Intracranial Tumors ◽  
Rare Occurrence ◽  
Extramedullary Tumor ◽  
Spine Case

Chondromas are benign tumors that are rarely located in the spine. The authors present a rare occurrence of a spinal chondroma that developed as an intradural but extramedullary tumor in a 60-year-old woman. The location of the tumor at C4–5 was confirmed by MRI, with hyperintensity on T2-weighted images and isointensity on T1-weighted images. The tumor was completely contained intradurally, with no continuity to any vertebrae. It adhered to the anterior dura, indicative of its likely origin from the dura mater. The tumor was completely resected, with no sign of recurrence after 3 years postoperatively. Although reports of chondromas originating from the dura mater have been previously described, these have all been intracranial tumors. To the best of the authors' knowledge, this is the first report of an intradural chondroma located in the spine. Therefore, chondromas should be considered in the differential diagnosis of intradural spinal tumors.

Complete Atraumatic Rupture of the Flexor Hallucis Longus Tendon: A Case Report and Review of the Literature

1998 ◽  
Vol 19 (7) ◽  
pp. 472-474 ◽  
Author(s):  
Steven Y. Wei ◽  
J. Bruce Kneeland ◽  
Enyi Okereke
Keyword(s):  
Case Report ◽  
Systemic Disease ◽  
Flexor Hallucis Longus ◽  
Rare Occurrence ◽  
Review Of The Literature ◽  
Surgical Indications ◽  
Longus Tendon

A complete atraumatic rupture of the flexor hallucis longus tendon in a patient without systemic disease is a rare occurrence. Although four cases of complete traumatic ruptures have been cited in the literature, only one case of a complete atraumatic rupture has been previously reported. Presented here is a second case with a review of the literature and a discussion of the surgical indications.

Primary Ewing's Sarcoma of the Mandibular Ramus: A Case Report

1980 ◽  
Vol 88 (3) ◽  
pp. 211-214 ◽  
Author(s):  
Diran O. Mikaelian ◽  
Stuart A. Scherr ◽  
Leopoldo E. Delucca
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Ewing’S Sarcoma ◽  
Ewing's Sarcoma ◽  
Mandibular Ramus ◽  
Diagnostic Dilemma ◽  
Rare Finding ◽  
Diagnosis And Prognosis ◽  
Histopathologic Findings ◽  
Microscopic Findings

Primary Ewing's sarcoma of the mandible is an exceedingly rare finding in the practice of otolaryngology. A case of this neoplasm occurring as a parotid mass is presented. It represented a diagnostic dilemma because of its elusive histopathologic findings. The gross and clinical appearances, microscopic findings, differential diagnosis, and prognosis of this neoplasm are discussed.

Angioleiomyoma of the Lower Leg

2017 ◽  
Vol 107 (3) ◽  
pp. 244-247 ◽  
Author(s):  
Robert L.B. Sprinkle ◽  
Omar P. Sangueza ◽  
Ashleigh E. Wells
Keyword(s):  
Differential Diagnosis ◽  
Smooth Muscle ◽  
Case Report ◽  
Lower Extremity ◽  
Excisional Biopsy ◽  
Lower Leg ◽  
Clinical Findings ◽  
Common Site ◽  
Subcutaneous Tissues ◽  
Vascular Structures

Angioleiomyomas are benign tumefactions that originate from smooth muscle in vascular structures and are difficult to definitively diagnose preoperatively. Although these lesions are rarely encountered in the foot, the lower extremity is the most common site of occurrence. An angioleiomyoma typically manifests as a small, painful, solitary, mobile lesion. This case report describes a lateral retromalleolar para–Achilles tendon insertional location for a moderately sized immobile solid tumefaction in the subcutaneous tissues. The lesion was nonpainful and progressively enlarged over 5 years. An excisional biopsy was performed, and the nodular lesion was subsequently diagnosed histopathologically as an angioleiomyoma. Owing to the ambiguous nature of the clinical findings, angioleiomyoma should be included in the differential diagnosis of lower-extremity soft-tissue manifestations.

scholarly journals Cavernous Malformation of the Hypoglossal Nerve: Case Report and Review of the Literature

2002 ◽  
Vol 29 (2) ◽  
pp. 191-194 ◽  
Author(s):  
Michael Chow ◽  
Bassam Addas ◽  
Virgilio Sangalang ◽  
Renn Holness
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Facial Nerve ◽  
Nerve Palsy ◽  
Hypoglossal Nerve ◽  
Cavernous Malformation ◽  
Cranial Nerves ◽  
Rare Occurrence ◽  
Review Of The Literature ◽  
Cavernous Malformations

Abstract:Objective:To describe a patient who presented with a hypoglossal nerve palsy caused by a cavernous malformation, review the literature on cavernous malformations associated with cranial nerves and the differential diagnosis of hypoglossal palsy.Results:Partial resection of the lesion was achieved and the diagnosis of cavernous malformation proven histologically.Conclusions:Involvement of a cranial nerve by a cavernous malformation is very uncommon and the facial nerve is the example most frequently reported. This case report adds another possible site for this rare occurrence.

scholarly journals Osteoid Osteoma: A Unique Presentation in a Child’s Lesser Toe

2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Michel Bellemans ◽  
Nicolas de Saint-Aubin de Somerhausen ◽  
Phu Quoc Lê
Keyword(s):  
Young Adults ◽  
Differential Diagnosis ◽  
Case Report ◽  
Osteoid Osteoma ◽  
Excisional Biopsy ◽  
Definitive Diagnosis ◽  
Diagnosis And Treatment ◽  
X Ray ◽  
Nocturnal Pain ◽  
Prompt Diagnosis

Introduction. Osteoid osteoma is an uncommon, small, benign, self-limiting, and usually painful tumor of the skeleton. Diagnosis can be straightforward if seen in the usual locations as the femur and the tibia in young adults, who present with nocturnal pain, alleviated by salicylates. The diagnosis can be more challenging in the spine, pelvis, hand, or feet. Case Report. We report the case of an 11-year-old boy who was treated symptomatically for a painful toe since 10 months, without a definitive diagnosis. X-ray, MRI, and scintigraphy, along with the typical nocturnal pain and swelling of the toe, suggested an osteoid osteoma, confirmed by histology after excisional biopsy of the lesion. Conclusion. Osteoid osteoma should always be included in the differential diagnosis when it comes to nocturnal pain without systemic signs, even in unusual places in children. The awareness should lead to a prompt diagnosis and treatment.

scholarly journals Condyloma Latum on the Lower Lip as an Isolated Manifestation of Secondary Syphilis – a Case Report

2016 ◽  
Vol 8 (1) ◽  
pp. 45-50
Author(s):  
Milan Bjekić ◽  
Kiro Ivanovski
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
World Literature ◽  
Systemic Disease ◽  
Secondary Syphilis ◽  
The Body ◽  
Oral Lesions ◽  
Lower Lip ◽  
Secondary Stage ◽  
History Of

Abstract Oral lesions are described in all stages of syphilis, except in the latent stage. During the secondary stage of infection, oral lesions, saliva and blood of infected person are very contagious. The aim of this case report was to point to the secondary syphilis in differential diagnosis of oral diseases. A 30-year-old homosexual man presented with a three-week history of a painless verrucous lesion on his lower lip. Physical examination revealed a hypertrophic painless papillomatous lesion on the lower lip. The lesion was partly split with peripheral fissures. There were no generalized lymphadenopathies and no evidence of systemic disease. Further examination showed no other mucous membrane or cutaneous lesions elsewhere on the body. The external genitalia were normal. The patient was HIV-negative and otherwise healthy. A review of his medical history was significant for previous well documented treatment of anal chancre, which was successfully commenced at our Institute in 2010. It also revealed a history of a single unprotected receptive oral sex with an unknown partner 3 months before the onset of lesion. The diagnosis of condyloma latum on the lower lip was considered on clinical grounds. Laboratory findings, including complete blood count and blood chemistry were within normal limits. The VDRL (venereal disease research laboratory) test was positive with a titre of 1 : 128. Treponema pallidum hemagglutination assay (TPHA) was positive. HIV serology was non-reactive. The final diagnosis of solitary condyloma latum on the lower lip, as the only sign of secondary syphilis, was confirmed by positive results of routine serologic tests for syphilis. The patient was diagnosed with secondary syphilis and treated with a single intramuscular injection of benzathine penicillin, 2.4 million units. The lesion regressed completely within 2 weeks. Three months later the VDRL titer had fallen to 1 : 8 and HIV serology remained negative. Polymorphic oral manifestations in syphilis indicate that this disease should not be overlooked in the differential diagnosis of not only benign, but even malignant oral lesions. In conclusion, as far as the world literature available to us is concerned, this would be the first report of isolated solitary condyloma latum on the oral lip that, in the absence of any other clinical signs or symptoms of the disease, led to the diagnosis of secondary syphilis.

Congenital granular cell epulis: a rare paediatric tumour of newborn

2022 ◽  
Vol 15 (1) ◽  
pp. e244326
Author(s):  
Arun Mamachan Xavier ◽  
Mahija Janardhanan ◽  
Ravi Veeraraghavan ◽  
Balagopal R Varma
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Granular Cell ◽  
Histopathological Analysis ◽  
Intravenous Sedation ◽  
Alveolar Ridge ◽  
Prompt Treatment ◽  
Congenital Granular Cell Epulis ◽  
Microscopic Findings

Congenital granular cell epulis is a congenital growth rarely found on the gingiva of neonates. These remarkably large tumours present in an infant’s mouth may impede with feeding, respiration or adequate mouth closure. Recognition of this entity and prompt treatment are essential for preventing any difficulties for the neonate. This is a case report of a 35-day-old female neonate who presented with a single exophytic lesion in the maxillary alveolar ridge. The differential diagnosis, management regimens and complications of this condition are reviewed. The lesion was excised under intravenous sedation and subjected to histopathological analysis. Based on the microscopic findings, the diagnosis of congenital granular cell epulis was confirmed. Clinicians including paediatricians, sonographers, dentists and surgical pathologists should be able to timely recognise and intervene such tumours as they may be potentially harmful to the infant.

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