A rare case of multiple benign tumors of gingiva in a 4 year old child

Hemangioma is a benign proliferation of blood vessels closely simulating normal vessels which may present at any age from birth to old age. Hemangiomas have a typical clinical pattern of rapid proliferation followed by involution, during which these may present with sudden increase in size raising suspicion of malignancy. However, they almost never turn malignant but occasionally may permeate all tissue barriers in an aggressive fashion. Infantile hemangioma is a form of benign vascular tumour presenting commonly in the head and neck region. This case report presents a very rare case of multiple benign lesions of infantile hemangioma in gingiva with a discussion of the relevant diagnostic and treatment modalities.     

Capillary hemangioma or pyogenic granuloma: A diagnostic dilemma

Pyogenic granulomas and hemangiomas of oral cavity are well-known benign lesions. Although pyogenic granuloma is known to show a striking predilection for the gingiva and capillary hemangioma for lips, check, and tongue, palatal occurrence of these lesions is extremely rare. The clinical diagnosis of such an uncommon occurrence can be quite challenging as they sometimes may mimic more serious lesions such as malignancies. The purpose of this article is to report an unusual case of benign tumor occurring on hard palate which was clinically diagnosed as pyogenic granuloma and histopathologically as capillary hemangioma.     

The development during pregnancy of pyogenic granulomas superimposed upon a congenital hemangioma: a case report

A case of a 25-year old female school teacher with pyogenic granulomas of the gingiva developing during her first pregnancy in the area of a congenital hemangioma is described. The recurrence of the pyogenic granulomas of the gingiva during the second pregnancy could be successfully prevented by scaling and root planing prior to and bi-weekly professional tooth cleaning during pregnancy period. Hormonal changes during pregnancy were in this case found not to influence the development of gingival pyogenic granulomas during maintenance of optimal dental hygiene.     

Oral carcinoma cuniculatum in a young child

From the Department of Dental Specialties, Birmingham Children's Hospital. This case study describes a rare case of oral carcinoma cuniculatum in a 7-year-old female. She presented with an enlarged mass of the anterior maxilla arising from the gingiva. An anterior maxillectomy with immediate prosthetic replacement and obturation of the residual defect were carried out. The management of this case was challenging given the rare nature of the disease, unclear etiology, the patient's young age and the mutilating effects of surgery. The treatment involved a large multidisciplinary team. The provision of obturators was particularly difficult due to poor patient compliance and the extent of surgery carried out in a growing child. Oral cancer in children under 15 years old is extremely rare and this is the youngest case of oral carcinoma cuniculatum reported in the literature.     

胃腺癌牙龈转移的病例报告及文献复习

目的:探讨1例胃腺癌牙龈转移的诊断、治疗及预后情况,为临床上胃癌合并口腔肿物患者的诊断提供参考。方法:报道扬州大学附属苏北人民医院1例胃腺癌牙龈转移患者的临床表现、治疗过程及预后情况,同时结合文献对此类病例的临床特点与诊治进行回顾分析。结果:患者因“右侧下颌后牙区牙龈肿块6个月”来我院就诊,确诊胃腺癌病史1个月。经口腔活检,结合病史考虑为转移性腺癌(牙龈)。收入院后,择期行手术切除牙龈转移瘤,并进行术后化疗。患者目前伤口愈合良好。临床上此类患者较少见,一般胃癌发生口腔转移多为疾病晚期,预后较差,生存时间较短。结论:胃腺癌合并口腔转移病例在临床上较少见,其准确诊断应多结合病史、影像学及病理结果,患者多处于癌症晚期,预后一般较差。临床上对于胃癌患者的口腔肿物需予以重视,避免误诊。     

Malignant hemangiopericytoma of the gingiva: report of a case

A case of malignant hemangiopericytoma arising in the left maxillary gingiva in a 2-year-old boy is presented. This represents an extremely rare intraoral lesion that is impossible to diagnose clinically. Histologic diagnosis was made by use of special staining techniques, immunohistochemical stains, and electron microscopic evaluation. This tumor shows a high incidence of local recurrence with a poor prognosis. The mainstay of treatment is wide local excision and adequate postoperative follow-up.     

Central hemangioma: an overview and case report

Central hemangioma of the mandible and maxilla is extremely rare. Although the mucosal and soft tissue lesions are readily suspected by their clinical appearance, the intrabony lesions may be difficult to distinguish visually. The clinical and radiographic presentation is relatively nonspecific; therefore, a proper diagnosis has to be made. The management of central hemangioma is difficult because of the abundant vascular network in this region. Various therapies have been considered, but surgery has most frequently been used. A case report of an 8-year old boy with central hemangioma of the left mandibular body with vague clinical features but a characteristic radiographic and histological picture of central hemangioma is presented here. Also presented is a literature review that includes: (1) clinical features; (2) radiographic appearance; (3) histology; and (4) possible treatment modalities. Enbloc resection of the mandible was performed, followed by the insertion of a reconstruction plate, which will later be replaced by an autogenous graft.     

Papillary squamous cell carcinoma presenting on the gingiva

BACKGROUND: Papillary squamous cell carcinoma (PSCC) is a rare variant of squamous cell carcinoma. PSCC can occur as either an in situ or invasive tumor. The sites of occurrence in order of the most to least prevalent are the larynx, oropharynx, and nasopharynx. We present an unusual case of PSCC occurring on the gingiva. METHODS: A 72-year-old white female presented with a chief complaint of tooth mobility in the right posterior mandible. Clinical examination revealed a Miller's Class 2 mobility of tooth #28 along with an erythematous, papillary appearance of the lingual gingiva on teeth #27, #28, and #29. Her dental history revealed treatment of tooth #28 with locally delivered antibiotics. Her medical history revealed a diagnosis of breast cancer 8 years prior to examination that was treated with partial mastectomy and radiation therapy. An initial differential clinical diagnosis of verrucous carcinoma or metastatic carcinoma was made. RESULTS: Surgical therapy included extraction of tooth #28 and an excisional biopsy of the lesion on the lingual gingiva. Microscopic evaluation of the gingival specimen revealed a neoplastic papillary proliferation of the surface epithelium with a thick layer of parakeratin, deep parakeratin-lined crypts, and a thickened spinous cell layer along with islands and strands of malignant epithelium. The microscopic appearance of the lesion was characteristic for PSSC. The patient's tumor was removed via a block resection that included teeth #27 through #31 and a radical neck dissection. CONCLUSIONS: This is a case report of PSCC occurring on the gingiva. This report demonstrates that, even though oral cancers involving the periodontium are a relatively rare occurrence, periodontists cannot be complacent about the diagnosis of periodontal bone loss. It also highlights the importance of utilizing a histopathologic examination to confirm the clinical diagnosis for any suspicious lesion.     

Peripheral ameloblastoma

Peripheral ameloblastoma is a rare odontogenic neoplasm, which arises in the tooth-bearing gingiva or other oral soft tissues and has no invasive character as compared with an intraosseous ameloblastoma. A new case of the neoplasm has been presented, and the literature concerning behavior, histogenesis, and treatment of this entity has been evaluated.     

牙龈腺泡细胞癌1例报告及文献复习

本文报告了1例发生于右上颌牙龈的腺泡细胞癌病例,并回顾相关文献,总结口腔颌面部异位腺泡细胞癌的临床及病理特点。口腔颌面部异位腺泡细胞癌生长缓慢,或有疼痛、神经麻木,治疗以手术为首选,复发和转移率不高,必要时辅以放化疗。     

Pancreatic carcinoma metastatic to the mandibular gingiva

A case of metastatic pancreatic adenocarcinoma to the gingiva of a 46-year-old black man is presented. The literature of these rare lesions is reviewed.     

Peripheral ameloblastoma: a case report

Peripheral ameloblastoma is a rare odontogenic soft tissue tumor, derived from epithelial and/or mesenchymal elements being part of the tooth-forming apparatus. The lesion responses for approximately 1% to 5% of all cases of ameloblastoma affecting alveolar mucosa and gingiva occur, mainly, in the middle age. This article describes a case of peripheral ameloblastoma involving a 20-year-old male located in the (upper/lower, vestibular/buccal) gingiva. After the case presentation, clinical and microscopic findings are discussed.     

Oral Geotrichum candidum infection associated with HIV infection. A case report.

Infections with Geotrichum species, although rare, are sometimes seen in immunocompromised hosts. We report a case of oral geotrichosis in a patient seropositive for human immunodeficiency virus who had erythematous mandibular and maxillary gingiva but was otherwise free of any active systemic disease. Geotrichum candidum was shown by both culture and histopathology to be present in the lesion and was deduced to be the causative organism. The patient responded well to several weeks of treatment involving oral topical administration of nystatin vaginal tablets.     

Carcinoma of the lung metastatic to the gingiva: review of the literature and report of case.

A rare case of metastasis to the gingiva from carcinoma of the lung has been presented. From the review of the literature, only ten other cases have met the criteria to be considered as metastatic malignancy to the gingiva.     

Labial piercing and localized periodontal destruction – partial periodontal regeneration following periodontal debridement and free gingival graft

Abstract –  Localized periodontal destruction has been reported as a rare complication of intraoral piercings. The purpose of this case report was to illustrate the destructive nature of a lip stud and to describe the successful treatment of this case. The lip stud was removed and supra- and subgingival debridement was performed. Because of a shallow vestibule, the absence of keratinized gingiva, and the strong frenulum insertion at the gingival margins, a free gingival graft was placed. Subsequently the patient demonstrated a significant amount of osseous regeneration and partial coverage of the recession, which has been clinically and radiographically (computed tomography) documented.     

Odontogenic epithelial hamartoma of the gingiva: a case report.

A rare case of odontogenic epithelial hamartoma of the gingiva in a 63-year-old Japanese female is reported. This tumor-like lesion probably originated from the reduced tooth-forming tissues such as rests of dental lamina lying dormant in the gingiva after odontogenesis. The differential diagnosis of this lesion from many other odontogenic and glandular tumors is important; however, through careful clinico-pathological examinations, it would not be a very difficult task.     

Mandibular gingival metastasis from a rectal adenocarcinoma

A rare case of adenocarcinoma of the rectum with involvement of the mandibular gingiva is presented.     

Intraosseous hemangioma of the maxillofacial district: clinical analysis and surgical treatment in 10 consecutive patients

The aims of this study are to illustrate functional and esthetic results obtained with different surgical strategies and to report a review of the relevant literature. There were 6 female patients and 4 male patients included in this study, with an average age of 35.7 years. Zygomatic bone was affected in six cases, the mandible in two cases, the medial orbital wall in one case, and the upper jaw in one case. In all 10 patients, surgery consisted of a wide excision of the intraosseous hemangioma with margins of 3 mm at least to ensure complete removal. Immediate reconstruction was carried out in 5 of the 10 patients. An analysis indicates that intraosseous hemangiomas of the maxillofacial area are rare; diagnosis can be difficult and is mainly based on computed tomography scans. Surgical excision, with previous angiography and embolization in cases of intraosseous hemangioma with a larger dimension or abnormal blood supply, is the treatment of choice.     

Labial piercing and localized periodontal destruction - partial periodontal regeneration following periodontal debridement and free gingival graft.

Localized periodontal destruction has been reported as a rare complication of intraoral piercings. The purpose of this case report was to illustrate the destructive nature of a lip stud and to describe the successful treatment of this case. The lip stud was removed and supra- and subgingival debridement was performed. Because of a shallow vestibule, the absence of keratinized gingiva, and the strong frenulum insertion at the gingival margins, a free gingival graft was placed. Subsequently the patient demonstrated a significant amount of osseous regeneration and partial coverage of the recession, which has been clinically and radiographically (computed tomography) documented.     

Large cell carcinoma of the lung metastatic to the mandibular gingiva

BACKGROUND: Although metastases of malignant tumors to the jaws are not unusual, metastases to the gingival soft tissues are relatively rare. METHODS: The clinicopathologic features of a metastatic tumor in the mandibular gingiva originating from lung cancer are described. The patient, a 61-year-old man, was admitted to the hospital with complaints of bloody sputum and chest pain while coughing. The patient's chest radiograph showed an abnormal mass in the left upper lobe. After admission, the patient noticed a swelling of the right mandibular gingiva. Histological and immunohistochemical analysis for tumors of the gingiva and the lung were performed. RESULTS: Radiographic examination did not indicate involvement of the underlying bone. The histopathological findings showed that the gingival tumor consisted of a large cell carcinoma, and the mass of the upper lobe displayed the same histology as that found in the gingiva. Immunohistochemical investigation of the gingival tumor revealed similar results to those found in the mass of the lung. Based on the clinicopathologic findings, this case was diagnosed as primary lung cancer with the gingival tumor deemed metastatic. Multiple metastases were found in areas other than the oral cavity; radiation and chemotherapy for the gingival tumor were performed due to persistent bleeding and pain. CONCLUSIONS: The resemblance of this gingival mass to an inflammatory lesion demonstrates the need for a detailed examination. This case also emphasizes the need to evaluate positive treatment needed to relieve complications in the mouth, even if the prognosis of the primary tumors remains unfavorable.