The reclassification was due to the special features like enhanced mitotic rate, epithelial budding of basal layer or daughter cysts, chromatid aberrations, PTCH gene mutation. [7,8,9,10,11,12] Studies have shown that Keratocystic odontogenic tumour is more commonly seen in the mandible compared to maxilla (75.58%) with primary site being posterior ramus area followed by the anterior region. Maxillary lesions show predilection to 3rd molar area followed by cuspid. In the above reported case the lesion was in the maxilla extending from the canine to molar area which is a rare site of occurrence. [5, 6, 13, 14] Although it can occur at any age, significant predilection is in second to third decade of life more commonly in male patients.
PERIPHERAL OSSIFYING FIBROMA IN ELDERLY FEMALE PATIENT: case report INTRODUCTION Peripheral ossifying fibroma is a non-neoplastic proliferative process of multifactorial aetiology. This slow growth lesion is one of the most common inflammatory hyperplastic lesions of the oral cavity (EVERSOLE L.R; SABERS W.R, ROVEIN S, 1972 In: JUNIOR J.C.M; KEIM F.S; KREIBICH M.S, 2008). The pathogenesis of the lesion remains unclear, but is often associated with undifferentiated cells in the periodontal ligament, that when stimulated by irritants, for example, calculus, biofilm, the presence of orthodontic appliance with poor hygiene, crowns destruction caused by Carie cavities, traumatic restorations, as well as masticatory forces and impaction of food;
Air confined only to the cochlea was seldom reported.2,5 The mean age at presentation was 25 years with male preponderance.1 CT imaging is a valuable tool to diagnose traumatic pneumolabyrinth. Since the absence of a temporal bone fracture on the initial CT doses not necessarily eliminate a vestibular, cochlear or ossicular chain involvement, a millimeter-scale slices directed towards the temporal bone is recommended.9 In our patient, pneumolabyrinth might have been detected earlier with the use of a high-resolution CT scan centered towards the temporal bone with a bone window in the axial and coronal planes. Vestibular symptoms usually have more favorable prognosis after treatment. Whereas, hearing recovery outcome after traumatic pneumolabyrinth is assumed to be influenced by the following factors: the interval until surgery, the presence of stapes lesions and air location on CT. With longer interval until surgery, hearing recovery was reduced. 54% of Patients receiving surgery with an injury to surgery interval less than 2 weeks demonstrated an improved
there were gingival hyperplasias, multiple nodular lesions on the posterior neck, in the nares, on the ears bilaterally. no obvious osteolytic lesions or joint deformities were noted. The lesions were soft to firm in consistency and non-tender. There was no significant lymphadenopathy or hepatosplenomegaly. Hematological and biochemical investigations were within normal limits.
We present a case of a 31 years old female who presented to us with a heliotrope rash, gottron papules, and shawl signs associated with proximal muscle weakness. She had no history of any constitutional symptoms of malignancy, however incidentally she was found to having a small palpable lymph node in her axilla. Later on screening she was diagnosed as having breast cancer. This case is a reminder that a common disease (breast cancer) may present with uncommon features (DM as a paraneoplastic syndrome), and physicians must consider malignancy as the underlying systemic process when an adult patient presents with DM. Key Words Dermatomyositis, paraneoplastic syndrome, Breast cancer Introduction Case Report
Papanikolaou” of Thessaloniki complaining of a painless swelling in the upper right anterior region of the maxilla since two months, with a history of a rapid increase in the size in the last ten days. Intraoral examination showed a swelling approximately 4 cm in size, which was non tender, dome shaped, ulcerated extending from central incisor to second molar region. It was hard in consistency on palpation. The overlying mucosa was of the normal color as the adjacent mucosa. The mobility of teeth (11, 12, 14, 15 and 53) was observed.
There was no sonographic evidence of cholelithiais or choledocholithiasis. HIDA scan revealed sluggish & delayed emptying by the distended gall bladder even after fatty meal with an ejection fraction of <14%. Contrast enhanced CT scan showed a benign appearing cyst of water density with imperceptible wall measuring 3 x 3 cm noted along the falciform ligament between the right and left lobe of the liver suggestive of falciform ligament cyst. No significant abnormality was seen in chest radiograph. Her complete blood count, renal and liver function parameters were found to be within normal limits.
In the present case of a 25 year- old female , 3x2 cm large indurated mass was found in the left side of retromolar region and radiograph was taken. After surgical removal, an embedded crown portion was evident along with an indurated mass. Biochemical analysis
PERIPHERAL OSSIFYNG FIBROMA: CASE SERIES OF THREE CASE REPORTS INTRODUCTION Many variants of localized reactive lesions may occur on the gingiva, including focal fibrous hyperplasia, pyogenic granuloma, peripheral giant cell granuloma and peripheral ossifying fibroma (POF).1–3 The etiology of these lesions may be trauma, microorganisms, plaque, calculus, restorations and dental appliances.2,3 POF is a lesion that mainly affects women in the second decade of life.6 The lesions are most often found in the gingiva, located anterior to the molars and in the maxilla.7 POF clinically manifests as a well‑defined and slow-growing gingival mass measuring under 2 cm in size and located in the interdental papilla region.The base of the lesion may be sessile or pedunculated, the color is identical to that of the gingiva or slightly reddish and the surface may appear ulcerated.This paper presents a series of three case reports of POFs reported and treated at our college. CASE REPORTS CASE 1 A healthy 50‑year‑old male reported to the Department of Periodontics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, India, complaining of swelling in gums in upper front tooth region since 2 years. No history of associated pain and bleeding from the overgrowth was reported by the
Those placentas on which the clinician subsequently requests a complete pathological examination can be retrieved. 9,19 In the current study, in our institution placentas from patients with inclusion criteria were processed and studied for histopathological