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Melo G, Batistella EÂ, Bett JVS, Grando LJ, Rivero ERC. Prevalence of oral and maxillofacial lesions in children and adolescents at a regional Brazilian oral pathology service: a retrospective study and the relevant literature review. Eur Arch Paediatr Dent 2023:10.1007/s40368-023-00800-7. [PMID: 37099119 DOI: 10.1007/s40368-023-00800-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2022] [Accepted: 04/10/2023] [Indexed: 04/27/2023]
Abstract
PURPOSE This study assessed the prevalence of maxillofacial lesions in children, i.e., 0-9 years, and adolescents, i.e., 10-19 years, in a Brazilian Oral Pathology Service and compared results with available literature. METHODS Clinical and histopathological records from January 2007 to August 2020 were analysed and a literature review investigating maxillofacial lesions in paediatric populations was also performed. RESULTS Overall, "reactive salivary gland lesions" and "reactive connective tissue lesions" were the most prevalent group of soft tissue lesions, affecting children and adolescents equally. From these, mucocele and pyogenic granuloma were the most prevalent histological diagnoses, respectively, regardless of age. These findings were consistent with the 32 studies included. Considering intraosseous lesions, "odontogenic cysts" and "periapical inflammatory lesions" were the most prevalent groups, with no relevant differences between age groups, except for the odontogenic keratocyst, which was more prevalent in adolescents. Moreover, several odontogenic tumours, such as ameloblastic fibroma and odontogenic myxoma, were significantly more prevalent in children. CONCLUSION Most maxillofacial lesions presented a similar prevalence between children and adolescents. Reactive salivary gland lesions and reactive connective tissue lesions were the prevailing diagnostic categories, regardless of age. Some odontogenic tumours and the odontogenic keratocyst showed significantly different frequencies across these age groups.
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Affiliation(s)
- G Melo
- Postgraduate Programme in Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - E Â Batistella
- Postgraduate Programme in Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - J V S Bett
- Dental School, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - L J Grando
- Department of Pathology, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - E R C Rivero
- Department of Pathology, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
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Costa ARGF, Silva Duarte PV, Moreira MR, Mello FADA, Ferreira MC, de Faria PR, Cardoso SV, Loyola AM. Histopathological diagnosis in pediatric stomatology: A 43-year retrospective study of 1,480 cases from a Brazilian institution. Int J Pediatr Otorhinolaryngol 2023; 166:111481. [PMID: 36774738 DOI: 10.1016/j.ijporl.2023.111481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/20/2022] [Revised: 12/27/2022] [Accepted: 02/04/2023] [Indexed: 02/10/2023]
Abstract
OBJECTIVES the aim of this study was to analyze the prevalence of histopathological diagnoses in oral biopsied tissues obtained from a Brazilian pediatric population. METHODS an analytical, cross-sectional retrospective study was performed with biopsy files of patients ≤14 years of age from a Brazilian oral pathology laboratory over a 43-year period. Data included sex, age, location, and diagnoses. The prevalence was calculated by means of relative frequency. Associations between sex, age groups and diagnoses were verified with Pearson's chi-square test. RESULTS from 19,456 oral biopsies, 1480 (7.6%) were obtained from patients aged ≤14 years. Most children were 10-14 years of age (60.1%) and females (55.1%), with an overall M:F of 1:1.2. Children aged 0-9 years and males had a higher frequency of lesions of the oral mucosa, whilst the 10-14 year age group showed a higher frequency of cysts, odontogenic tumors, and salivary gland lesions. The latter was also significantly higher in females. Samples consisted mostly of soft tissue lesions (53%) obtained from the lower lip (30.7%). Intraosseous lesions showed a slight predilection for the mandible (21.2%). Salivary gland lesions (28.8%) was the most common diagnostic category, followed by reactive lesions (18.8%), and cysts (16.1%). Mucocele (33.5%), dentigerous cyst (6.7%), and fibrous hyperplasia (5.9%) were the top three histopathological diagnoses. Malignant lesions affected only 0.9% of this population. CONCLUSION our results were similar to other retrospective studies. Due to the low frequency of oral biopsies in children, data on the prevalence of oral pathology in this population might aid in the clinical and histopathologic diagnoses.
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Affiliation(s)
| | - Pedro Victor Silva Duarte
- Department of Oral and Maxillofacial Pathology, Federal University of Uberlândia, Uberlândia, Brazil
| | | | | | | | - Paulo Rogério de Faria
- Department of Morphology, Institute of Biomedical Sciences, Federal University of Uberlândia, Uberlândia, Brazil
| | - Sérgio Vitorino Cardoso
- Department of Oral and Maxillofacial Pathology, Federal University of Uberlândia, Uberlândia, Brazil
| | - Adriano Mota Loyola
- Department of Oral and Maxillofacial Pathology, Federal University of Uberlândia, Uberlândia, Brazil.
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3
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Benign Pediatric Jawbone Lesions: A 10-Year Clinical and Radiological Pilot Study. CHILDREN (BASEL, SWITZERLAND) 2023; 10:children10020335. [PMID: 36832466 PMCID: PMC9954982 DOI: 10.3390/children10020335] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 02/05/2023] [Accepted: 02/08/2023] [Indexed: 02/12/2023]
Abstract
This study aimed at presenting a retrospective longitudinal analysis of the pediatric jaw lesions treated at the Oral and Maxillofacial Surgery Clinic in Cluj-Napoca, Romania, over a timeframe of ten years (2012 to 2022). The clinical and radiological characteristics of the jawbone lesions, the treatment outcome, and the recurrence incidence were described. All consecutive patients aged below 18 years, with histologically diagnosed odontogenic tumors (OTs), nonodontogenic tumors (non-OTs), or odontogenic cysts (OCs) were included. Age, dentition type, clinical symptoms, preoperative and postoperative radiological tests, histological diagnosis, treatment, and follow-up information one year following the diagnoses were all examined. Eighty-two cases were included. The ratio of men to women was 1.15:1, with the mandible predominating by 64.4%. Inflammatory radicular cysts predominated in 31.7% of cases. A total of 42.68% of the patients were asymptomatic. Enucleation was the most frequent surgical technique (45.1%), followed by cystectomies (28%) and marsupialization (14.6%). The overall recurrence rate was 7.3%; the most recurrent histopathological lesion was the odontogenic keratocyst. This study sheds new light on the clinical and radiological characteristics, treatment outcomes, and recurrence rate of juvenile jawbone lesions in children and adolescents. The diagnosis and treatment of jawbone lesions in children and adolescents can be enhanced with the use of epidemiological, clinical, and imagistic information.
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Çubuk S, Çolak MY. A retrospective analysis of benign paediatric jaw lesions according to new World Health Organization classification. J Craniomaxillofac Surg 2022; 50:523-531. [DOI: 10.1016/j.jcms.2022.03.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2021] [Revised: 01/17/2022] [Accepted: 03/15/2022] [Indexed: 11/15/2022] Open
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DE Souza VG, Gomes BP, Cavalcanti TR, Câmara J, Libório-Kimura TN. Oral lesions in children/teenagers: a cross-sectional study of 225 reports in a pathology service in Amazon. Minerva Dent Oral Sci 2022; 70:263-268. [PMID: 35075890 DOI: 10.23736/s2724-6329.20.04431-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Epidemiologic studies of oral lesions in pediatric patients are scarce in Brazil, and especially in the northern region of the country. We aim to describe the distributions of oral lesions in children and teenagers diagnosed in a Pathology service of Amazon for over 15 years. METHODS The oral pathology files were retrospectively retrieved from January 2002 to December 2016 of patients younger than 18 years old at the Pathology Service of the Federal University of Amazonas. Patient information such as gender, age, race, aspect of the lesion, anatomical site, and histological type was compiled from the file of requisitions and histopathologic reports. Oral lesions were subdivided into 11 categories. RESULTS From a total of 2437 histopathological oral reports, 225 of them were from children. Of these, 125 (55.6%) were from male patients and 100 (44.4%) from female patients with a median age of 13 years. Of the 11 categories of oral pathologies, the one of the highest numbers was salivary gland disease (N.=50, 22.2%) with the subtype mucocele (N.=41, 18.22%) as the most prevalent followed by Miscellaneous pathology (N.=27, 12%) with the predominance of the subtype granulation tissue (N.=11, 4.89%) and finally Odontogenic tumors (N.=26, 11.6%) in third place, with odontoma (N.=16, 7.11%) as the most prevalent subtype. CONCLUSIONS Mucocele was the most prevalent lesion found, showing that a traumatic etiology is likely to be the most common situation in children and teenagers, while neoplastic lesions are generally rare.
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Affiliation(s)
- Vitor G DE Souza
- School of Dentistry, Federal University of Amazon, Manaus, Brazil
| | - Brenda P Gomes
- School of Dentistry, Federal University of Amazon, Manaus, Brazil
| | | | - Jeconias Câmara
- School of Medicine, Department of Pathology and Legal Medicine, Federal University of Amazon, Manaus, Brazil and
| | - Tatiana N Libório-Kimura
- Graduate Program in Dentistry, Federal University of Amazon, Manaus, Brazil - .,School of Medicine, Department of Pathology and Legal Medicine, Federal University of Amazon, Manaus, Brazil and
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Aly MM, Abdul-Aziz MAWM, Elchaghaby MA. A retrospective analysis of oral and maxillofacial pathological lesions in a group of Egyptian children over 21 years. BMC Oral Health 2022; 22:2. [PMID: 34996437 PMCID: PMC8742446 DOI: 10.1186/s12903-021-02037-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2021] [Accepted: 12/20/2021] [Indexed: 11/10/2022] Open
Abstract
Objectives The goal of the current study was to evaluate the relative frequency of oral and maxillofacial pathological lesions among Egyptian children. Materials and methods Records of biopsies submitted to the department of oral and maxillofacial pathology from the year 1999 to 2019 were retrieved and reassessed for all cases under the age of 18 years. Information on age, sex, location of the lesion, and the histopathologic diagnosis was analyzed. Results Over the course of twenty-one years, 1108 specimens were analyzed where reactive soft tissue lesions, which accounted for 397 (35.8%) of all cases ranked the highest presented category, followed by inflammatory odontogenic cysts, which accounted for 213 cases (19.2%). With 208 cases, the inflammatory radicular cyst was on the top of the most common 20 lesions, followed by pyogenic granuloma (160 cases). Malignancy was found in 19 cases, with soft tissue tumors (10 cases) being the most common, followed by salivary gland (5 cases) and bone pathologies (4 cases). Conclusions The frequency of oral and maxillofacial pathological lesions among Egyptian children increased over the years but remained consistent with global trends. Clinical relevance This is the first study evaluating the relative frequency of oral and maxillofacial pathological lesions among Egyptian children and provides an insight into the most commonly encountered pediatric pathologies. This may aid in the understanding of the most prevalent oral lesions that impact the pediatric population, as well as providing the key to early detection of lesions.
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Affiliation(s)
- Mariam Mohsen Aly
- Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University, Giza, Egypt
| | | | - Marwa Aly Elchaghaby
- Pediatric Dentistry and Dental Public Health Department, Faculty of Dentistry, Cairo University, Giza, Egypt.
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de Almeida ASCB, Kato CDNADO, Jácome-Santos H, Pinheiro JDJV, Mesquita RA, Abreu LG. A retrospective analysis of oral and maxillofacial lesions in children and adolescents reported in two different services. J Clin Exp Dent 2021; 13:e894-e905. [PMID: 34603618 PMCID: PMC8464385 DOI: 10.4317/jced.58231] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Accepted: 03/15/2021] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Most epidemiological studies involving oral and maxillofacial lesions assess only data from histopathological analysis. This may lead to a poor notification of diseases whose diagnosis is predominantly clinical. Aim: To evaluate and to compare the frequency of oral and maxillofacial lesions in children and adolescents in two different types of services: Oral Medicine clinic service and laboratory service. MATERIAL AND METHODS The records of patients ≤ 19 years attending the Oral Medicine clinic service and records from the laboratory service in Oral and Maxillofacial Pathology of the Dental School of a university were analyzed. RESULTS 828 records from the Oral Medicine clinic service and 2,409 records from the laboratory service were analyzed. The most common lesion group in both services was inflammatory/reactive lesions; however, infectious lesions and variations of normality were more frequently in the clinical service. Mucocele was the most common lesion in both services. The lips (28.9%) were the most affected region in the clinical service, while in the laboratory service, the bones (34.7%) were the most affected region. CONCLUSIONS Some differences may occur with respect to the frequency of oral and maxillofacial lesions among pediatric individuals when data from different sources are compared. Key words:Epidemiology, oral and maxillofacial pathology, oral medicine, oral and maxillofacial lesions, children, adolescents.
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Affiliation(s)
- Anael-Sá-Costa-Borges de Almeida
- Graduate Student, Department of Oral Pathology and Oral Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | - Humberto Jácome-Santos
- Graduate Student, Department of Oral Pathology and Oral Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - João-de Jesus-Viana Pinheiro
- Professor, Laboratory of Pathology and Immunohistochemistry (LAPI), School of Dentistry, Universidade Federal do Pará (UFPA), Belém-PA, Brazil
| | - Ricardo-Alves Mesquita
- Professor, Department of Oral Pathology and Oral Surgery, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Lucas-Guimarães Abreu
- Professor, Department of Child's and Adolescent's Oral Health, School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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Binti Shuhairi NN, Bt Abdul Jalil A, Lau SH, Bt Mohd Ghazali S, Kee CC. A retrospective analysis of oral and maxillofacial biopsied specimens in Malaysian newborns and infants. Int J Paediatr Dent 2021; 31:496-503. [PMID: 32815206 DOI: 10.1111/ipd.12719] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2020] [Revised: 08/02/2020] [Accepted: 08/11/2020] [Indexed: 01/19/2023]
Abstract
BACKGROUND Globally, research on oral and maxillofacial lesions among newborns and infants remains limited. AIM To describe demographic patterns, histopathological findings, and locations of oral and maxillofacial lesions in newborns (birth-1 month) and infants (>1 month-2 years) reported over 51 years. DESIGN A retrospective cross-sectional study on histopathological records of newborns and infants was conducted. Patients' demographic characteristics (age, gender, and race), histopathological diagnosis, and lesion's location were gathered. Pearson's chi-square or Fisher's exact test was performed to determine associations between demographic characteristics and different categories of lesions. RESULTS Out of 66,546 specimens received, 0.44% (290 specimens) were from patients aged 2 years and younger (27 newborns and 263 infants). The most common category was inflammatory/reactive (44.2%), followed by tumour/tumour-like (42.0%), cystic/pseudocystic (6.6%), and miscellaneous lesions (5.5%). Mucous extravasation cysts (23.4%) and Langerhans cell histiocytosis (7.2%) were the most common histopathological diagnoses. Tumour/tumour-like lesions were significant in newborns (P = .021), and majority were congenital epulis (40.7%). Inflammatory/reactive lesions were significantly higher in male (P = .025) and infants (P = <.001) with predominant incidences of mucous extravasation cysts (24.7%). There was a more than one ten probability of malignant lesions (11.4%). CONCLUSION Routine clinical head and neck examinations in newborns and infants are the key to early detection of lesions.
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Affiliation(s)
- Nadia Najwa Binti Shuhairi
- Stomatology Unit, Cancer Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Ajura Bt Abdul Jalil
- Stomatology Unit, Cancer Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Shin-Hin Lau
- Stomatology Unit, Cancer Research Centre, Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Sumarni Bt Mohd Ghazali
- Biomedical Epidemiology Unit, Special Resource Centre, Institute for Medical Research, Ministry of Health Malaysia, Jalan Pahang, Wilayah Persekutuan Kuala Lumpur, Malaysia
| | - Chee Cheong Kee
- Sector for Biostatistics & Data Repository, National Institutes of Health Malaysia, Shah Alam, Selangor, Malaysia
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de Paula DS, Nóbrega Malta CE, de Brito WH, Mota Lemos JV, Cetira Fillho EL, Gurgel Costa FW, Nunes Alves APN, de Barros Silva PG. Prevalence of malignant neoplastic oral lesions among children and adolescents: A systematic review and meta-analysis. Int J Paediatr Dent 2021; 31:504-519. [PMID: 33289182 DOI: 10.1111/ipd.12765] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/30/2020] [Revised: 10/02/2020] [Accepted: 11/23/2020] [Indexed: 12/30/2022]
Abstract
BACKGROUND Malignant neoplasms that affect children and adolescents are predominantly embryonic and generally affect blood system cells and supporting tissues. AIM This study aimed to summarize the scientific evidence about the prevalence of malignant lesions in the oral cavity of children and adolescents. DESIGN In this systematic review and meta-analysis (PROSPERO CRD42020158338), data were obtained from seven databases and the gray literature. Cross-sectional observational studies on the prevalence of biopsied oral pediatric malignancies were included. The Newcastle-Ottawa Scale assessed the quality of the included studies, and the GRADE approach evaluated the evidence certainty. The meta-analysis prevalence was calculated using MedCalc® software, adopting a 95% confidence level (CI; random-effect model). RESULTS Forty-two studies were included in the meta-analysis. Of the 64,522 biopsies, the prevalence of malignant lesions was 1.93% (n = 1,100; 95% CI = 1.21%-2.80%). Countries with a low socioeconomic profile showed the highest prevalence. The sample size did not influence the prevalence of oral malignancies, and unspecified lymphomas (12.08%; 95% CI = 5.73%-20.37%) and rhabdomyosarcoma (10.53%; 95% CI = 7.28%-14.30%) were the most common lesions. CONCLUSIONS Oral malignant lesions biopsied in children and adolescents had a prevalence of <3%, and lymphomas and sarcomas were the most prevalent lesions.
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Affiliation(s)
| | | | | | | | - Edson Luiz Cetira Fillho
- Post-graduate program in Clinic Dentistry, Federal University of Ceará, Fortaleza, Brazil.,UniNassau University Center, Fortaleza, Brazil.,Post-graduate program in Dental Sciences, Unichristus, Fortaleza, Brazil
| | | | | | - Paulo Goberlânio de Barros Silva
- Post-graduate program in Clinic Dentistry, Federal University of Ceará, Fortaleza, Brazil.,Post-graduate program in Dental Sciences, Unichristus, Fortaleza, Brazil
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Rodrigues-Fernandes CI, Pérez-de-Oliveira ME, Aristizabal Arboleda LP, Fonseca FP, Lopes MA, Vargas PA, Santos-Silva AR. Clinicopathological analysis of oral Burkitt's lymphoma in pediatric patients: A systematic review. Int J Pediatr Otorhinolaryngol 2020; 134:110033. [PMID: 32302884 DOI: 10.1016/j.ijporl.2020.110033] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2020] [Revised: 03/30/2020] [Accepted: 03/30/2020] [Indexed: 01/19/2023]
Abstract
The aim of this study was to integrate the available data regarding pediatric Burkitt's lymphoma (BL) of the oral cavity. A systematic review was conducted following PRISMA guidelines, through a specific search strategy. Twenty-nine publications were included in this study, resulting in a total of 144 cases. Oral BL was predominantly found in males (75.7%). The mandible was the most involved site (37.5%), and all cases clinically exhibited a swelling. Presence of EBV was observed in 33.3% of the cases, and 4 cases reported HIV-positive patients (33.3%). Chemotherapy was the leading treatment choice for oral BL (94.9%), and the overall 5-year survival was 54.3%. Regarding the quality assessment of the studies, most (19 studies; 65.5%) were classified as an overall moderate risk of bias. In conclusion, the clinicopathological characteristics of oral BL in the pediatric population comprise the sporadic and intermediate subtypes. Despite its aggressiveness, this malignancy presents a moderate overall survival.
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Affiliation(s)
- Carla Isabelly Rodrigues-Fernandes
- Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas, 13414-903, Piracicaba, São Paulo, Brazil
| | - Maria Eduarda Pérez-de-Oliveira
- Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas, 13414-903, Piracicaba, São Paulo, Brazil
| | - Lady Paola Aristizabal Arboleda
- Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas, 13414-903, Piracicaba, São Paulo, Brazil
| | - Felipe Paiva Fonseca
- Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas, 13414-903, Piracicaba, São Paulo, Brazil; Department of Oral Surgery and Pathology, School of Dentistry, Universidade Federal de Minas Gerais, 31270-901, Belo Horizonte, Brazil; Department of Oral Biology and Oral Pathology, University of Pretoria, Pretoria, South Africa
| | - Márcio Ajudarte Lopes
- Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas, 13414-903, Piracicaba, São Paulo, Brazil
| | - Pablo Agustin Vargas
- Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas, 13414-903, Piracicaba, São Paulo, Brazil; Department of Oral Biology and Oral Pathology, University of Pretoria, Pretoria, South Africa
| | - Alan Roger Santos-Silva
- Oral Diagnosis Department, Semiology and Oral Pathology Areas, Piracicaba Dental School, University of Campinas, 13414-903, Piracicaba, São Paulo, Brazil.
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Chen Y, Zhang J, Han Y, Troulis MJ, August M. Benign Pediatric Jaw Lesions at Massachusetts General Hospital Over 13 Years. J Oral Maxillofac Surg 2020; 78:1124-1135. [DOI: 10.1016/j.joms.2020.01.031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2019] [Revised: 01/27/2020] [Accepted: 01/28/2020] [Indexed: 12/13/2022]
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12
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Arboleda LPA, Hoffmann IL, Cardinalli IA, Gallagher KPD, Santos-Silva AR, Mendonça RMHD. Oral and maxillofacial cancer in pediatric patients: 30 years experience from a Brazilian reference center. Int J Pediatr Otorhinolaryngol 2020; 131:109879. [PMID: 31951980 DOI: 10.1016/j.ijporl.2020.109879] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Revised: 12/06/2019] [Accepted: 01/08/2020] [Indexed: 01/03/2023]
Abstract
OBJECTIVE The aim of this study is to determine the relative frequency, demographic distribution and clinicopathological features of pediatric oral and maxillofacial cancer (POMC). METHODS Medical records were retrospectively reviewed for all cancer cases diagnosed from 1986 to 2016 affecting patients aged 19 years and younger. Demographic variables, anatomical site, and histopathological diagnoses were collected and analyzed by descriptive statistics. RESULTS Fifty-five (0.77%) POMCs were found among 7181 pediatric malignancies. Mean age at diagnosis was 8 years and patients aged 5-9 years presented the higher prevalence of malignant tumors (40%). White male patients were more frequently affected (78.18% and 65.45%, respectively). The most common cancer type was lymphomas (52.73%) followed by sarcomas (27.27%) and carcinomas (20%). Burkitt lymphoma (32.73%), rhabdomyosarcoma (14.55%), diffuse large B-cell lymphoma (9.09%), and mucoepidermoid carcinoma (9.09%) were the most common histopathological diagnoses. The main affected anatomical site was the oropharynx (38.18%), followed by salivary glands (30.91%), maxillofacial bone (20%), and oral cavity (10.91%). CONCLUSION POMC has a low incidence; however, highly aggressive tumors, such as lymphomas and sarcomas, are common in this scenario. A better knowledge about the clinicopathological distribution of POMC may contribute to early diagnosis and improve survival rates.
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Affiliation(s)
| | | | | | | | | | - Regina Maria Holanda de Mendonça
- Oral Diagnosis Department, Piracicaba Dental School, University of Campinas, Brazil; Boldrini Children's Center, Campinas, Brazil
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13
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Yu Z, Seo B, Hussaini HM, Meldrum AM, Rich AM. The relative frequency of paediatric oral and maxillofacial pathology in New Zealand: A 10-year review of a national specialist centre. Int J Paediatr Dent 2020; 30:209-215. [PMID: 31692163 DOI: 10.1111/ipd.12590] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 09/08/2019] [Accepted: 10/22/2019] [Indexed: 12/01/2022]
Abstract
BACKGROUND There has been no previous report of the prevalence of paediatric oral and maxillofacial pathology in a New Zealand oral pathology diagnostic service. AIM The aim of this study was to review cases of paediatric oral pathology to determine relative frequencies of oral lesions in this age group. DESIGN Paediatric oral pathology cases (≤15 years of age) received between 2007 and 2016 were retrieved from the electronic database of the Oral Pathology Centre, University of Otago. Data collected included diagnoses (categorised into 12 groups), age at diagnosis, and gender. The prevalence of each diagnosis was calculated in terms of percentage of all diagnoses made. Male-to-female ratio and mean age at diagnosis were also determined. RESULTS A total of 1139 paediatric cases were identified representing 5.2% of all cases. The most common diagnostic group was salivary gland pathology (25.4%), followed by dental (24.8%) pathology. The most prevalent lesion was mucocoele (23%), followed by dental follicle (14.1%). Malignancies were rare with only two cases identified. CONCLUSION The findings provide an insight into the prevalence of paediatric oral pathology for clinicians. Mucocoele was the most common diagnosis made, suggesting a high prevalence of soft tissue injury as a main presenting concern warranting diagnosis and management through biopsy.
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Affiliation(s)
- Zhihan Yu
- Oral Pathology Centre, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | - Benedict Seo
- Paediatric Dentistry, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
| | | | | | - Alison M Rich
- Oral Pathology Centre, Faculty of Dentistry, University of Otago, Dunedin, New Zealand
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Analysis of oral pathology in an Australian paediatric population: A retrospective study. PEDIATRIC DENTAL JOURNAL 2019. [DOI: 10.1016/j.pdj.2019.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
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Hong CHL, Dean DR, Hull K, Hu SJ, Sim YF, Nadeau C, Gonçalves S, Lodi G, Hodgson TA. World Workshop on Oral Medicine VII: Relative frequency of oral mucosal lesions in children, a scoping review. Oral Dis 2019; 25 Suppl 1:193-203. [DOI: 10.1111/odi.13112] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 04/23/2019] [Accepted: 04/24/2019] [Indexed: 12/27/2022]
Affiliation(s)
- Catherine H. L. Hong
- Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry National University of Singapore Singapore Singapore
| | - David R. Dean
- Department of Oral Medicine University of Washington School of Dentistry Seattle United States of America
| | - Katrusha Hull
- Department of Oral Medicine The Royal Dental Hospital of Melbourne Melbourne Victoria Australia
| | - Shi Jia Hu
- Discipline of Orthodontics and Paediatric Dentistry, Faculty of Dentistry National University of Singapore Singapore Singapore
| | - Yu Fan Sim
- Faculty of Dentistry National University of Singapore Singapore Singapore
| | - Christine Nadeau
- Faculté de Médecine Dentaire de l’Université Laval Quebec City Canada
| | - Sandra Gonçalves
- Department of Oral Medicine Sheffield Teaching Hospitals Sheffield UK
| | - Giovanni Lodi
- Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche Università degli Studi di Milano Milan Italy
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Huang G, Moore L, Logan RM, Gue S. Retrospective analysis of South Australian pediatric oral and maxillofacial pathology over a 16-year period. ACTA ACUST UNITED AC 2019; 10:e12410. [PMID: 30916486 DOI: 10.1111/jicd.12410] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2018] [Revised: 10/15/2018] [Accepted: 12/01/2018] [Indexed: 11/28/2022]
Abstract
AIM The epidemiological features and distribution of pediatric oral and maxillofacial pathology in South Australia, Australia, is unknown. The medical and dental specialties involved in the management of oral and maxillofacial pathology is also unknown. The aim of the present study was to audit oral and maxillofacial pathology specimens submitted for diagnosis in a pediatric tertiary-referral hospital setting. METHODS Histopathology records were retrieved from the Women's and Children's Hospital, Adelaide over a 16-year period. Age, sex, histopathological diagnosis, location of the lesion, and department involved were recorded. Lesions were classified into 12 categories. RESULTS A total of 676 lesions involving the oral and maxillofacial region were collected from patients aged 0-18 years. The mean age was 8.71 years. Diagnosis was not significantly associated with sex (P = 0.123). A total of 97.37% of cases were benign, with connective tissue and salivary gland lesions most frequently biopsied and more frequently biopsied by medical departments. Mucoceles (19.23%) were most commonly diagnosed, followed by dentigerous cysts (5.62%). The Department of Paediatric Dentistry submitted most specimens, followed by the Department of Otolaryngology, the Australian Craniofacial Unit, and the Departments of Paediatric Surgery and Plastics. CONCLUSION The present study provides valuable understanding into the epidemiological features of, and the specialties involved in, oral and maxillofacial histopathology in an Australian pediatric population.
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Affiliation(s)
- Gwendolyn Huang
- Department of Paediatric Dentistry, Women's and Children's Hospital, Adelaide, South Australia, Australia
| | - Lynette Moore
- Department of Surgical Pathology, Women's and Children's Hospital, Adelaide, South Australia, Australia.,University Discipline of Pathology, The University of Adelaide, Adelaide, South Australia, Australia
| | - Richard M Logan
- School of Dentistry, The University of Adelaide, Adelaide, South Australia, Australia
| | - Sumant Gue
- Department of Paediatric Dentistry, Women's and Children's Hospital, Adelaide, South Australia, Australia.,School of Dentistry, The University of Adelaide, Adelaide, South Australia, Australia
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Liu C, Wang H. The fibroblast of radicular cyst facilitate osteoclastogenesis via the autocrine of Fibronectin containing extra domain A. Oral Dis 2019; 25:1136-1146. [PMID: 30770599 DOI: 10.1111/odi.13064] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2018] [Revised: 01/23/2019] [Accepted: 02/07/2019] [Indexed: 01/07/2023]
Affiliation(s)
- Chun‐yan Liu
- Department of Endodontics, School & Hospital of Stomatology, Shanghai Engineering Research Center of Tooth Restoration and Regeneration Tongji University Shanghai China
| | - Hai‐Cheng Wang
- Department of Pathology, School & Hospital of Stomatology, Shanghai Engineering Research Center of Tooth Restoration and Regeneration Tongji University Shanghai China
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Prosdócimo ML, Agostini M, Romañach MJ, de Andrade BAB. A retrospective analysis of oral and maxillofacial pathology in a pediatric population from Rio de Janeiro-Brazil over a 75-year period. Med Oral Patol Oral Cir Bucal 2018; 23:e511-e517. [PMID: 30148463 PMCID: PMC6167092 DOI: 10.4317/medoral.22428] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2018] [Accepted: 06/21/2018] [Indexed: 11/21/2022] Open
Abstract
Background The aim of this study was to analyze the distribution of oral and maxillofacial lesions affecting children and adolescents patients from a single oral pathology laboratory from Rio de Janeiro, Brazil. Material and Methods Oral and maxillofacial lesions biopsied in patients younger than 19-years were retrieved from the oral pathology files of the Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro over a 75-year period (1942-2017). The clinical data and the diagnoses of each case were included in a Microsoft Excel® database, being classified into 13 categories according to the etiology. A descriptive analysis of the variables age, gender and final diagnosis was made. Results From 19.095 lesions diagnosed in this period, 2408 (12.61%) were from patients aged 0 to19 years, with a higher incidence in females in the second decade. Salivary gland pathology was the most common group of lesions (24.30%), followed by reactive lesions (16.82%) and odontogenic cysts (14.66%). Mucocele was the most common lesion (21.72%), followed by dentigerous cyst (6.48%) and fibrous hyperplasia (6.44%). Malignant lesions were observed in 1.12% of all cases with Burkitt lymphoma as the most frequent. Conclusions Our results were similar to previous studies and knowledge of these data may contribute to the understanding of oral lesions that most commonly affects children. Key words:Pediatrics, children, pathology, oral lesions, oral cavity.
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Affiliation(s)
- M-L Prosdócimo
- Department of Oral Diagnosis and Pathology, Federal University of Rio de Janeiro School of Dentistry, Av. Carlos Chagas Filho 373, Prédio do CCS, Bloco K, 2° andar, Sala 56, Ilha da Cidade Universitária, Rio de Janeiro/RJ. 21.941-902,
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Neoplasms and non-neoplastic pathologies in the oral and maxillofacial regions in children and adolescents of a Brazilian population. Clin Oral Investig 2018; 23:1587-1593. [DOI: 10.1007/s00784-018-2581-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2017] [Accepted: 08/16/2018] [Indexed: 11/27/2022]
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Taweevisit M, Tantidolthanes W, Keelawat S, Thorner PS. Paediatric oral pathology in Thailand: a 15-year retrospective review from a medical teaching hospital. Int Dent J 2018; 68:227-234. [DOI: 10.1111/idj.12380] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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SILVA LVDO, ARRUDA JAA, MARTELLI SJ, KATO CDNADO, NUNES LFM, VASCONCELOS ACU, TARQUINIO SBC, GOMES APN, GOMEZ RS, MESQUITA RA, SILVEIRA MMFD, SOBRAL APV. A multicenter study of biopsied oral and maxillofacial lesions in a Brazilian pediatric population. Braz Oral Res 2018; 32:e20. [DOI: 10.1590/1807-3107bor-2018.vol32.0020] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2017] [Accepted: 02/08/2018] [Indexed: 01/12/2023] Open
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de Silva AM, Martin-Kerry J, Geale A, Cole D. Flying blind: trying to find solutions to Indigenous oral health. AUST HEALTH REV 2018; 40:570-583. [PMID: 26691689 DOI: 10.1071/ah15157] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/20/2015] [Accepted: 09/29/2015] [Indexed: 11/23/2022]
Abstract
Objective The aim of the present study was to identify all published evidence about oral health in Indigenous children in Australia and to determine trends in Indigenous oral health over time. Methods PubMed was used to search for published peer-reviewed articles that reported caries (decay) prevalence rates and/or caries experience (based on caries indices) in Indigenous children. Studies included in the analysis needed to report clinical oral health data (not self-reported dental experiences), and articles were excluded if they reported caries in only a select, specific or targeted sample (e.g. only children undergoing hospital admissions for dental conditions). Results The review identified 32 studies that met the inclusion criteria. These studies reported data from the Northern Territory (n=14), Western Australia (n=7), South Australia (n=7), Queensland (n=7), New South Wales (n=1), Australian Capital Territory (n=1) and Tasmania (n=1). Of the studies, 47% were in rural locations, 9% were in urban locations and 44% were in both rural and urban locations. Data are limited and predominantly for Indigenous children living in rural locations, and there are no published studies on caries in Indigenous children living in Victoria. Conclusions The present study documents the published prevalence and severity of caries in Indigenous children living in Australia and highlights that limited oral health data are available for this priority population. Although risk factors for oral disease are well known, most of the studies did not analyse the link between these factors and oral disease present. There is also inconsistency in how caries is reported in terms of age and caries criteria used. We cannot rely on the available data to inform the development of policies and programs to address the oral health differences in Indigenous populations living contemporary lives in metropolitan areas. What is known about the topic? Many studies report that Indigenous people have poorer general health in Australia compared with non-Indigenous people. What does this paper add? This paper documents the available published prevalence and experience of caries for Indigenous children in Australia. It demonstrates significant limitations in the data, including no Victorian data, inconsistency with reporting methods and most data being for Indigenous children who are living in rural locations. What are the implications for practitioners? It is important for practitioners to have access to oral health data for Indigenous children in Australia. However, the present study highlights significant knowledge gaps for this population group and identifies ways to collect data in future studies to enable more meaningful comparisons and policy development.
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Affiliation(s)
- Andrea M de Silva
- Centre of Applied Oral Health Research, Dental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia.
| | - Jacqueline Martin-Kerry
- Centre of Applied Oral Health Research, Dental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia.
| | - Alexandra Geale
- Centre of Applied Oral Health Research, Dental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia.
| | - Deborah Cole
- Centre of Applied Oral Health Research, Dental Health Services Victoria, 720 Swanston Street, Carlton, Vic. 3053, Australia.
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da Silva LP, Gonzaga AKG, Severo MLB, Barros CCS, de Medeiros AMC, de Souza LB, da Silveira ÉJD. Epidemiologic study of odontogenic and non-odontogenic cysts in children and adolescents of a Brazilian population. Med Oral Patol Oral Cir Bucal 2018; 23:e49-53. [PMID: 29274165 PMCID: PMC5822539 DOI: 10.4317/medoral.22138] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2017] [Accepted: 12/17/2017] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND the objective of this study was to describe the frequency of cystic lesions in a Brazilian population of patients histopathologically diagnosed in the first and second decade of life. MATERIAL AND METHODS Retrospective descriptive cross-sectional study was performed. Biopsy records were obtained from the archives of a Brazilian referral center between 1980 and 2016. RESULTS A total of 2.114 biopsy records of pediatric patients were analyzed with oral and maxillofacial lesions. Data such as gender, age, anatomical location, and histopathological diagnosis were collected and categorized. Among all oral and maxillofacial lesions (n=2.114), were diagnosed 294 cases of odontogenic cysts (13.9%) and 16 cases of non-odontogenic cysts (0.8%). The most frequent lesions in each group were, respectively: radicular cyst (n=145) and epidermoid cyst (n=4). These lesions were most common in female (n=158), with a mean age of 14 years. For intraosseous lesions, the mandible (n=148) was the most affected anatomic site; moreover, the floor of the mouth (n=6) was most affected by cysts in soft tissues. CONCLUSIONS Odontogenic cysts were relatively common in population studied, but non-odontogenic cysts were rare in these patients.
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Affiliation(s)
- L-P da Silva
- Departamento de Odontologia, Universidade Federal do Rio Grande do Norte, Av. Senador Salgado Filho, 1787, Lagoa Nova, CEP 59056-000 Natal, RN, Brasil,
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A multicenter study of malignant oral and maxillofacial lesions in children and adolescents. Oral Oncol 2017; 75:39-45. [DOI: 10.1016/j.oraloncology.2017.10.016] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2017] [Accepted: 10/19/2017] [Indexed: 02/07/2023]
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Lo Muzio L, Mascitti M, Santarelli A, Rubini C, Bambini F, Procaccini M, Bertossi D, Albanese M, Bondì V, Nocini PF. Cystic lesions of the jaws: a retrospective clinicopathologic study of 2030 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 124:128-138. [DOI: 10.1016/j.oooo.2017.04.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2017] [Revised: 03/14/2017] [Accepted: 04/06/2017] [Indexed: 11/26/2022]
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Retrospective evaluation of paediatric oral biopsies over a 10-year period in Western India. Eur Arch Paediatr Dent 2017; 18:171-178. [DOI: 10.1007/s40368-017-0281-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2016] [Accepted: 02/22/2017] [Indexed: 10/19/2022]
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Ataíde AP, Fonseca FP, Santos Silva AR, Jorge Júnior J, Lopes MA, Vargas PA. Distribution of oral and maxillofacial lesions in pediatric patients from a Brazilian southeastern population. Int J Pediatr Otorhinolaryngol 2016; 90:241-244. [PMID: 27729142 DOI: 10.1016/j.ijporl.2016.09.027] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/31/2016] [Revised: 09/21/2016] [Accepted: 09/22/2016] [Indexed: 11/30/2022]
Abstract
OBJECTIVES Oral lesions affecting infants account for approximately 10% of all samples from diagnostic services and studies investigating the distribution of these lesions in pediatrics from different geographic areas are desired to improve the diagnostic knowledge of clinicians. Therefore, the aim of this study is to describe the distribution of oral lesions in a southeastern Brazilian population. METHODS The oral pathology files of the University of Campinas was retrospectively reviewed for all cases diagnosed from 2000 to 2014 affecting patients 16-years-old and younger. Data on gender and diagnosis were retrieved from patients' oral pathology reports and included in a Microsoft Excel® database. RESULTS Out of 34,138 cases, 2539 affected pediatric patients (7.4%) with a higher incidence in those with 13-16 years-old. Salivary gland disease was the most common group of lesions (37.1%), followed by mucosal pathology (13.6%) and odontogenic cysts (11.3%). Mucous extravasation cyst was the most common lesion (36.3%), followed by fibrous hyperplasia (5.6%) and dental follicle (5.2%). Dental lesions were uncommon (7.9%) and malignancies rare (0.4%). CONCLUSIONS Our results were similar to previous studies and the small differences observed were more likely result of methodological variability and characteristics of the service of origin from where samples were collected.
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Affiliation(s)
- Aline Priscila Ataíde
- Department of Oral Diagnosis, Oral Pathology and Semiology Divisions, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
| | - Felipe Paiva Fonseca
- Department of Oral Diagnosis, Oral Pathology and Semiology Divisions, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
| | - Alan Roger Santos Silva
- Department of Oral Diagnosis, Oral Pathology and Semiology Divisions, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
| | - Jacks Jorge Júnior
- Department of Oral Diagnosis, Oral Pathology and Semiology Divisions, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
| | - Márcio Ajudarte Lopes
- Department of Oral Diagnosis, Oral Pathology and Semiology Divisions, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
| | - Pablo Agustin Vargas
- Department of Oral Diagnosis, Oral Pathology and Semiology Divisions, Piracicaba Dental School, University of Campinas, Piracicaba, Brazil.
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Focal Benign Disorders of the Pediatric Mandible With Radiologic-Histopathologic Correlation: Mandibular Development and Lucent Lesions. AJR Am J Roentgenol 2016; 208:180-192. [PMID: 27762604 DOI: 10.2214/ajr.16.16587] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
OBJECTIVE Lucent lesions of the pediatric mandible may present variably. Cysts, neoplasms, and developmental and inflammatory conditions have a host of possible causes. There is also substantial overlap in the imaging appearance of cysts and that of benign but locally aggressive tumors that need to undergo resection. CONCLUSION The purpose of this article is to present common and uncommon lucent lesions of the mandible in children, with an emphasis on benign abnormalities. Discussions of imaging and histopathologic features are provided.
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Monteiro LS, Albuquerque R, Paiva A, de la Peña-Moral J, Amaral JB, Lopes CA. A comparative analysis of oral and maxillofacial pathology over a 16-year period, in the north of Portugal. Int Dent J 2016; 67:38-45. [PMID: 27681453 DOI: 10.1111/idj.12258] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES To determine the frequency and spectrum of oral and maxillofacial lesions biopsied in a hospital population in the northern region of Portugal. METHODS We conducted descriptive analyses of pathology reports from biopsies of oral and maxillofacial lesions performed between 1990 and 2006, in Oporto Hospital Center. Information on gender and age of patient, location of the lesions and the histopathological diagnosis were analysed. RESULTS The analyses revealed that 1,520 (47.7%) patients were male and 1,666 (52.3%) were female. They had a mean age ± standard deviation of 47.8 ± 18.6 years. The site most frequently biopsied was the labial mucosa (17.5%). A non-neoplastic diagnosis was established in 2,162 (63.3%) cases, potentially malignant disorders in 163 (5.1%) and neoplasms in 886 (27.6%) (403 benign and 483 malignant). The most commonly reported diagnosis was fibroepithelial polyp (n = 186; 15.9%), followed by squamous cell carcinoma (SCC) (n = 158; 13.6%). SCC was the lesion most commonly found in male patients (n = 279; 18.4%) whilst fibroepithelial polyp was the lesion most commonly found in female patients (n = 268; 16.1%). The most common lesion in patients 0-17 years of age was a follicular cyst (n = 25; 12.8%), whereas in patients 18-64 years of age it was a fibroepithelial polyp (n = 299; 13%). SCC was the most common type of lesion found in patients ≥ 65 years of age (n = 160; 24.6%). CONCLUSION This large sample provides useful information about the incidence and distribution of oral biopsies over a period of 16 years, allowing valuable comparison with other countries. Non-neoplastic lesions were the types of lesion most commonly reported, with fibroepithelial polyp being most frequent. SCC was the second most common diagnosis.
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Affiliation(s)
- Luís S Monteiro
- Medicine and Oral Surgery Department, Instituto Universitário de Ciências da Saúde, CESPU, Paredes, Gandra, Portugal
| | - Rui Albuquerque
- Oral Medicine Department, Birmingham Dental Hospital/School of Dentistry, University of Birmingham, Birmingham, UK
| | - António Paiva
- Pathology Department, Pennine Acute Hospitals NHS Trust, Manchester, Crumpsall, UK
| | | | - José B Amaral
- Medicine and Oral Surgery Department, Instituto Universitário de Ciências da Saúde, CESPU, Paredes, Gandra, Portugal.,Stomatology Department, Hospital de Santo António, Centro Hospitalar do Porto, Porto, Portugal
| | - Carlos A Lopes
- Molecular Pathology and Immunology Department, Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal
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Yakin M, Jalal JA, Al-Khurri LE, Rich AM. Oral and maxillofacial pathology submitted to Rizgary Teaching Hospital: a 6-year retrospective study. Int Dent J 2016; 66:78-85. [PMID: 26748413 DOI: 10.1111/idj.12211] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION The majority of surveys concerning oral pathology accessions have focused on specific pathological categories or particular age groups, and few studies have analysed the whole range of specimens submitted for histopathological examination. An analysis of all oral pathology submitted to the Department of Histopathology in Rizgary Teaching Hospital in Erbil, Iraq, during the 6-year period 2008-2013, was performed. METHODS Histopathology samples (excluding smears) from the maxillae, mandible, salivary glands, the lips and oral mucosa, the tongue, the hard and soft palate and uvula, and the pillars of the fauces were included. The specimens were grouped into six diagnostic categories: oral mucosal and skin pathology; benign neoplasms; malignant neoplasms; non-neoplastic salivary gland disorders; cysts; and miscellaneous pathology. RESULTS The total number of oral and maxillofacial specimens was 616 of 20,571 specimens. One-third of the oral and maxillofacial specimens were in the mucosal and skin pathology category, followed by benign neoplasms (24.2%) - of which 26.8% were odontogenic tumours and 42.6% were salivary gland tumours - and malignant neoplasms (n = 100, 16.2%). Neoplastic (n = 62) and non-neoplastic (n = 41) salivary gland disorders accounted for 16.7% (n = 103) of the specimens submitted, whereas odontogenic cysts (n = 34) and tumours (n = 40) comprised 5.5% and 6.5% of all biopsies. CONCLUSIONS Many of our findings are consistent with those reported in the literature. However, a relatively larger proportion of neoplastic lesions were found in our cohort and in other Iraqi centres. Of concern to practising clinicians in Iraq is that one in 10 biopsies submitted was a squamous cell carcinoma and three in 20 accessions were malignant.
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Affiliation(s)
- Muhammed Yakin
- Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand
| | - Jalal A Jalal
- Department of Pathology, College of Medicine, Hawler Medical University, Erbil, Iraq.,Department of Histopathology, Rizgary Teaching Hospital, Erbil, Iraq
| | - Luay E Al-Khurri
- Department of Histopathology, Rizgary Teaching Hospital, Erbil, Iraq
| | - Alison M Rich
- Faculty of Dentistry, Sir John Walsh Research Institute, University of Otago, Dunedin, New Zealand
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Cavalcante RB, Turatti E, Daniel APB, de Alencar GF, Chen Z. Retrospective review of oral and maxillofacial pathology in a Brazilian paediatric population. Eur Arch Paediatr Dent 2015; 17:115-22. [DOI: 10.1007/s40368-015-0217-5] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2015] [Accepted: 11/06/2015] [Indexed: 10/22/2022]
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