Asunto(s)
Neoplasias Maxilares/diagnóstico , Sarcoma Sinovial/diagnóstico , Biopsia , Terapia Combinada , Diagnóstico Diferencial , Diagnóstico por Imagen , Humanos , Inmunohistoquímica , Masculino , Neoplasias Maxilares/patología , Neoplasias Maxilares/terapia , Sarcoma Sinovial/patología , Sarcoma Sinovial/terapia , Adulto JovenRESUMEN
AIM: To present a case report of a metastasis from cervical cancer to the maxilla, which was misdiagnosed as periapical disease and to caution clinicians that metastases could have a disguised clinical presentation that must be taken into account in the differential diagnosis of periapical disease in oncologic patients. SUMMARY: Although metastatic tumours of the jaws are uncommon, they may mimic benign inflammatory processes and reactive lesions. The ability of metastatic lesions to mimic periapical disease is discussed and a brief review of the literature is presented, emphasizing the importance of correct diagnosis to prevent delay in diagnosing cancer. Attention should therefore be given to the patient's medical history, especially of those with a previous history of cancer, and all dental practitioners should be aware of the possibility of metastases that may be confused with periapical disease. Finally, endodontists are well placed to recognize malignant and metastatic oral lesions during the initial clinical stages, given that their treatments are usually based on frequent dental appointments and long-term follow-ups.
Asunto(s)
Carcinoma de Células Escamosas/secundario , Carcinoma de Células Escamosas/terapia , Neoplasias Maxilares/secundario , Neoplasias Maxilares/terapia , Neoplasias del Cuello Uterino/patología , Adulto , Diagnóstico Diferencial , Errores Diagnósticos , Femenino , Humanos , Enfermedades Periapicales/diagnósticoRESUMEN
BACKGROUND: The osteosarcomas of the jaws are infrequently tumors. The accelerated bone growthing and the swelling with nervous sensibility alterations are suggestive of malignancy. The diagnosis is established only by the histological study and the standard treatment used is surgery with a poor survival prognosis of only 25% at five years for those cases with margins free of tumor. CLINICAL CASE: A female with an osteosarcoma of the jaw limited to the anterior left face of the maxillary and malar area without involve of the alveolar bone. A modified maxillectomy wasdone. Chemotherapy and radiotherapy were given after surgery. At the present, the patient is free of malignancy activity after twelve years of survival. CONCLUSIONS: No matter the systemic chemotherapy in maxillar and jaw osteosarcomas is little effective, the early diagnosis and treatment was the key in the clinical evolution of the patient presented and in who the first elected treatment was surgery.
Asunto(s)
Neoplasias Maxilares , Osteosarcoma , Adulto , Supervivencia sin Enfermedad , Femenino , Humanos , Neoplasias Maxilares/diagnóstico , Neoplasias Maxilares/terapia , Osteosarcoma/diagnóstico , Osteosarcoma/terapia , Factores de TiempoRESUMEN
BACKGROUND: Florid cemento-osseous dysplasia (FCOD) has been described as a condition that characteristically affects the jaws of middle-aged black women. Radiographically, FCOD appears as dense, lobulated masses, often symmetrically located in various regions of the jaws. FCOD is usually asymptomatic. In severe cases, focal expansion may occur due to infection. Management of the symptomatic patient is more difficult due to the avascular nature of the lesion which contributes to susceptibility severe infection, bone sequestration, and osteomyelitis when surgery is performed. CASE REPORT: This paper presents a rare case of severe FCOD; the black woman patient was diagnosed based on clinical and radiographic findings and treated conservatively. The examination of panoramic radiographs revealed a multiple sclerotic masses with radiolucent borders, found in the mandible and maxilla which were symmetrical at presentation. The patient continuous with the follow-up. DISCUSSION: This report confirms that a diagnosis can be made with accurate clinical and radiographic assessment. The correct selection of treatment for FCOD depends on this information.
Asunto(s)
Infecciones Bacterianas/diagnóstico por imagen , Cementoma/diagnóstico por imagen , Cementoma/terapia , Cemento Dental , Neoplasias Mandibulares/diagnóstico por imagen , Neoplasias Mandibulares/terapia , Neoplasias Maxilares/diagnóstico por imagen , Neoplasias Maxilares/terapia , Neoplasias Primarias Múltiples/diagnóstico por imagen , Neoplasias Primarias Múltiples/terapia , Radiografía Panorámica , Infecciones Bacterianas/terapia , Femenino , Estudios de Seguimiento , Humanos , Persona de Mediana Edad , Higiene BucalRESUMEN
Cementoblastoma is a rare benign tumor that almost always occurs in the premolar or molar region and more commonly in the mandible than in the maxilla. We present a unique incisor maxillary cementoblastoma in an 11-year-old child not previously described. To our knowledge, only 2 maxillary cases, both related to canine teeth, were described in the international literature. Thus, the aim of this article was to discuss the clinical presentation, diagnosis, and subsequent treatment of a patient with a cementoblastoma in the anterior maxillary region.
Asunto(s)
Cementoma/diagnóstico , Neoplasias Maxilares/diagnóstico , Cementoma/terapia , Niño , Implantes Dentales , Diagnóstico Diferencial , Femenino , Humanos , Incisivo , Neoplasias Maxilares/terapiaRESUMEN
AIM: To report a case of calcifying odontogenic cyst (COC) that was suggestive of apical periodontitis adjacent to the roots of the maxillary incisor teeth. SUMMARY: Tooth 21 presented with clinical and radiographic signs of secondary infection, a post within the root canal and substantial internal tooth destruction; it was scheduled for endodontic surgery. Teeth 12 and 22 were root filled following the placement of a calcium hydroxide intracanal dressing for 21 days. Three attempts at root canal disinfection in tooth 11 were unsuccessful, and a persistent purulent drainage precluded completion of root canal treatment. Surgical enucleation of the periapical lesion was undertaken and the tissues submitted for histopathological examination. A diagnosis of COC was established based on the microscopic analysis. COC is an unusual benign lesion that represents 2% of all odontogenic lesions. Depending on the stage of development, it can mimic a large lesion associated with apical periodontitis and should therefore be considered in the differential diagnosis. In the case of COC, the definitive diagnosis can only be made with histopathological analysis. KEY LEARNING POINTS: Persistent apical periodontitis may be of nonendodontic origin. * Histological examination is essential to establish the cause of persistent apical periodontitis. * Calcifying odontogenic cyst can mimic apical periodontitis.
Asunto(s)
Neoplasias Maxilares/complicaciones , Quiste Odontogénico Calcificado/complicaciones , Periodontitis Periapical/complicaciones , Raíz del Diente/patología , Adulto , Enfermedad Crónica , Diagnóstico Diferencial , Humanos , Incisivo/patología , Masculino , Neoplasias Maxilares/patología , Neoplasias Maxilares/terapia , Quiste Odontogénico Calcificado/patología , Quiste Odontogénico Calcificado/terapia , Periodontitis Periapical/patología , Periodontitis Periapical/terapia , Tratamiento del Conducto Radicular/efectos adversos , Tratamiento del Conducto Radicular/métodosRESUMEN
OBJECTIVE AND BACKGROUND DATA: Common side effects of radiotherapy (RT) to the head and neck include oral mucositis, xerostomia, and severe pain. The aim of this study is to report improvement in the quality of life of an oncological patient by laser phototherapy (LPT). CLINICAL CASE AND LASER PHOTOTHERAPY PROTOCOL: The patient, a 15-year-old girl diagnosed with mucoepidermoid carcinoma, underwent surgical excision of a tumor of the left palatomaxilla. After that, she was subjected to 35 sessions of RT (2 Gy/d). Clinical examination revealed the spread of severe ulcerations to the jugal mucosa, gums, lips, hard palate, and tongue (WHO mucositis score 3). She had difficulty in moving her tongue and she was unable to eat any solid food. Oral hygiene orientation and LPT were performed throughout all RT sessions. A continuous diode laser, 660 nm, 40 mW, 6 J/cm(2), 0.24 J per point in contact mode, with spot size of 0.04 cm(2) was used in the entire oral cavity. A high-power diode laser at 1 W, 10 sec per cm of mucositis, approximately 10 J/cm(2), was used in defocused mode only on ulcerative lesions. After the first laser irradiation session, decreases in pain and xerostomia were reported; however, a more significant improvement was seen after five sessions. At that point although the mucositis score was still 2, the patient reported that she was free of pain, and consequently a palatine plate could be made to rehabilitate the entire surgical area. Seventeen laser irradiation sessions were necessary to eliminate all oral mucositis lesions. CONCLUSION: Normal oral function and consequent improvements in the quality of life of this oncologic patient were observed with LPT.
Asunto(s)
Carcinoma Mucoepidermoide/terapia , Neoplasias de Cabeza y Cuello/terapia , Terapia por Luz de Baja Intensidad , Radioterapia/efectos adversos , Estomatitis/radioterapia , Adolescente , Carcinoma Mucoepidermoide/radioterapia , Carcinoma Mucoepidermoide/cirugía , Femenino , Neoplasias de Cabeza y Cuello/radioterapia , Neoplasias de Cabeza y Cuello/cirugía , Humanos , Neoplasias Maxilares/radioterapia , Neoplasias Maxilares/cirugía , Neoplasias Maxilares/terapia , Úlceras Bucales/etiología , Úlceras Bucales/radioterapia , Neoplasias Palatinas/radioterapia , Neoplasias Palatinas/cirugía , Neoplasias Palatinas/terapia , Calidad de Vida , Estomatitis/etiología , Xerostomía/etiología , Xerostomía/radioterapiaRESUMEN
Se han descripto las principales características del mieloma, reportándose un caso clínico de Plasmocitoma Solitario de maxilar superior, confirmado anatomopatológicamente por pruebas de inmunomarcación, con tratamiento quirúrgico y aparente curación del enfermo a más de un año de su operación. De las fuentes bibliográficas consultadas se llega a la conclusión de que el "mieloma solitario" de maxilar es excepcional y en la literatura internacional son pocos los reportes de esa ubicación. Debe aguardarse un mínimo de tres años sin que aparezca otra lesión secundaria para reafirmar el diagnóstico de "solitario" y como ese tiempo no ha transcurrido en el caso presentado, y aunque el resto de los elementos de laboratorio, inmunológicos, radiográficos y clínicos avalen el diagnóstico de "plasmocitoma solitario", no se debe excluir la posibilidad de evolución a la forma múltiple a corto o largo plazo
Asunto(s)
Humanos , Masculino , Adulto , Neoplasias Maxilares/terapia , Mieloma Múltiple/diagnóstico , Plasmacitoma/diagnóstico , OsteotomíaRESUMEN
Five children with Ewing's sarcoma, an uncommon neoplasm originating in the facial bones, were treated with chemotherapy, surgery, and radiotherapy. Younger children have poor prognoses. Children with tumors originating in the mandible appear to have better prognoses. Hematogenic metastases were the most frequent and those originating from maxillary tumors showed much faster growth and were resistant to the chemotherapy used.
Asunto(s)
Neoplasias Mandibulares/terapia , Neoplasias Maxilares/terapia , Sarcoma de Ewing/terapia , Adolescente , Adulto , Niño , Femenino , Humanos , Lactante , Masculino , PronósticoRESUMEN
Os autores relatam um caso de retinoblastoma familiar associado ao aparecimento de um segundo tumor primário näo ocular e discutem possíveis teorias genéticas que predisporiam a estas duas neoplasias