2.Massive fibrous epulis-a case report of a 10-year-old lesion.
Gabriel M FONSECA ; Ricardo M FONSECA ; Mario CANTÍN
International Journal of Oral Science 2014;6(3):182-184
The fibrous epulis, a common tumor-like lesion of the gingiva, appears in the interdental papilla as a result of local irritation. Lesions are asymptomatic and have a variable growth rate. A 75-year-old woman was referred for the evaluation of a large painless gingival mass. It had started 10 years back and has been increasing in size the last year. No bone involvement was noted. The tumor was totally removed by excision with surgical scalpel under local anesthesia without teeth extraction. The microscopic findings were suggestive of a fibrous epulis. Differential diagnosis, clinical considerations and factors to prevent recurrence are discussed.
Aged
;
Diagnosis, Differential
;
Female
;
Fibrosis
;
Follow-Up Studies
;
Gingival Diseases
;
pathology
;
Gingival Hyperplasia
;
pathology
;
Humans
;
Maxilla
3.Oral signs of acute leukemia for early detection.
Hyun Chang LIM ; Chang Sung KIM
Journal of Periodontal & Implant Science 2014;44(6):293-299
PURPOSE: Systemic disease can manifest oral signs at an early phase, which may be crucial for the diagnosis and timing of treatment. This report describes two patients who presented with gingival enlargement as an early sign of acute leukemia. METHODS: Two patients presented with oral symptoms including severe gingival enlargement. The progress of their symptoms was associated with underlying systemic disease. RESULTS: The patients were transferred to the Department of Hematology and diagnosed with acute myelomonocytic leukemia. They received appropriate treatment and survived. CONCLUSIONS: Gingival enlargement can be caused by underlying systemic diseases. Accurate diagnosis and timely referral are important for preventing a fatal situation. It must be emphasized that some oral signs and symptoms may be closely correlated with systemic diseases.
Dentists
;
Diagnosis
;
Gingival Hyperplasia
;
Hematology
;
Humans
;
Leukemia*
;
Leukemia, Myelomonocytic, Acute
;
Referral and Consultation
4.Non-Hodgkin's Lymphoma Manifest as Gingival Hyperplasia in a Renal Transplant Recipient.
Jung Hyun KWON ; Joon Chang SONG ; Sang Hun LEE ; So Young LEE ; Chul Woo YANG ; Yong Soo KIM ; Byung Kee BANG
The Korean Journal of Internal Medicine 2005;20(4):330-334
Gingival hyperplasia is a frequent complication in transplant patients who receive cyclosporine or calcium channel blockers. We studied an unusual case involving a renal transplant recipient with post-transplant non-Hodgkin's lymphoma that manifested as gingival hyperplasia. We initially consider that it was a side effect of cyclosporine and nifedipine. The lesion did not respond to dose reductions or the withdrawal of cyclosporine and nifedipine, and the gingival hyperplasia progressed in a localized fashion, becoming ulcerated and bleeding easily. Histological examination revealed the presence of malignant lymphoma.
Male
;
Lymphoma, Non-Hodgkin/complications/*diagnosis
;
*Kidney Transplantation
;
Humans
;
Gingival Hyperplasia/*etiology
;
Adult
5.Comprehensive periodontal treatment of severe chronic periodontitis: a case report with four years follow-up.
You-yang ZHENG ; Lan YANG ; Jie ZHANG
Chinese Journal of Stomatology 2012;47(2):96-99
Chronic Periodontitis
;
diagnosis
;
diagnostic imaging
;
therapy
;
Dental Scaling
;
Follow-Up Studies
;
Furcation Defects
;
diagnosis
;
diagnostic imaging
;
therapy
;
Gingival Hyperplasia
;
diagnosis
;
diagnostic imaging
;
therapy
;
Humans
;
Male
;
Middle Aged
;
Periodontal Index
;
Radiography, Panoramic
;
Root Canal Therapy
;
Tooth Loss
;
diagnosis
;
diagnostic imaging
;
therapy
;
Tooth, Artificial