MyMedR

Congenital epulis--a case report

Ramanathan K, Karpal Singh

Med J Malaysia, 1973 Sep;28(1):55-7.

PMID: 4361092

Matched MeSH terms: Gingival Neoplasms/pathology*

Peripheral odontogenic fibroma with clear cell odontogenic epithelium

Siar CH, NG KH

J N Z Soc Periodontol, 1995.

PMID: 9227094

The clinical and histological features of the peripheral odontogenic fibroma are briefly outlined. A case arising from the attached lingual gingiva between the mandibular right permanent first molar and the second molar in a 67 year old Indian female is reported here. The unusual occurrence of marked clear cell differentiation within the odontogenic epithelial component, and histogenetic link to the clear cell rests of the dental lamina and surface epithelium are discussed.

Matched MeSH terms: Gingival Neoplasms/pathology*

Multidisciplinary Approach for Management of a Patient with Oral Mucosal Malignant Melanoma

Eachempati P, Aggarwal H, Shenoy VK, Baliga M

J Coll Physicians Surg Pak, 2018 Sep;28(9):S187-S189.

PMID: 30173693 DOI: 10.29271/jcpsp.2018.09.S187

Oral mucosal melanoma is rare and more aggressive than cutaneous melanoma. Hard palate and maxillary alveolar crest are most commonly involved. Multidisciplinary team approach is necessary for successful management of this tumor. The main treatment modality is surgical resection, which usually results in impaired mastication, deglutition, speech, oral competence and significant cosmetic deformity. Here, a rare case of oral mucosal melanoma of mandibular gingiva in a 44-year man is reported, who was treated by en-block mandibular resection followed by adjuvant therapy with high dose interferons (IFN) - 2b. Following two weeks of healing period, prosthetic rehabilitation of the patient was done with an interim removable denture prosthesis, which effectively limited the unfavourable effects of surgery and helped him in resocialisation.

Matched MeSH terms: Gingival Neoplasms/drug therapy; Gingival Neoplasms/pathology*; Gingival Neoplasms/surgery

Recurrent gigantic pyogenic granuloma disturbing speech and mastication: a case report and literature review

Ong MA, Chai WL, Ngeow WC

Ann Acad Med Singap, 1998 Mar;27(2):258-61.

PMID: 9663321

A case of gigantic pyogenic granuloma with three recurrences in the lower anterior gingiva is presented. Surgical wide excision of the lesion is the treatment of choice. The tumour must be excised down to the periosteum and the irritants around it removed to avoid recurrence. A contributing factor to the gigantic lesion is hormonal changes during pregnancy. Long-term review for 18 months after the third surgery showed no evidence of recurrence at the surgical site.

Matched MeSH terms: Gingival Neoplasms/complications*; Gingival Neoplasms/pathology; Gingival Neoplasms/surgery

An immunohistochemical study of two cases of either peripheral odontogenic fibroma (WHO type) or peripheral ameloblastoma

Chong Huat Siar, Kok Han Ng

J Nihon Univ Sch Dent, 1996 Mar;38(1):52-6.

PMID: 8648412

Two cases of either peripheral odontogenic fibroma (POF) (WHO type) or peripheral ameloblastoma are reported. Their immunohistochemical characteristics were investigated in an attempt to clarify their histogenesis. The results showed that the epithelial component of this neoplasm tended to retain its distinct odontogenic character and expressed a keratin profile different from that of the overlying oral epithelium from which both cases most probably originated. The connective tissue element of these tumors was vimentin-positive and S-100 protein negative, confirming their mesodermal nature but precluding the possibility of ectomesenchymal derivation. No reactivity for desmin was noted.

Matched MeSH terms: Gingival Neoplasms/pathology*; Gingival Neoplasms/chemistry

A case report: metastatic choriocarcinoma to the gum

Shafiee MN, Ismail NM, Shan LP, Kampan N, Omar MH, Dali HM

Sex Reprod Healthc, 2011 Apr;2(2):91-2.

PMID: 21439527 DOI: 10.1016/j.srhc.2011.02.001

Choriocarcinoma is a rare neoplasia with a tendency of distant metastasis although highly sensitive to chemotherapy renders a good prognosis and outcome. Lungs, liver and cerebral metastasis are commonly implicated with maxillofacial region rarely involved. We illustrate a case of overwhelming metastatic choriocarcinoma to lungs, liver, brain and to the extreme of gum metastasis. Decompressive craniectomy for intracranial bleeding, multiple transfusions to correct anaemia and coagulopathy were done before high-risk-regime chemotherapy. Despite this, due to fulminant multi-organs involvement she finally succumbed to death. In conclusion, gum bleeding in choriocarcinoma may suggest metastasis and poor prognosis.

Matched MeSH terms: Gingival Neoplasms/complications; Gingival Neoplasms/drug therapy; Gingival Neoplasms/secondary*

Oral carcinoma in the Chinese female

Ramanathan K, Lakshimi S

Med J Malaysia, 1973 Dec;28(2):84-7.

PMID: 4276246

Matched MeSH terms: Gingival Neoplasms/epidemiology

Oral carcinoma in Malaysian Indian males

Ramanathan K, Lakshimi S

Singapore Dent J, 1974 May;13(2):5-11.

PMID: 4531738

Matched MeSH terms: Gingival Neoplasms/epidemiology*

Fulltext Congenital epulis: immunohistochemical findings of 12 cases

Ajura Abdul Jalil, Lukman Md Auzair, Hin, Lau Shin

Archives of Orofacial Sciences, 2015;10(1):34-40.

MyJurnal

Congenital epulis is a fairly rare soft tissue tumour occurring exclusively on the alveolar ridge of newborns. The exact origin of congenital epulis is still debatable. The objective of the study is to determine the clinicopathological features and immunohistochemical findings of congenital epulis. A retrospective study was carried out to determine the clinicopathological features of congenital epulis, diagnosed histologically in the main oral histopathology laboratory in Malaysia from 1967 to 2014. Immunostaining using vimentin, muscle specific actin, smooth muscle antigen, desmin, S100, CD34, CD68 and CD1a was carried out. Twelve cases of congenital epulis were reviewed. All of the patients were females and the presentation age ranged from 2 to 90 days. The patients comprised of 6 Malays, 3 Chinese, 2 Indians and 1 Orang Asli. Most of the cases (n=7) involved the maxillary ridge and presented as pedunculated well-defined lumps (n=8). Excisional biopsy was performed in all cases. Via immunohistochemistry, vimentin expression was observed in all cases; but negative for CD34, muscle specific actin, smooth muscle antigen, and desmin. CD1a and S100 positivity was seen in five cases. The interstitial cells were highlighted by CD68. Although congenital epulis has been first described 130 years ago, the exact nature of its histogenesis remains a mystery.

Matched MeSH terms: Gingival Neoplasms

When should elective neck dissection be performed in maxillary gingival and alveolar squamous cell carcinoma with a cN0 neck? A systematic review

Tang L, Leung YY

Int J Oral Maxillofac Surg, 2016 Nov;45(11):1358-1365.

PMID: 27289248 DOI: 10.1016/j.ijom.2016.05.021

The purpose of this systematic review was to answer the clinical question "When should elective neck dissection be performed in maxillary gingival and alveolar squamous cell carcinoma with a cN0 neck?" A systematic review, designed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement, was conducted by two independent reviewers with three rounds of search and evaluation. Ten studies with 506 patients were included in the final review. The overall risk of cervical metastasis was 23.2% for those who did not receive an elective neck dissection (END), which was 3.4 times higher than that in the END group (6.8%). The 5-year survival rate was higher in those who had an END (80.3%) when compared to those who did not receive an END (67.4%). Overall, 14.1% of the cases with cN0 maxillary squamous cell carcinoma (SCC) presented with positive node(s) in pathological specimens after END. The risk of occult cervical metastasis in a cN0 maxillary SCC case with pathological stage pT1, pT2, pT3, and pT4 was 11.1%, 12.1%, 20%, and 36.1%, respectively. It is therefore concluded that END is recommended in patients with cN0 maxillary SCC, especially in stage T3 or T4 cases.

Matched MeSH terms: Gingival Neoplasms/surgery*

Oral carcinoma in the Malay male

Ramanathan K, Lakshimi S

Med J Malaysia, 1974 Mar;28(3):143-8.

PMID: 4278210

Matched MeSH terms: Gingival Neoplasms/epidemiology

Aggressive, multifocal oral verrucous leukoplakia: proliferative verrucous leukoplakia or not?

Ghazali N, Bakri MM, Zain RB

J Oral Pathol Med, 2003 Aug;32(7):383-92.

PMID: 12846784

Some oral verrucal lesions may constitute parts of the clinicopathological spectrum of proliferative verrucous leukoplakia (PVL). Because of its idiopathic yet sinister nature, it is possible that PVL may exist in other populations. The aim of this study was to review the clinicopathological features of persistent, multifocal, oral verrucal lesions in Malaysian population.

Matched MeSH terms: Gingival Neoplasms/classification

Prevalence and incidence of oral cancer in low- and middle-income countries: A scoping review

Shrestha AD, Vedsted P, Kallestrup P, Neupane D

Eur J Cancer Care (Engl), 2020 Mar;29(2):e13207.

PMID: 31820851 DOI: 10.1111/ecc.13207

INTRODUCTION: Oral cancer is common cancer in many low- and middle-income countries (LMICs) with a low five-year survival rate. It is among the four most common types of cancer in South East Asia region. In South-Central Asia, lip and oral cavity cancer is the second most common cancer according to the specific cancer types.

METHODS: This scoping review intended to investigate published studies on the current prevalence and incidence of oral cancer in LMICs. The review was conducted applying the search words "Oral Cancer" and "Mouth neoplasm" as the Medical Subject Heading (MeSH) major topic and "Epidemiology" and ("prevalence" OR "incidence") as the MeSH subheading; the search was supplemented by cross-references. Included studies met the following criteria: original studies, reporting of prevalence or incidence rates, population-based studies, studies in English language and studies involving humans.

RESULTS: The sample sizes ranged from 486 to 101,761 with 213,572 persons included. Buccal mucosa is one of the most common sites of oral cancer, associated with the widespread exposure to chewing tobacco. The incidence is likely to rise in the region where gutkha, pan masala, pan-tobacco and various other forms of chewing tobacco are popular.

CONCLUSION: This review contributes to useful information on prevalence and incidence estimates of oral cancer in LMICs.

Matched MeSH terms: Gingival Neoplasms/epidemiology

Peripheral fibroma/fibrous epulis with and without calcifications. A clinical evaluation of 204 cases in Singapore

Zain RB, Fei YJ

Odontostomatol Trop, 1990 Sep;13(3):94-6.

PMID: 2075149

Peripheral fibroma/fibrous epulis accounts for the great majority of localised gingival swellings as was substantiated by various reports in the literature. A study was undertaken to investigate the clinical features of a series of 204 localised fibrous gingival swellings received by the Histopathology Laboratory, Department of Oral Surgery, National University of Singapore. The female patients were more affected than the male patients and the lesions occurred predominantly among the Chinese. The lesions were mainly pedunculated and most commonly occurred in anterior maxilla. The recurrence rate was about 10.3%. In conclusion the results obtained in this study were overall in agreement with those of other authors.

Matched MeSH terms: Gingival Neoplasms

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