Clinical study of benign tumours and tumour like lesions of oral cavity

Handanakere, Shruthi Satyanarayana

doi:10.18231/j.ijoas.2020.022

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…This resemblance necessitates a high index of suspicion and the routine inclusion of MEC in the differential diagnosis of persistent oral lesions, irrespective of their benign appearance. [7][8][9] Histopathologically, MEC is distinguished by its heterogenous cellular composition, including mucous, intermediate, and epidermoid cells. The presence of mitotic activity and perineural invasion, as noted in our case, indicates a more aggressive behaviour and necessitates a comprehensive treatment approach.…”

Section: Discussionmentioning

confidence: 99%

Mucoepidermoid Carcinoma of Minor Salivary gland Mimicking as Traumatic Fibroma: A Rare Case Report

et al. 2024

IJFMR

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This comprehensive case report details a rare presentation of Mucoepidermoid Carcinoma (MEC) in the minor salivary gland, manifesting with clinical characteristics remarkably similar to those of a benign fibroma. MEC, a predominant malignancy within the salivary gland neoplasms, primarily affects the major salivary glands, with occurrences in the minor glands being particularly rare and challenging to diagnose due to their indolent progression and atypical presentations. This report highlights the case of a 69-year-old female who presented with a painless, gradually enlarging mass in the floor of the mouth, initially presumed to be a traumatic fibroma based on its clinical appearance and location. Histopathological examination following an excisional biopsy revealed it to be intermediate-grade MEC, characterized by a mix of intermediate, epidermoid, and mucus-producing cells, along with notable mitotic activity and perineural invasion. Treatment includes surgical excision with clear margins and consideration of adjuvant radiotherapy, according to current guidelines for MEC management. This case underscores the critical importance of histopathological analysis in the differential diagnosis of oral lesions and the necessity for a high degree of clinical suspicion for malignancies in cases of atypical presentations. This case adds valuable insight into the diverse presentations of MEC and reinforces the importance of considering this diagnosis in the evaluation of persistent oral lesions, particularly when they mimic benign conditions.

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Section: Discussionmentioning

confidence: 99%

Mucoepidermoid Carcinoma of Minor Salivary gland Mimicking as Traumatic Fibroma: A Rare Case Report

et al. 2024

IJFMR

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“…However, our findings are inconsistent with the previous study reported by Ramu S et al, who observed pyogenic granulomas and fibrous epulis the most common lesions affecting males. Similarly, we applied fisher exact test where the variable values were less than 5 and the value of 1 against fisher testing represents non-significant (p=0.125) gender association focusing on Peripheral giant cell granuloma and Peripheral ossifying fibroma (Table-III) [20][21][22][23][24] . Our findings reveal that the lack of knowledge and awareness regarding periodontal care are the key factors of epulis progression.…”

Section: Discussionmentioning

confidence: 99%

Clinopathological assessment of epulis lesions from Sindh Pakistan

Surwaich¹,

Channa²,

Iqbal³

et al. 2021

JUMDC

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BACKGROUND & OBJECTIVES: Gingival enlargement is a common characteristic of gums infection. Enlargement of the gums can possibly occur due to numerous factors, comprising of inflammatory disorders as well as certain meditational side effects. Pyogenic granuloma expresses as red, small erythematous papules on pedunculated or rather sessile base. The current study aims to evaluate the cases of epulis and to grade histological types of epulis. METHODOLOGY: This descriptive cross-sectional study was carried out at oral surgery OPD ISRA Dental College for a six-month duration. The diagnosis of epulis was made on the basis of clinical and histological examination. The research data was recorded on pre-designed proforma, and data were analyzed using SPSS version 22.0 (IBM, Corporation). RESULTS: Out of 150 study subjects, 90 (60%) patients were female, while 60 (40%) were male. Majority of the cases in our study were found with a maxillary site (n=93, 62.0%). Most had a size of 2cm-3cm (n=132, 76%). Coral Pink color was the most common in (n=90, 60%) patients, followed by red color (n=45, 30%) and pale color was found in (n=15,10%) of the cases. The histological findings proved pyogenic granuloma was most common in (n=75, 50%) of the cases followed by fibrous epulis (n=63, 42%), peripheral giant cell granuloma (n=6, 4%) and Peripheral ossifying fibroma (n=6, 4%). CONCLUSION: Pyogenic granulomas are the most prevalent reactive lesion. The lesions were more common in females in maxilla portion, and they were mostly found in the second to third decade of life.

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Clinical study of benign tumours and tumour like lesions of oral cavity

Cited by 2 publications

References 6 publications

Mucoepidermoid Carcinoma of Minor Salivary gland Mimicking as Traumatic Fibroma: A Rare Case Report

Mucoepidermoid Carcinoma of Minor Salivary gland Mimicking as Traumatic Fibroma: A Rare Case Report

Clinopathological assessment of epulis lesions from Sindh Pakistan

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