Regional and Distant Metastasis of Oral Squamous Cell Carcinoma in a Male Castrated Llama: A Case Report

A 19-year-old male castrated llama presented with a 3-year history of tooth root abscesses and an osseous mass on the left mandible. Surgical excision of the affected teeth and mass was performed, and histopathologic review indicated that the mass was an oral squamous cell carcinoma. The patient was admitted to the hospital again 4 months later in severe respiratory distress with submandibular edema, and bicavitary effusion. Necropsy results revealed regional and distant metastatic squamous cell carcinoma.

The termite genus Glyptotermes (Isoptera: Kalotermitidae) in Miocene amber from Ethiopia

A new species of drywood termite (Isoptera: Kalotermitidae) is described from a nearly complete alate specimen preserved in early Miocene Ethiopian amber. Glyptotermes abyssinicus new species is distinguished by its U-shaped head with 12-segmented antennae, the ocelli separated from the eye margin, the right mandible with an obtuse angle between the apical and first marginal teeth, the left mandible with an obtuse angle between the apical and first + second marginal teeth, and the wing venation. This is the first termite reported from Ethiopian amber, and the fourth Miocene species of the extant genus Glyptotermes Froggatt, 1897, together with species previously described from diatomites of China and amber from the Dominican Republic. As the oldest report of the genus known from Africa, G. abyssinicus n. sp. constitutes an interesting new record for the biogeographical history of the kalotermitid lineage. UUID: http://zoobank.org/7670b045-fb31-4809-8116-4d14c4dd275b

Refining the mandibular osteoradionecrosis rat model by in vivo longitudinal µCT analysis

Osteoradionecrosis (ORN) is one of the most feared side effects of radiotherapy following cancers of the upper aero-digestive tract and leading to severe functional defects in patients. Today, our lack of knowledge about the physiopathology restricts the development of new treatments. In this study, we refined the ORN rat model and quantitatively studied the progression of the disease. We tested the impact of radiation doses from 20 to 40 Gy, delivered with incident 4MV X-ray beams on the left mandible of the inbred Lewis Rat. We used micro-computed tomography (µCT) to obtain in vivo images for longitudinal bone imaging and ex vivo images after animal perfusion with barium sulphate contrast agent for vessel imaging. We compared quantification methods by analyzing 3D images and 2D measurements to determine the most appropriate and precise method according to the degree of damage. We defined 25 Gy as the minimum irradiation dose combined with the median molar extraction necessary to develop non-regenerative bone necrosis. µCT image analyses were correlated with clinical and histological analyses. This refined model and accurate methods for bone and vessel quantification will improve our knowledge of the progression of ORN pathology and allow us to test the efficacy of new regenerative medicine procedures.

Termites (Insecta: Isoptera) diversity in forest conseccion areas of PT Inhutani I, Indonesia

Termites as wood biodeterioration agents have an important role in the ecosystem. This study aimed to observe termite diversity. A termites survey was conducted on Forest Concession Areas of PT. Inhutani I, South Sulawesi Indonesia. The termite specimens collected used the standardized transect sampling protocols at three different sites (forest with mixed vegetation, Pinus merkusii plantation, and logged-over area; and measurement of nine morphological characters of the soldier was conducted, i.e: head length without mandibles, head width at base of mandible, maximum width of head, left mandible length, pronotum length, maximum width of pronotum, postmentum length, postmentum width of postmentum, and the number of antenna segments. The results showed that there are four species found based on the morphological characteristics and morphometrical data, namely: Odontotermes javanicus., Nasutitermes sp., Schedorhinotermes sp. and Coptotermes curvignathus. The highest termite abundance was found in forest with mixed vegetation. The termite diversity in logged-over area and forest with mixed areas was moderate, while species diversity in pine plantation was low.

Adenoid Cystic Carcinoma of the Gingiva: A Case Report and Literature Review

Objectives: Adenoid cystic carcinoma (ACC) is a commonly encountered salivary gland malignancy. However, it rarely occurs in the gingiva, an area generally thought to be devoid of minor salivary glands. We present a case occurring in this unusual site and review other reported cases. Methods: A 56 year-old male presented with a right-sided mandibular toothache for 1 year and underwent dental extraction. Due to persistent pain, follow up examination revealed a large gingival lesion. A biopsy was positive for adenoid cystic carcinoma. Results: The patient underwent a complete right segmental mandibulectomy and was reconstructed with a fibular osteocutaneous free flap. Three months postoperatively, during the planning for adjuvant radiation therapy, the patient developed pain in the left mandible. Imaging revealed extensive involvement of the left native mandible. Deep bone biopsies in several areas of the left mandible revealed ACC. He then underwent a complete left hemi-mandibulectomy and reconstruction with a fibular osteocutaneous free flap. Tensor fascia lata suspension slings were placed due to concern for an open mouth deformity attributable to disruption of bilateral masticator slings. He will undergo adjuvant radiation therapy. Our review of the literature revealed 50 cases of gingival ACC published since 1972. Disease recurrence and distant metastases were noted in several patients, occurring at the latest after 30 years follow-up. Conclusions: Given its indolent behavior, high proclivity for late recurrence and metastasis, and overall infrequency, ACC represents a pathology that requires early diagnosis and comprehensive long-term surveillance. While ACC is well described in oral cavity sites with high densities of minor salivary glands, it is not commonly seen in the gingiva. As such, gingival ACC may display a unique biological and/or clinical character. We offer the first literature review of this rare entity.

A fetus with a mass in the oral cavity: a rare case of oral eruption cyst

BackgroundAn ultrasonographic examination is widely used for prenatal screening of abnormal findings. The approach to the oral cavity of the fetus requires special attention because many aspects are unique and peculiar to this period of life. Obstetricians and pediatricians should be aware of the characteristics of normal patterns and be prepared to make a correct diagnosis. Congenital eruption cysts(EC) are rarely observed in fetuses and newborns, because at this stage of life, tooth eruption is unusual. Case presentationWe report a 26-year-old woman who had a sonographic examination at 27+5 weeks of pregnancy that showed a fetal oral cyst. During an ultrasound examination, we detected a hyperechogenic solid mass with a homogeneous texture. This mass was well circumscribed with a layer of anechoic area with no abnormal vessel. The cyst appeared to originate from the body of left mandible. Real-time assessment showed that the cyst was fixed and confined to inferior maxilla. Her neonate was finally diagnosed with EC. ConclusionUltrasound can reveal the distinctive features of oral cysts lesion and can be useful for the differential diagnosis. The treatment was required mainly by the symptomatology of the newborn. Therefore, prenatal ultrasonography could be used to conjecture the position and size of the mass, which is considered to be useful for localized and qualitative diagnosis prior to afterbirth treatment. Our findings indicate that ultrasound is an appropriate diagnostic tool to identify antenatal EC.

Concomitant bilateral mandibular cemento-ossifying fibroma and cementoblastoma: case report of an extremely rare occurrence

Background Cemento-ossifying fibroma (COF) and cementoblastoma (CB) are rare benign odontogenic tumors with a predilection for the mandible. Cemento-ossifying fibroma is a fibro-osseous lesion that originates in the tooth bearing areas of jaw and shows cementum-like tissue in a fibrotic stroma. Cementoblastoma is classically related to roots of teeth with the presence of calcified cementum-like material. To date, only a single case of concomitant unilateral COF and CB has been reported in the literature. Case presentation We present an unusual case of a 37-year-old female who presented with two discrete bilateral swellings in the right and left mandible for 10 years. The larger tumor involved the left posterior mandible with extension anteriorly to the left and right anterior mandibles, and the smaller tumor was present in right posterior mandible. Radiology revealed two distinct lesions involving both sides of mandible. Histopathological examination showed characteristic features of cemento-ossifying fibroma in sections of the larger tumor and cementoblastoma in sections of smaller tumor. Conclusion This case shows the very unique bilateral co-existence of COF and CB, the second case reported in literature to date.

Maxillofacial Radiology 191

A 9-year-old female presented with a history of a firm painless bony swelling at the left mandible. A pantomograph (Figure 1) revealed a large radiopaque mass in the mandibular body with impaction of the 36. What are the most distinguishing radiological features and what is your provisional diagnosis?

Floresorchestia xueli, a new terrestrial crustacean (Amphipoda, Talitridae) from Yunnan, China

A new species, Floresorchestia xueli Tong & Hou, sp. nov. is described from high altitude habitats of Yunnan, China. The species differs morphologically from its congeners by left mandible lacinia mobilis having four teeth; coxal gills complexly lobed and convoluted; epimeral plates II–III without slits; telson with one slender facial spine and two terminal spines on each lobe. Analysis of DNA barcode sequences and niche distinctiveness support recognition of the new species.

A case of periosteal fasciitis located in the mandible in a child

Periosteal fasciitis (PF), a subtype of nodular fasciitis, is an uncommon benign soft-tissue mass that originates from the periosteum or tissues adjacent to bones. PF has rarely seen in children, especially involving in the mandible. This case report presents a rare case of PF originating from the periosteum of the mandible in an 11-year-old girl. She was referred to our hospital with fast-growing painless swelling in her left mandible. Computed tomography revealed an exophytic juxtacortical mass eroding the lower part of the left mandible and lower mandibular cortex with a periosteal reaction. The mass showed low signal intensity on T1-weighted magnetic resonance imaging (MRI) and high signal intensity on T2-weighted MRI. The apparent diffusion coefficient (ADC) of the lesion found to be moderate. Dynamic contrast-enhanced MRI revealed a gradual increment pattern in the central region of the mass. On 18F-fluorodeoxyglucose (FDG) positron-emission tomography/computed tomography (PET/CT), relatively high 18F-FDG uptake was observed on the early scan and the 18F-FDG uptake was declined on the delayed scan. The clinical and conventional radiological findings of the mass were suggestive of malignancy. However, the findings of ADC and dynamic MRI and dual-time-point FDG-PET/CT favored benign etiology over malignant etiology. Histological and immunohistochemical findings along with reactive ossification of the periosteum confirmed the diagnosis of PF. Currently, comprehensive examinations, such as clinical, imaging, and histopathological examinations, are recommended for the definitive diagnosis of PF, while MRI and dual-time-point FDG-PET/CT could have a potential usefulness to differentiate from malignancy.