Additional treatment with Carnoy solution in surgical therapy of ameloblastomas: Case report

Introduction: Ameloblastoma is a benign neoplasm characterized by the proliferation of odontogenic epithelium that mainly affects the gnathic bones and, due to its invasive and expansive growth, presents high rates of recurrence to surgical treatment. Among the most conservative treatments are enucleation and marsupialization; among radicals, resections are more widespread. Objective: The objective is to present, through a case report, conservative surgical treatment with enucleation followed by the use of the Carnoy solution. Case report: A 24-year-old male patient arrives at the outpatient clinic of Hospital da Restauração with painful complaints of mild and constant intensity in the region of the left mandibular angle, with an evolution of three weeks. After a panoramic X-ray, the presence of the included 38 tooth was associated with an extensive unilocular radiolucent lesion, surrounding the angle and mandibular ramus. Preoperative examinations were performed for incisional biopsy. Histopathological diagnosis was unicystic ameloblastoma. In view of the histopathology obtained, we opted for enucleation of the lesion with concomitant use of direct Carnoy solution in the region of the lesion. Discussion: The choice of therapeutic behavior depends on the size, type of lesion, location and histopathology. After the surgical decision, a radiographic clinical follow-up is necessary to assess possible recurrences. Carnoy's solution is a cauterizing agent with moderate tissue penetration, rapid local fixation and hemostatic action, whose surgical use in cystic lesions has occurred since the beginning of the 20th century. Conclusion: Conservative treatment with the enucleation technique followed by complementary therapy using Carnoy's solution proved to be quite effective.

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Spindle Cell Hemangioendothelioma of the Temporal Muscle Resected with Zygomatic Osteotomy: A Case Report of an Unusual Intramuscular Lesion Mimicking Sarcoma

Case Reports in Surgery ◽

10.1155/2011/481654 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Tomohiro Minagawa ◽

Takeshi Yamao ◽

Ryuta Shioya

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Soft Tissue ◽

Soft Tissue Sarcoma ◽

Spindle Cell ◽

Neck Region ◽

Benign Neoplasm ◽

Low Grade ◽

Temporal Muscle ◽

Head And Neck Region

Spindle cell hemangioendothelioma (SCH) was originally described by Weiss and Enzinger (1986) as a low-grade angiosarcoma resembling both cavernous hemangioma and Kaposi's sarcoma. Recent studies suggest that SCH is a benign neoplasm or reactive lesion accompanying a congenital or acquired vascular malformation. Most SCHs present as one or more nodules affecting the dermis or subcutis of the distal extremities. Few reports describe SCH of the head and neck region; even fewer note intramuscular SCH. Here, we describe a case of SCH involving the temporal muscle mimicking soft tissue sarcoma, who had a successful surgical treatment with a coronal approach and zygomatic osteotomy.

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Surgical Treatment of Odontogenic Keratocyst with Application of Carnoy's Solution: Case Report

Journal of Health Sciences ◽

10.17921/2447-8938.2019v21n2p108-111 ◽

2019 ◽

Vol 21 (2) ◽

pp. 108

Author(s):

Adriano Lima Garcia ◽

Marden José Pereira Ramos Júnior ◽

Eduvaldo Campos Soares Júnior ◽

Bruno Reinoso Noronha ◽

Thiago Iafelice dos Santos ◽

...

Keyword(s):

Surgical Treatment ◽

Treatment Protocol ◽

Odontogenic Keratocyst ◽

Histopathological Diagnosis ◽

Squamous Cells ◽

Carnoy’S Solution ◽

Neoplastic Lesions ◽

Mandibular Body ◽

Teeth Development

AbstractOdontogenic cysts are benign non-neoplastic lesions that originate from epithelial cells Arachnida-Araneae) community in the process of the teeth development. Among them, the odontogenic keratocyst is a developmental cyst characterized by its epithelium of parakeratinized stratified and aggressive squamous cells as well as infiltrative behavior. Thus, the objective of this study was to describe a clinical case of surgical treatment of odontogenic keratocysts in a 52-year-old female patient, who presented for the treatment of a large lesion in a region of the left mandibular body and angle. After incisional biopsy and installation of a decompression device, the histopathological diagnosis of odontogenic keratocyst was obtained. Subsequently to a period of 9 months with the decompression device in place, a decrease of the lesion was noticed, thus allowing intervention to be performed the excision of the lesion. Thus, the patient was subjected, under general anesthesia, to enucleation of the lesion as the main treatment, with complementary maneuvers of peripheral ostectomy and application of Carnoy solution over the remaining bone bed. After an outpatient follow-up of 16 months, no signs of recurrence of the lesion were observed. The proposed treatment was efficient in removing the keratocyst with minimal surgical morbidities. In conclusion, the treatment protocol was effective and conservative in the surgical management of the lesion, allowing rapid recovery and return of the function. Keywords: Bone Cysts. Decompression. Dental Care. ResumoCistos odontogênicos são lesões benignas não-neoplásicas que tem por origem células remanescentes epiteliais do processo de formação do órgão dental. Dentre elas, o queratocisto odontogênico é um cisto de desenvolvimento caracterizado por seu epitélio de células escamosas estratificadas paraqueratinizadas, pelo comportamento agressivo e infiltrativo. Sendo assim, o objetivo desse estudo foi descrever um caso clínico de tratamento cirúrgico do queratocisto odontogênico em uma paciente do gênero feminino de 52 anos de idade, que compareceu para o tratamento de uma lesão de grande porte em região de corpo e ângulo mandibulares à esquerda. Após biópsia incisional e instalação de um dispositivo descompressivo, obteve-se o diagnóstico histopatológico de queratocisto odontogênico. Posteriormente a um período de 9 meses com o dispositivo de descompressão em posição, notou-se uma diminuição da lesão, permitindo assim a execução de intervenção para exérese da lesão. Assim, a paciente foi submetida, sob anestesia geral, à enucleação da lesão como tratamento principal, com manobras complementares de ostectomia periférica e aplicação de solução de Carnoy sobre o leito ósseo remanescente. Após um acompanhamento ambulatorial de 16 meses, não foi observado nenhum sinal de recorrência da lesão. O tratamento proposto foi eficiente em remover o queratocisto com as mínimas morbidades cirúrgicas. Concluindo, o protocolo de tratamento foi efetivo e conservador no manejo cirúrgico da lesão, permitindo rápida recuperação e retorno da função. Palavras-chave: Cistos Ósseos. Descompressão. Assistência Odontológica.

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Odontogenic Keratocyst Associated With Supernumerary Tooth: A Case Report

Journal of Oral Health and Community Dentistry ◽

10.5005/johcd-9-2-96 ◽

2015 ◽

Vol 9 (2) ◽

pp. 96-98

Author(s):

PD Kumar ◽

S Devadiga ◽

R Agrawal ◽

CH Mahabaleshwar

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Cystic Lesion ◽

Dentigerous Cyst ◽

Benign Neoplasm ◽

Odontogenic Keratocyst ◽

Behavioral Characteristics ◽

Supernumerary Tooth ◽

Submandibular Region ◽

Odontogenic Origin

ABSTRACT The odontogenic keratocyst (OKC) is a cystic lesion of odontogenic origin that demonstrates the behavioral characteristics of a benign neoplasm and has a propensity to recur after surgical treatment. This is a case report a 45-year-old male presented with a solitary swelling in the submandibular region, which was clinically diagnosed as dentigerous cyst. The microscopic examination revealed the presence of odontogenic keratocyst.

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Large Angioleiomyoma on the Face

International Journal of Head and Neck Surgery ◽

10.5005/jp-journals-10001-1025 ◽

2010 ◽

Vol 1 (2) ◽

pp. 125-127

Author(s):

Vikram Kulkarni ◽

Vidisha Athanikar ◽

Trupti Katti

Keyword(s):

Case Report ◽

World Literature ◽

Rare Case ◽

Histopathological Diagnosis ◽

The World ◽

The Face ◽

Microscopic Features ◽

Size Firm ◽

Size Type ◽

The Right

Abstract Objective To report a rare case of angioleiomyoma with regard to size, type (variant) and location. Case report 45 years old male presented with painless swelling on the right side of the face since 2 years. On examination, the swelling was 4 cm × 3 cm in size, firm in consistency with well-defined margins. It was not adhering to overlying skin and underlying structures. The swelling was excised and sent for histopathological diagnosis. It was reported as solid variant of angioleiomyoma based on microscopic features. Conclusion According to the world literature, large angioleiomyoma on face is rare or not reported yet (usually less than 2 cm) and location (usually externar ear, tip of nose, lip). This case is presented for its uniqueness in size —large (4 cm x 3 cm); painlessness; variant; and location.

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Multimodal non-surgical treatment of a feline tracheal adenocarcinoma

Journal of Feline Medicine and Surgery Open Reports ◽

10.1177/2055116916689630 ◽

2017 ◽

Vol 3 (1) ◽

pp. 205511691668963 ◽

Cited By ~ 1

Author(s):

Carolina Azevedo ◽

William Brawner ◽

Stephanie Schleis Lindley ◽

Annette Smith

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Kinase Inhibitor ◽

External Beam Radiation ◽

Histopathological Diagnosis ◽

Term Outcome ◽

Beam Radiation ◽

Long Term Outcome ◽

History Of ◽

Non Surgical Treatment

Case summary A 10-year-old, castrated male domestic shorthair cat presented with a 2–3 month history of weight loss, lethargy and coughing. Thoracic radiographs revealed a soft tissue opacity overlying the dorsal trachea from the first rib to second rib and the ventral aspect of the trachea extending from the second rib to approximately the fourth rib. CT confirmed a mass involving the dorsal, right lateral and ventral aspects of the trachea narrowing the lumen and extending from vertebra C7 through T4. Bronchoscopy revealed a partially circumferential irregular and multilobulated tracheal mass, which was biopsied. The histopathological diagnosis was tracheal adenocarcinoma. The cat was treated with a definitive course of external beam radiation therapy (RT; 3 Gy × 18), cytotoxic chemotherapy, a tyrosine kinase inhibitor and palliative RT. The cat remained asymptomatic for 2 months and the mass remained stable radiographically for 11 months after RT. Relevance and novel information With multimodal treatment the cat had a survival time of 755 days. Initial treatment included definitive RT, carboplatin and piroxicam, followed by toceranib phosphate and palliative RT when the mass recurred. This case report describes the first documented use of non-surgical treatment and long-term outcome of tracheal adenocarcinoma in a cat. This case report is an indication that prolonged survival can be achieved with multimodal therapy.

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Ossifying fibroma in an adolescent boy and his mother: a case report

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20213103 ◽

2021 ◽

Vol 9 (8) ◽

pp. 2478

Author(s):

Jaseela T. K. ◽

Priya P. V. ◽

Sankar Sundaram

Keyword(s):

Case Report ◽

Benign Neoplasm ◽

Familial Occurrence ◽

Ossifying Fibroma ◽

Histopathological Diagnosis ◽

History Of ◽

The Right

Cemento-ossifying fibroma is a rare benign neoplasm occurring in the tooth bearing areas of mandible and maxilla. Here we report a case of an adolescent boy who presented with swelling in the right side of mandible. It was excised surgically and histopathological diagnosis of cement-ossifying fibroma was made. His mother also had history of cemento-ossifying fibroma 10 years back. This case is being reported for its rare incidence and familial occurrence.

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The Role of Navigation and Ultrasound Piezosurgery in the Surgical Treatment of Hypertelorism: A Case Report

Journal of Neurological Surgery Part B Skull Base ◽

10.1055/s-0034-1384180 ◽

2014 ◽

Vol 75 (S 02) ◽

Author(s):

S. Heredero ◽

J. Solivera ◽

A. Romance ◽

A. Dean ◽

J. Lozano

Keyword(s):

Case Report ◽

Surgical Treatment

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Hemangiomatosis of the greater omentum – a case report

Perspectives in Surgery ◽

10.33699/pis.2019.98.4.178-180 ◽

2019 ◽

Vol 98 (4) ◽

pp. 178-180

Keyword(s):

Case Report ◽

Surgical Treatment ◽

Histological Examination ◽

Case Reports ◽

Greater Omentum ◽

Surgical Removal ◽

Consumption Coagulopathy ◽

Cavernous Hemangiomas ◽

Mesodermal Origin ◽

Benign Tumours

Cavernous hemangiomas are benign tumours of mesodermal origin. Even though various localizations of hemangioma have been described in the literature, its occurrence in the greater omentum is very rare. Only symptomatic hemangiomas are indicated for surgical treatment. There are case reports presenting resection or surgical removal of the greater omentum with hemangioma because of mechanical syndrome, consumption coagulopathy, bleeding, infection or suspicion of a malignancy. This article presents a case report of a patient operated on for a suspicion of carcinomatosis of the greater omentum. Histological examination found hemangiomatosis in the resected greater omentum.

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