Calcifying epithelial odontogenic tumor (CEOT) is a rare benign odontogenic neoplasm of the jaws, accounting for less than 3% of all odontogenic tumors. It rarely extends into the maxillary sinus. Till date, six cases involving maxillary sinus have been reported. In this paper, we report the seventh case of a 52-year-old male with CEOT in maxilla extending from distal surface of the right maxillary canine to retromolar area and involving maxillary sinus with no association with impacted teeth. The diagnosis was confirmed by aspiration cytology and histologically, the tumor was composed of sheets of epithelial cells, with areas of clear cell changes. The presence of clear cells in the histological sections, accounts for the aggressive nature of the tumor simulating the clinical appearance. Prevention of recurrence can be achieved by radical resection.
Rhabdomyosarcoma is a disease that predominantly affects children. approximately 40 per cent are located in the head and neck region but it is rare in the oral cavity.This article describes an interesting case of an embryonal rhabdomyosarcoma in a 36-year-old male, involving the mandibular gingiva. The lesion showed radiolucency with ill-defined margins that was crossing the midline. The history revealed a similar lesion six months back at the same site and the lesion had been completely excised. The biopsy reports confirmed the diagnosis of embryonal rhabdomyosarcoma after which en-bloc resection of the tumor was performed with administration of chemotherapy and radiotherapy.Due to high recurrence rate of rhabdomyosarcomas in adults, multimodal therapy should be planned for proper care of the patient. Clinical, radiological, histopathological and management aspects are discussed here.Key Words: Rhabdomyosarcoma, Embryonal, Gingiva, adult
ÖZEsas olarak çocukluk çağının malign bir tümörü olan rabdomyosarkom olgularının yaklaşık %40'ı baş boyun bölgesinde lokalize olmakla birlikte oral kavitede nadirdir.Bu makalede, 36 yaşındaki erkek hastada mandibuler gingival yerleşimli embriyonel rabdomyosarkom olgusu sunulmuştur. Oral kavitede sınırları belirgin olmayan ve orta hattı geçen radyolusen kitle izlendi. Öyküsünden 6 ay önce aynı bölgeden benzer bir lezyonun eksize edildiği öğrenildi. Biyopsinin embriyonel rabdomyosarkom olarak raporlanmasını takiben en-blok rezeksiyon ve ardından kemoterapi ve radyoterapi uygulandı.Erişkin rabdomyosarkomlarının tekrarlama oranı yüksek olduğu için multimodal tedavi planı gereklidir. Makalede, rabdomyosarkomun klinik, radyolojik, histopatolojik bulguları ve tedavi yaklaşımı tartışılmıştır.
The results indicated that most dentists in west India valued what they learned through tooth carving and that they use this knowledge in their practice. This information supports the continued teaching of tooth carving in the undergraduate dental curriculum.
Although Streptococcus mutans (S.mutans) is the most prevalent microorganism seen in dental caries, the role of other microorganisms like Staphylococcus, Pseudomonas in initiation and progression of caries is evident from this study. Further extensive and large scale studies need to be conducted for better understanding the role of these microorganisms in dental caries.
Aims
This study was designed to assess the oral alterations and oral health related quality of life (OHRQoL) in patients undergoing chemotherapy for malignancies other than oral cancer.
Methods and results
Oral alterations were studied by careful clinical examination prior to and at the end of three cycles of chemotherapy in 100 patients. OHRQoL was assessed by oral health impact profile (OHIP)‐14 questionnaire. Fifty‐four patients developed oral complications among which oral mucositis and pigmentation were the most commonly observed. OHRQoL was hampered in all patients as indicated by higher postchemotherapy scores as compared to prechemotherapy scores (P < .0001). Postchemotherapy scores were higher for patients who developed visible oral changes as compared to those who did not (P = .001). There was a weak positive correlation between the number of oral alterations and postchemotherapy scores for OHRQoL.
Conclusions
Our study emphasizes the role of oral physicians in the healthcare team delivering chemotherapeutic treatment as regular oral examination, and timely symptomatic treatment is important for the overall well‐being of the patient.
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