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Tarozzi M, Baruzzi E, Decani S, Tincati C, Santoro A, Moneghini L, Lodi G, Sardella A, Carrassi A, Varoni EM. HIV-Related Oral Mucosa Lesions: A Cross-Sectional Study on a Cohort of Italian Patients. Biomedicines 2024; 12:436. [PMID: 38398038 PMCID: PMC10886531 DOI: 10.3390/biomedicines12020436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2023] [Revised: 01/17/2024] [Accepted: 02/02/2024] [Indexed: 02/25/2024] Open
Abstract
BACKGROUND Human immunodeficiency virus (HIV) infection can be associated with oral mucosal diseases, including oral candidiasis and HPV infection, which are putative indicators of the immune status. AIM AND METHODS This retrospective cross-sectional study was aimed at assessing the prevalence of HIV-related oral mucosal lesions in a cohort of Italian HIV+ patients regularly attending the Clinics of Infectious Diseases. RESULTS One hundred seventy-seven (n = 177) patients were enrolled and 30 (16.9%) of them showed HIV-related diseases of the oral mucosa. They were mainly found in male patients over 35 years old, undergoing Combination Antiretroviral Therapy (cART), and with CD4+ count < 500/µL. Oral candidiasis was the most common HIV-related oral lesion. No significant correlations could be detected between the prevalence of HPV infection and other clinical parameters (lymphocyte count, cART treatment and viral load). CONCLUSIONS HIV-related oral mucosal diseases can correlate with immunosuppression. Early diagnosis and management of oral lesions in HIV+ patients should be part of the regular follow-up, from a multidisciplinary perspective of collaboration between oral medicine and infectious disease specialists, in an attempt to reduce morbidity due to oral lesions and modulate antiretroviral therapy according to the patient's immune status.
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Affiliation(s)
- Marco Tarozzi
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, 20142 Milano, Italy; (M.T.); (E.B.); (S.D.); (G.L.); (A.S.); (A.C.)
- Odontostomatologia II, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Elisa Baruzzi
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, 20142 Milano, Italy; (M.T.); (E.B.); (S.D.); (G.L.); (A.S.); (A.C.)
- Odontostomatologia II, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Sem Decani
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, 20142 Milano, Italy; (M.T.); (E.B.); (S.D.); (G.L.); (A.S.); (A.C.)
- Odontostomatologia II, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Camilla Tincati
- Dipartimento di Scienze della Salute, Università degli Studi di Milano, 20122 Milano, Italy; (C.T.); (A.S.)
- Clinica di Malattie Infettive, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Andrea Santoro
- Dipartimento di Scienze della Salute, Università degli Studi di Milano, 20122 Milano, Italy; (C.T.); (A.S.)
- Clinica di Malattie Infettive, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Laura Moneghini
- Anatomia Patologica, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy;
| | - Giovanni Lodi
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, 20142 Milano, Italy; (M.T.); (E.B.); (S.D.); (G.L.); (A.S.); (A.C.)
- Odontostomatologia II, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Andrea Sardella
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, 20142 Milano, Italy; (M.T.); (E.B.); (S.D.); (G.L.); (A.S.); (A.C.)
- Odontostomatologia II, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Antonio Carrassi
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, 20142 Milano, Italy; (M.T.); (E.B.); (S.D.); (G.L.); (A.S.); (A.C.)
- Odontostomatologia II, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
| | - Elena Maria Varoni
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, 20142 Milano, Italy; (M.T.); (E.B.); (S.D.); (G.L.); (A.S.); (A.C.)
- Odontostomatologia II, ASST Santi Paolo e Carlo—Presidio Ospedaliero San Paolo, 20142 Milano, Italy
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Cefalo J, Salerni C, Ferranti G, Bimbatti M, Moneghini L, Carlucci P, Viganò O, Marchetti G, Gianelli U, Centanni S, Sotgiu G, Mondoni M. Mediastinal lymphadenopathies and skin lesions in a 49-year-old Sinhalese man. Monaldi Arch Chest Dis 2023. [PMID: 37721088 DOI: 10.4081/monaldi.2023.2736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 09/01/2023] [Indexed: 09/19/2023] Open
Abstract
Leprosy is a neglected disease sporadically reported in high-income countries. Skin lesion and peripheral nerve involvement represent most common manifestations. Mediastinal lymphadenopathy in the absence of superficial lymph nodes involvement is very rare. Atypical or rare clinical presentations of disease may delay diagnosis and therapy and cause potential life-threatening manifestations and disabilities. We describe the case of a 49-year-old Sinhalese man who was admitted to our hospital with a one-month history of peripheral neurological symptoms and skin lesions on lower limbs. CT scan showed the presence of mediastinal lymphadenopathies without lung parenchymal and superficial lymph nodes involvement. Endobronchial ultrasound-guided transbronchial needle aspiration showed the presence of granulomas while skin biopsy revealed dermo-hypodermic granulomas with perineural lymphohistiocytic inflammatory reaction. Fite-Faraco staining demonstrated the presence of acid-fast bacilli in both lymph nodal and skin biopsy and polymerase chain reaction was positive for Mycobacterium leprae. Multibacillary leprosy was then diagnosed.
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Affiliation(s)
- Jacopo Cefalo
- Respiratory Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan.
| | - Carmine Salerni
- Respiratory Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan.
| | - Giulia Ferranti
- Respiratory Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan.
| | | | | | - Paolo Carlucci
- Respiratory Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan.
| | - Ottavia Viganò
- Infectious Diseases Unit, Department of Health Sciences, ASST Santi Paolo e Carlo, Milan.
| | - Giulia Marchetti
- Infectious Diseases Unit, Department of Health Sciences, ASST Santi Paolo e Carlo, Milan; Department Health Sciences, University of Milan.
| | - Umberto Gianelli
- Pathology Unit, ASST Santi Paolo e Carlo, Milan; Department of Health Sciences, University of Milan.
| | - Stefano Centanni
- Respiratory Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan.
| | - Giovanni Sotgiu
- Clinical Epidemiology and Medical Statistics Unit, Department of Medicine, Surgery and Pharmacy, University of Sassari.
| | - Michele Mondoni
- Respiratory Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, University of Milan.
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Lombardi N, Varoni EM, Moneghini L, Lodi G. Gingival multilobulated growing-mass in HIV-positive patient. Oral Dis 2023. [PMID: 37518944 DOI: 10.1111/odi.14676] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2023] [Revised: 06/27/2023] [Accepted: 06/30/2023] [Indexed: 08/01/2023]
Affiliation(s)
- Niccolò Lombardi
- Odontostomatology II, San Paolo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Elena Maria Varoni
- Odontostomatology II, San Paolo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Laura Moneghini
- Human Pathology, San Paolo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
| | - Giovanni Lodi
- Odontostomatology II, San Paolo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
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Lombardi N, Moneghini L, Varoni EM, Lodi G. Nodular migratory tongue lesions: Atypical geographic tongue or a new entity? Oral Dis 2023; 29:1791-1794. [PMID: 35176202 DOI: 10.1111/odi.14158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2022] [Revised: 02/10/2022] [Accepted: 02/11/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Niccolò Lombardi
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
- ASST Santi paolo e Carlo, Ospedale San Paolo, Odontostomatology II Unit, Milan, Italy
| | - Laura Moneghini
- ASST Santi Paolo e Carlo, Ospedale San Paolo, Human Pathology Unit, Milan, Italy
| | - Elena Maria Varoni
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
- ASST Santi paolo e Carlo, Ospedale San Paolo, Odontostomatology II Unit, Milan, Italy
| | - Giovanni Lodi
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
- ASST Santi paolo e Carlo, Ospedale San Paolo, Odontostomatology II Unit, Milan, Italy
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Lombardi N, Franchini R, Pispero A, Moneghini L, Varoni EM. Macroglossia associated with multiple nodular lesions of the tongue. Oral Dis 2022; 28:2061-2062. [PMID: 36214532 DOI: 10.1111/odi.14163] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 02/16/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Niccolò Lombardi
- Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy.,ASST Santi Paolo e Carlo, Odontostomatology II Unit, Milan, Italy
| | - Roberto Franchini
- Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy.,ASST Santi Paolo e Carlo, Odontostomatology II Unit, Milan, Italy
| | - Alberto Pispero
- Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy.,ASST Santi Paolo e Carlo, Odontostomatology II Unit, Milan, Italy
| | - Laura Moneghini
- Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy.,ASST Santi Paolo e Carlo, Human Pathology Unit, Milan, Italy
| | - Elena Maria Varoni
- Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy.,ASST Santi Paolo e Carlo, Odontostomatology II Unit, Milan, Italy
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Lombardi N, Varoni EM, Rabbiosi D, Cucurullo M, Moneghini L, Lodi G. Primary oral leiomyosarcoma of the maxillary bone and sinus: case report and up-to-date review of literature. Braz J Otorhinolaryngol 2022; 88 Suppl 4:S205-S211. [PMID: 34756559 DOI: 10.1016/j.bjorl.2021.07.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 07/15/2021] [Accepted: 07/19/2021] [Indexed: 12/14/2022] Open
Affiliation(s)
- Niccolò Lombardi
- Università degli Studi di Milano, Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Milan, Italy; ASST Santi Paolo e Carlo, Odontostomatology II Unit, Milan, Italy.
| | - Elena M Varoni
- Università degli Studi di Milano, Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Milan, Italy; ASST Santi Paolo e Carlo, Odontostomatology II Unit, Milan, Italy
| | - Dimitri Rabbiosi
- ASST Santi Paolo e Carlo, Maxillofacial Surgery Unit, Milan, Italy
| | - Marco Cucurullo
- ASST Santi Paolo e Carlo, Maxillofacial Surgery Unit, Milan, Italy
| | - Laura Moneghini
- ASST Santi Paolo e Carlo, Human Pathology Unit, Milan, Italy
| | - Giovanni Lodi
- Università degli Studi di Milano, Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Milan, Italy; ASST Santi Paolo e Carlo, Odontostomatology II Unit, Milan, Italy
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7
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Scaletta J, Franchini R, Macri L, Varoni E, Moneghini L, Lombardi N. Neoformazione gengivale in paziente con carcinoma polmonare. Dental Cadmos 2022. [DOI: 10.19256/d.cadmos.08.2022.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Stillo F, Mattassi R, Diociaiuti A, Neri I, Baraldini V, Dalmonte P, Amato B, Ametrano O, Amico G, Bianchini G, Campisi C, Cattaneo E, Causin F, Cavalli R, Colletti G, Corbeddu M, Coppo P, DE Fiores A, DI Giuseppe P, El Hachem M, Esposito F, Fulcheri E, Gandolfo C, Grussu F, Guglielmo A, Leuzzi M, Manunza F, Moneghini L, Monzani N, Nicodemi E, Occella C, Orso M, Pagella F, Paolantonio G, Pasetti F, Rollo M, Ruggiero F, Santecchia L, Spaccini L, Taurino M, Vaghi M, Vercellio G, Zama M, Zocca A, Aguglia M, Castronovo EL, DE Lorenzi E, Fontana E, Gusson E, Lanza J, Lizzio R, Mancardi MM, Rosina E. Guidelines for Vascular Anomalies by the Italian Society for the study of Vascular Anomalies (SISAV). INT ANGIOL 2022; 41:1-130. [PMID: 35546136 DOI: 10.23736/s0392-9590.22.04902-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Francesco Stillo
- SISAV Past President, Service of Vascular Anomalies Surgery, Casa di Cura Guarnieri accreditata SSN, Rome, Italy
| | - Raul Mattassi
- Service of Vascular Surgery, Casa di cura Humanitas accreditata SSN, Varese, Italy
| | - Andrea Diociaiuti
- Unit of Dermatology, Department of Pediatrics, Bambino Gesù Children's Hospital, Rome, Italy
- Associazione Italiana Sindrome di Sturge Weber, Vicenza, Italy
| | - Iria Neri
- Department of Dermatology, S. Orsola Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Vittoria Baraldini
- Unit of Vascular Malformation Surgery, V. Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy
| | | | - Bruno Amato
- Service of Vascular and General Surgery, Federico II University Hospital, Naples, Italy
| | - Orsola Ametrano
- Department of Pediatric Dermatology, Santobono Hospital, Naples, Italy
| | - Giulia Amico
- Department of Medical Genetics, IRCCS "G. Gaslini" Institute, Genoa, Italy
| | - Giuseppe Bianchini
- Department of Vascular Surgery, IRCCS - Istituto Dermopatico dell'Immacolata, Rome, Italy
| | - Corradino Campisi
- Department of Vascular and General Surgery, University of Genoa, Genoa, Italy
| | - Elisa Cattaneo
- Service of Medical Genetics, V. Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Francesco Causin
- Unit of Neuroradiology, University Hospital of Padua, Padua, Italy
| | - Riccardo Cavalli
- Unit of Pediatric Dermatology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Giacomo Colletti
- Private Practitioner in Maxillofacial Surgery, Associazione Italiana Sindrome di Sturge Weber, Milan, Italy
| | | | - Paola Coppo
- Unit of Pediatric Dermatology, Regina Margherita Children's Hospital, Città della Salute e della Scienza, Turin, Italy
| | - Antonio DE Fiores
- Service of Diagnostic Imaging Ultrasound, Casa di Cura Guarnieri Accreditata SSN, Rome, Italy
| | | | - May El Hachem
- Unit of Pediatric Dermatology, Dipartimento Pediatrico Universitario-Ospedaliero (DPUO), Associazione Italiana Sindrome di Sturge Weber, Bambino Gesù Children's Hospital, Rome, Italy
| | - Francesco Esposito
- Unit of Emergency Radiology, A.O.R.N. Santobono-Pausilipon, Naples, Italy
| | - Ezio Fulcheri
- Unit of Pathological Anatomy and Histology, University of Genoa, Genoa, Italy
| | - Carlo Gandolfo
- Unit of Radiology, Bambino Gesù Children's Hospital, Rome, Italy
| | - Francesca Grussu
- Unit of Plastic Surgery, Bambino Gesù Children's Hospital, Rome, Italy
| | - Alba Guglielmo
- Department of Dermatology, S. Orsola Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Miriam Leuzzi
- Department of Dermatology, S. Orsola Malpighi Hospital, University of Bologna, Bologna, Italy
| | | | - Laura Moneghini
- Unit of Anatomy, Pathology and Medical Genetics, San Paolo Hospital, ASST Santi Paolo e Carlo, Milan, Italy
| | - Nicola Monzani
- Pediatric Intensive Care Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
| | | | | | - Massimiliano Orso
- Regione Umbria, Direzione regionale Salute e Welfare, Perugia, Italy
| | - Fabio Pagella
- ENT Department, IRCCS San Matteo Polyclinic Foundation, University of Pavia, Pavia, Italy
| | | | | | | | | | | | - Luigina Spaccini
- Service of Medical Genetics, V. Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Maurizio Taurino
- Department of Vascular Surgery, Sant'Andrea Hospital, Rome, Italy
| | | | | | - Mario Zama
- Unit of Plastic Surgery, Bambino Gesù Children's Hospital, Rome, Italy
| | - Alfredo Zocca
- Unit of Internal Medicine, ASST Fatebenefratelli, Milan, Italy
| | - Maria Aguglia
- Unit of Clinical Pathology, PO "Vito Fazzi", Lecce, Italy
- Associazione HHT Onlus, Rome, Italy
| | - Enza L Castronovo
- Unit of Vascular Malformation Surgery, V. Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Elena DE Lorenzi
- Unit of Vascular Malformation Surgery, V. Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Elena Fontana
- Associazione Italiana Sindrome di Sturge Weber, Vicenza, Italy
- AOUI (Azienda Ospedaliera Universitaria Integrata) di Verona, Verona, Italy
| | - Elena Gusson
- Associazione Italiana Sindrome di Sturge Weber, Vicenza, Italy
- Unit of Ophthalmology, Women and Children Hospital AOUI, Verona, Italy
| | - Jessica Lanza
- Unit of Vascular Malformation Surgery, V. Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy
| | - Roberta Lizzio
- ENT Department, IRCCS San Matteo Polyclinic Foundation, University of Pavia, Pavia, Italy
- Associazione HHT Onlus, Rome, Italy
| | - Maria M Mancardi
- Associazione Italiana Sindrome di Sturge Weber, Vicenza, Italy
- Unit of Child Neuropsychiatry, Department of Neurosciences, IRCCS "G. Gaslini" Institute, Genoa, Italy
| | - Erica Rosina
- Service of Medical Genetics, V. Buzzi Children's Hospital, ASST Fatebenefratelli-Sacco, Milan, Italy
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Mazzucco A, Poirè E, Leporati A, Chiari M, Moneghini L, Ghilardi G, Baisi A. An Unusual Histology for a Lung Nodule: A Case Report of Primary Pulmonary Paraganglioma. Front Surg 2021; 8:688236. [PMID: 34222324 PMCID: PMC8249766 DOI: 10.3389/fsurg.2021.688236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 05/27/2021] [Indexed: 11/13/2022] Open
Abstract
Introduction: Primary pulmonary paraganglioma is a rare tumor with few cases reported in literature and unspecific clinical presentation. Case Presentation: A 49-year-old woman presented to our department with an incidental finding of a pulmonary mass at chest X-ray and no associated clinical symptom. The CT scan and the FDG-PET showed mild uptake of contrast, but a definitive diagnosis was only possible after surgery through histopathological examination. Conclusion: Paragangliomas originating in the pulmonary tissue are generally non-functioning masses discovered incidentally in otherwise asymptomatic patients. Surgery appears to be the best treatment option, with only radiologic follow-up necessary afterwards.
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Affiliation(s)
- Alessandra Mazzucco
- Thoracic Surgery Unit, University of Milan-Aziende Socio Sanitarie Territoriali (ASST) Santi Paolo e Carlo, Milan, Italy
| | - Eleonora Poirè
- Thoracic Surgery Unit, University of Milan-Aziende Socio Sanitarie Territoriali (ASST) Santi Paolo e Carlo, Milan, Italy
| | - Andrea Leporati
- Thoracic Surgery Unit, University of Milan-Aziende Socio Sanitarie Territoriali (ASST) Santi Paolo e Carlo, Milan, Italy
| | - Matteo Chiari
- Thoracic Surgery Unit, University of Milan-Aziende Socio Sanitarie Territoriali (ASST) Santi Paolo e Carlo, Milan, Italy
| | - Laura Moneghini
- Unit of Anatomical Pathology-Aziende Socio Sanitarie Territoriali (ASST) Santi Paolo e Carlo, Milan, Italy
| | - Giorgio Ghilardi
- Thoracic Surgery Unit, University of Milan-Aziende Socio Sanitarie Territoriali (ASST) Santi Paolo e Carlo, Milan, Italy
| | - Alessandro Baisi
- Thoracic Surgery Unit, University of Milan-Aziende Socio Sanitarie Territoriali (ASST) Santi Paolo e Carlo, Milan, Italy
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Sorrentino D, D'Amore F, Franchini R, Pispero A, Moneghini L. Lesione nodulare della mucosa geniena. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.06.2021.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Rossi A, Terenzio T, Moneghini L, Scarnò D, Vitali M, Giovannini S. Displasia gnatodiafisaria: revisione della letteratura e trattamento di due casi clinici. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.04.2021.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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D'Amore F, Franchini R, Sorrentino D, Bianchi A, Moneghini L, Lombardi N. EAO: un biennio all’insegna dell’italianità. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.04.2021.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Lombardi N, Varoni E, Moneghini L, Lodi G. Diode laser as local treatment for oral Kaposi's sarcoma in HIV young patient: a case report. J Oral Med Oral Surg 2021. [DOI: 10.1051/mbcb/2021005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Introduction: Kaposi's sarcoma (KS) is a malignant mucocutaneous neoplasm caused by human herpesvirus 8 (HHV-8). Four types of KS exist and, in each of them, the patient could develop skin and visceral lesions. Surgical excision, radiotherapy, intralesional chemotherapy and systemic chemotherapy are widely accepted as treatment options. Observation: The aim of this paper is to present diode laser as minimally invasive procedure in management of oral KS. We report here a case of multiple oral lesions of acquired immunodeficiency syndrome (AIDS)-associated KS, which has been solely treated with diode laser. Discussion: There is no bibliography on local treatment of oral KS with diode laser and this clinical case appears to be the first regarding this technique. Conclusion: This conservative approach, in association with highly active antiretroviral therapy (HAART), is safe and effective, shows fewer side effects than chemotherapy, radiotherapy and surgical excision and may be evaluated as potential treatment for oral KS.
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Lombardi N, Varoni EM, Bazzacchi R, Moneghini L, Lodi G. Secondary undifferentiated pleomorphic sarcoma of the mandible in a HIV patient who underwent radiotherapy for oral carcinoma. Spec Care Dentist 2021; 41:417-422. [PMID: 33543781 DOI: 10.1111/scd.12574] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2020] [Revised: 01/16/2021] [Accepted: 01/19/2021] [Indexed: 01/26/2023]
Abstract
Undifferentiated pleomorphic sarcoma (UPS), also defined malignant fibrous histiocytoma (MFH), is one of the most common sarcomas affecting soft tissues in adults, but it can also arise as a primary tumor in bone. UPS is extremely uncommon in the lower jaw and presents very aggressive clinical behavior with high rate of local recurrences and frequent metastases. Secondary UPS are even rarer than primary forms, and they are usually closely associated with local trauma or radiotherapy. This case report aims at illustrating a rare case of secondary UPS of the mandible in an 81-year-old male affected by HIV, maxillary oral squamous cell carcinoma (and mandibular recurrence), and who underwent head and neck radiotherapy. The complete immunohistochemical pattern of the lesion is reported. Due to his medical history and systemic status, the patient has been considered not eligible for further surgical procedures nor radiotherapy. Therefore, a palliative care treatment has been scheduled.
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Affiliation(s)
- Niccolò Lombardi
- ASST Santi Paolo e Carlo, Presidio Ospedaliero San Paolo, Odontostomatologia II Clinical Unit, Milan, Italy.,Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Elena M Varoni
- ASST Santi Paolo e Carlo, Presidio Ospedaliero San Paolo, Odontostomatologia II Clinical Unit, Milan, Italy.,Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Roberto Bazzacchi
- ASST Santi Paolo e Carlo, Presidio Ospedaliero San Paolo, Maxillofacial Surgery Unit, Milan, Italy
| | - Laura Moneghini
- ASST Santi Paolo e Carlo, Presidio Ospedaliero San Paolo, Human Pathology Unit, Milan, Italy
| | - Giovanni Lodi
- ASST Santi Paolo e Carlo, Presidio Ospedaliero San Paolo, Odontostomatologia II Clinical Unit, Milan, Italy.,Dipartimento di Scienze Biomediche, Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
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15
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Pispero A, Decani S, Scotti F, Moneghini L, Vegni E, Sorrentino D, Saibene A, Sardella A. Presentazione clinica e diagnosi. Dental Cadmos 2021. [DOI: 10.19256/d.cadmos.02.2021.13] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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16
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Raveglia F, Moneghini L, Cariati M, Baisi A, Guttadauro A, Cioffi U, Scarci M. Case Report: Multidisciplinary Approach for a Rare Case of Thymic Vascular Malformation. Front Surg 2021; 7:624615. [PMID: 33511152 PMCID: PMC7835703 DOI: 10.3389/fsurg.2020.624615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2020] [Accepted: 12/11/2020] [Indexed: 12/04/2022] Open
Abstract
We report the rare case of a 2.5 cm in size mass diagnostic for residual thymus associated with venous vascular malformation (ISSVA classification, 2008) in a 58 years old man. Diagnosis was obtained only after surgical removal that was complicated by a sudden massive bleeding (about 1,500 cc) requiring emergency conversion to median sternotomy. Difficulty in preoperative diagnosis, rarity of histologic pattern, and surgical challenges make this case very interesting for surgeons, pathologists and radiologist. Our message, dealing with mediastinal masses, is: (a) differential diagnosis between the more frequent solid antero-superior mediastinal tumors and vascular malformation should be always considered (b) preoperative angiography should always be performed in case of uncertain diagnosis (c) coil embolization should always be considered to reduce potentially fatal bleeding (d) histologic differentiation with other thymic neoplasms must be always considered.
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Affiliation(s)
- Federico Raveglia
- Department of Thoracic Surgery, Aziende Socio Sanitarie Territoriali-Monza, Monza, Italy
| | - Laura Moneghini
- Department of Pathology, Aziende Socio Sanitarie Territoriali Santi Paolo e Carlo, Milano, Italy
| | - Maurizio Cariati
- Department of Radiology, Aziende Socio Sanitarie Territoriali Santi Paolo e Carlo, Milano, Italy
| | - Alessandro Baisi
- Department of Thoracic Surgery, Aziende Socio Sanitarie Territoriali Santi Paolo e Carlo, Milano, Italy
| | | | - Ugo Cioffi
- Department of Thoracic Surgery, Aziende Socio Sanitarie Territoriali Santi Paolo e Carlo, Milano, Italy
| | - Marco Scarci
- Department of Thoracic Surgery, Aziende Socio Sanitarie Territoriali-Monza, Monza, Italy
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17
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Lombardi N, Varoni EM, Moneghini L, Lodi G. Submucosal oral squamous cell carcinoma of the tongue. Oral Oncol 2020; 115:105121. [PMID: 33358321 DOI: 10.1016/j.oraloncology.2020.105121] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Revised: 11/23/2020] [Accepted: 11/25/2020] [Indexed: 11/25/2022]
Affiliation(s)
- Niccolò Lombardi
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy.
| | - Elena M Varoni
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Laura Moneghini
- Unit of Pathology, ASST Santi Paolo e Carlo, San Paolo Hospital, Milan, Italy
| | - Giovanni Lodi
- Dipartimento di Scienze Biomediche Chirurgiche e Odontoiatriche, Università degli Studi di Milano, Milan, Italy
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18
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Lombardi N, D'Amore F, Elli C, Pispero A, Moneghini L, Franchini R. Neoformazione gengivale in leucoplachia proliferativa verrucosa. Dental Cadmos 2020. [DOI: 10.19256/d.cadmos.10.2020.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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19
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Liberale C, Rozell-Shannon L, Moneghini L, Nocini R, Tombris S, Colletti G. Stop Calling Me Cavernous Hemangioma! A Literature Review on Misdiagnosed Bony Vascular Anomalies. J INVEST SURG 2020; 35:141-150. [DOI: 10.1080/08941939.2020.1824041] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
| | | | | | - Riccardo Nocini
- Department of Otorhinolaryngology, University Hospital of Verona, Verona, Italy
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20
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Varoni EM, Lombardi N, Franchini R, D'Amore F, Noviello V, Cassani B, Moneghini L, Sardella A, Lodi G. Oral Human Papillomavirus (HPV) and sexual behaviors in a young cohort of oral cancer survivors. Oral Dis 2020; 27:919-923. [PMID: 32871033 DOI: 10.1111/odi.13622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 08/11/2020] [Accepted: 08/12/2020] [Indexed: 12/01/2022]
Affiliation(s)
- Elena M Varoni
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Niccolò Lombardi
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Roberto Franchini
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Fiorella D'Amore
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Valentina Noviello
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Barbara Cassani
- UOC Anatomia Patologica, Citogenetica e Patologia Molecolare, ASST Santi Paolo e Carlo - Presidio Ospedaliero San Paolo di Milano, Milan, Italy
| | - Laura Moneghini
- UOC Anatomia Patologica, Citogenetica e Patologia Molecolare, ASST Santi Paolo e Carlo - Presidio Ospedaliero San Paolo di Milano, Milan, Italy
| | - Andrea Sardella
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
| | - Giovanni Lodi
- Dipartimento di Scienze Biomediche, Chirurgiche ed Odontoiatriche, Università degli Studi di Milano, Milan, Italy
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21
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Vitaliano T, Costa D, Scotti F, Moneghini L, Lombardi N, Pispero A. Neoformazione della mucosa geniena a rapido accrescimento. Dental Cadmos 2020. [DOI: 10.19256/d.cadmos.06.2020.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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22
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Sorrentino D, Lombardi N, D'Amore F, Moneghini L, Franchini R, Sardella A. Lesione eritroleucoplasica del margine linguale in un giovane paziente. Dental Cadmos 2020. [DOI: 10.19256/d.cadmos.05.2020.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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23
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Moneghini L, Tosi D, Graziani D, Caretti A, Colletti G, Baraldini V, Cattaneo E, Spaccini L, Zocca A, Bulfamante GP. CD10 and CD34 as markers in vascular malformations with PIK3CA and TEK mutations. Hum Pathol 2020; 99:98-106. [PMID: 32272124 DOI: 10.1016/j.humpath.2020.04.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2020] [Accepted: 04/01/2020] [Indexed: 02/08/2023]
Abstract
AIMS Vascular malformations (vMs) encompass a wide range of diseases often associated with somatic or, more rarely, germinal genetic mutations. A mutation in the PIK3Ca/mTOR pathway is more often involved in various vMs. CD10 and CD34 are cellular markers that may play a role in mesenchymal differentiation and proliferation. The aim of our study was to find a possible link between the immunohistochemical expression of CD10 and CD34 in vMs and their relationship with mutations in the PIK3CA/mTOR signaling pathway. METHODS AND RESULTS Our study on 58 samples of vMs showed that in endothelial cells, CD10 was significantly expressed in PIK3CA-mutated samples compared with samples without any mutation (p < 0.05), especially and even more consistently when compared with samples with mutation in other pathways (p < 0.0001). Conversely, in the same PIK3CA-mutated samples, CD34 expression in endothelial cells was significantly reduced compared with samples either without any mutation or mutations in other pathways (p < 0.05 and p < 0.0005). Compared with samples with mutations in other pathways, a significant overexpression of endothelial CD10 was also found in samples with TEK/TIE2 mutation, a gene linked to the PIK3CA/mTOR pathway (p < 0.01). However, CD34 expression was not altered. In samples with PIK3CA mutation, the CD10 expression was significantly increased in the stroma compared with samples with TEK/TIE2 gene or other gene mutations (p < 0.05). CONCLUSION Therefore, the CD10 and CD34 immunohistochemical profile could suggest/support the presence of mutations in the PIK3CA/mTOR pathway in samples of vMs.
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Affiliation(s)
- Laura Moneghini
- Unit of Human Pathology, Department of Health Sciences, Santi Paolo e Carlo Hospital Medical School, University of Milan, Milan, 20142, Italy.
| | - Delfina Tosi
- Unit of Human Pathology, Department of Health Sciences, Santi Paolo e Carlo Hospital Medical School, University of Milan, Milan, 20142, Italy
| | - Daniela Graziani
- Unit of Human Pathology, Department of Health Sciences, Santi Paolo e Carlo Hospital Medical School, University of Milan, Milan, 20142, Italy
| | - Anna Caretti
- Biochemistry and Molecular Biology Lab., Department of Health Sciences, University of Milan, Milan, 20142, Italy
| | - Giacomo Colletti
- Maxillo-facial Surgery Department, Department of Health Sciences, San Paolo Hospital Medical School, University of Milan, Milan, 20142, Italy
| | - Vittoria Baraldini
- Center for Pediatric Vascular Malformations-Pediatric Surgery Unit V. Buzzi Children's Hospital, Milan, 20154, Italy
| | - Elisa Cattaneo
- Genetic Service, Department of Obstetrics and Gynecology, "V. Buzzi" Children's Hospital, University of Milan, Milan, 20154, Italy
| | - Luigina Spaccini
- Genetic Service, Department of Obstetrics and Gynecology, "V. Buzzi" Children's Hospital, University of Milan, Milan, 20154, Italy
| | | | - Gaetano Pietro Bulfamante
- Unit of Human Pathology, Department of Health Sciences, Santi Paolo e Carlo Hospital Medical School, University of Milan, Milan, 20142, Italy
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24
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Pradal G, Sorrentino D, Lombardi N, Franchini R, Moneghini L, Varoni E. Gengivite desquamativa in paziente con malattia da IgG4. Dental Cadmos 2020. [DOI: 10.19256/d.cadmos.03.2020.06] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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25
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Moneghini L, Mihm MC, Fulcheri E. Procedures and operating instructions for diagnosis in vascular anomalies and pathology. Pathologica 2019; 111:48-50. [PMID: 31217623 PMCID: PMC8138539 DOI: 10.32074/1591-951x-16-19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Accepted: 02/26/2019] [Indexed: 11/30/2022] Open
Abstract
In the last 30 years a revolution has occurred in the diagnosis and management of vascular anomalies. The great changes began with Mulliken and Glowacki separation of hemangiomas and vascular anomalies. Their work has now morphed into the ISSVA classification. Subsequently the discovery of the significance of the presence of GLUT-1 in the diagnosis of the hemangiomas of infancy gave us a new marker in our quest for accurate classification. Now the genetic breakthroughs have led us into a "Star Wars" like environment in the experimental laboratory. During all these events the critical role of the pathologist has become more evident. Understanding the histopathology of anomalies has greatly aided in our approach to therapies. Moreover, genetic findings do not have full significance without the morphologic framework.
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Affiliation(s)
- L Moneghini
- Unit of Pathology, Department of Health Sciences, San Paolo Hospital Medical School, University of Study Milan
| | - M C Mihm
- Harvard Medical School, Boston, MA, USA
| | - E Fulcheri
- Fetal and Perinatal Pathology Unit, IRCCS Istituto Giannina Gaslini, Genoa.,Division of Anatomic Pathology, DISC, University of Genoa
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26
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Marra A, Violati M, Broggio F, Codecà C, Blasi M, Luciani A, Zonato S, Rabbiosi D, Moneghini L, Saibene A, Maccari A, Felisati G, Ferrari D. Long-term disease-free survival in surgically-resected oral tongue cancer: a 10-year retrospective study. ACTA ACUST UNITED AC 2019; 39:84-91. [PMID: 31097825 PMCID: PMC6522864 DOI: 10.14639/0392-100x-2336] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2018] [Accepted: 11/29/2018] [Indexed: 01/06/2023]
Abstract
Early and loco-regionally advanced oral tongue squamous cell carcinoma (OTSCC) can be treated by surgery alone or followed by adjuvant radiotherapy or chemoradiotherapy. Nevertheless, up to 40% of patients develop tumour relapse. The aim of our study is to investigate the clinical and pathological features associated with reduced disease-free survival (DFS) in a cohort of surgically-resected OTSCC patients. One hundred and six patients surgically resected for OTSCC were retrospectively identified from clinical records. DFS was calculated according to the Kaplan–Meier method and differences between variables were assessed with Log-Rank test. A multivariable Cox regression model was used to analyse the impact of different prognostic factors on DFS. After a median of follow-up of 8.9 years, 22 events, including 11 deaths, were observed. Overall, the 5-year DFS-rate was 87.4%. The presence of extra-nodal extension (p = 0.023) and perineural invasion (p = 0.003) were significantly correlated with shorter DFS (in univariate analysis). In multivariable analysis, extra-nodal extension and perineural invasion confirmed their role as independent prognostic factors associated with an increased risk of disease recurrence [hazard ratio (HR) 2.87, 95% CI 1.11-7.42, p = 0.03; HR 3.85, 95% CI 1.49-9.96, p = 0.006, respectively]. p16 and p53 expressions in tumour cells were detected in 12% (n = 9) and 46% (n = 40) of cases, respectively. No differences in DFS were observed between p16+ and p16- (p = 0.125) and between p53+ and p53- tumours (p = 0.213). In conclusion, radical surgery, eventually followed by adjuvant radiotherapy or chemo-radiotherapy, can achieve high cure rates in OTSCC. After long-term follow-up, perineural invasion and extra-nodal extension confirmed their role as prognostic factors associated with reduced DFS in OTSCC patients.
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Affiliation(s)
- A Marra
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - M Violati
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - F Broggio
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - C Codecà
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - M Blasi
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - A Luciani
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - S Zonato
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - D Rabbiosi
- Maxillo-Facial Surgery Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - L Moneghini
- Pathology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - A Saibene
- Otolaryngology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - A Maccari
- Otolaryngology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - G Felisati
- Otolaryngology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
| | - D Ferrari
- Medical Oncology Unit, ASST Santi Paolo e Carlo, University of Milan, Italy
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27
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Galassi A, Perna F, De Nicola E, Moneghini L, Sganzaroli AB, Cozzolino M. Calciphylaxis in a dialysis patient treated by intralesional and systemic sodium thiosulphate on top of multifactorial intervention. Clin Kidney J 2019; 12:546-549. [PMID: 31384447 PMCID: PMC6671482 DOI: 10.1093/ckj/sfy119] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Indexed: 11/14/2022] Open
Abstract
Calciphylaxis, or calcific uraemic arteriolopathy (CUA), represents a life-threatening disease. Dialysis patients and those receiving warfarin are seen as populations at higher risk for CUA. Treatments for CUA are still uncertain despite the poor survival of the disease. Administration of intravenous sodium thiosulphate (STS) has been purposed to treat CUA in dialysis patients. Due to the poor tolerability of STS, characterized by nausea, hypocalcaemia, metabolic acidosis and QT-interval prolongation, its intralesional administration has been reported. We herein present the improvement of wounds in a haemodialysis patient affected by CUA, treated by multipronged intervention including both intravenous and intralesional STS.
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Affiliation(s)
- Andrea Galassi
- Health Sciences, Renal Division, University of Milan, San Paolo Hospital, Milan, Italy
- Renal & Dialysis Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, San Paolo Hospital, Milan, Italy
- Correspondence and offprint requests to: Andrea Galassi; E-mail:
| | - Francesco Perna
- Renal & Dialysis Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, San Paolo Hospital, Milan, Italy
| | - Enrico De Nicola
- Hepato-Biliary-Pancreatic and Digestive Surgery Unit, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy
| | - Laura Moneghini
- Unit of Pathology, Azienda Socio Sanitaria Territoriale Santi Paolo e Carlo, Milan, Italy
| | - Adriana B Sganzaroli
- Gruppo Multimedica, Diabetic Foot Center, S. Giuseppe Hospital, Multimedica, Milan, Italy
| | - Mario Cozzolino
- Health Sciences, Renal Division, University of Milan, San Paolo Hospital, Milan, Italy
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28
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Villa G, Baruzzi E, Pispero A, Maddalone E, Lualdi A, Costa D, Moneghini L, Lodi G, Varoni EM. Osteonecrosi mascellare associata a rituximab in paziente affetto da linfoma a cellule B. Dental Cadmos 2019. [DOI: 10.19256/d.cadmos.05.2019.07] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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29
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Villa G, Maddalone E, Varoni EM, Costa D, Pispero A, Moneghini L. Lesione papillomatosa gengivale. Dental Cadmos 2018. [DOI: 10.19256/d.cadmos.10.2018.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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30
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Scotti F, Decani S, Villani G, Sardella A, Moneghini L. Tumefazione del ventre linguale. Dental Cadmos 2018. [DOI: 10.19256/d.cadmos.09.2018.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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31
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Sangiorgio V, Moneghini L, Tosi D, Bulfamante GP. A case of melanocytic matricoma with prominent mitotic activity and melanocytic hyperplasia. Int J Dermatol 2018; 57:e78-e81. [PMID: 30133753 DOI: 10.1111/ijd.14109] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/24/2017] [Revised: 04/04/2018] [Accepted: 06/06/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Valentina Sangiorgio
- Division of Human Pathology, Department of Health Sciences, University of Milan, ASST Santi Paolo e Carlo, Milan, Italy
| | - Laura Moneghini
- Division of Human Pathology, ASST Santi Paolo e Carlo, Milan, Italy
| | - Delfina Tosi
- Division of Human Pathology, Department of Health Sciences, University of Milan, ASST Santi Paolo e Carlo, Milan, Italy
| | - Gaetano P Bulfamante
- Division of Human Pathology, Department of Health Sciences, University of Milan, ASST Santi Paolo e Carlo, Milan, Italy
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32
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Pradal G, Sorrentino D, Lombardi N, Pispero A, Moneghini L. Lesione osteolitica in paziente oncologico. Dental Cadmos 2018. [DOI: 10.19256/d.cadmos.06.2018.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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33
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Diani M, Spadino S, Moneghini L, Bertino L, Altomare G. Plaque-like ALK-positive cutaneous inflammatory myofibroblastic tumor. Ital J Dermatol Venerol 2018; 153:283-284. [PMID: 29564876 DOI: 10.23736/s0392-0488.17.05458-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Marco Diani
- Department of Dermatology and Venereology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy -
| | - Samantha Spadino
- Department of Dermatology and Venereology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy
| | - Laura Moneghini
- Department of Pathology, San Paolo Hospital, University of Milan, Milan, Italy
| | - Lucrezia Bertino
- Department of Dermatology and Venereology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy
| | - Gianfranco Altomare
- Department of Dermatology and Venereology, IRCCS Istituto Ortopedico Galeazzi, University of Milan, Milan, Italy
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Patella F, Franceschelli G, Petrillo M, Sansone M, Fusco R, Pesapane F, Pompili G, Ierardi AM, Saibene AM, Moneghini L, Biglioli F, Carrafiello G. A multiparametric analysis combining DCE-MRI- and IVIM -derived parameters to improve differentiation of parotid tumors: a pilot study. Future Oncol 2018; 14:2893-2903. [PMID: 29425058 DOI: 10.2217/fon-2017-0655] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
AIM To evaluate dynamic contrast-enhanced (DCE)-MRI and diffusion weighted (DW)-MRI diagnostic value to differentiate Warthin tumors (WT) by pleomorphic adenomas (PA). MATERIALS & METHODS Seven WT and seven PA were examined. DCE- and DW-MRI parameters were extracted from volumes of interest; volume of interest-based averages and standard deviations were calculated. Statistical analysis included: linear discriminant analysis, receiver operating characteristic curves, sensitivity and specificity. RESULTS No single feature was able to differentiate WT by PA (p > 0.05); linear discriminant analysis analysis showed that a combination of all features or combinations of feature pairs (namely: Ktrans(std) & f(std), Ktrans(std) & D(std), kep(std) & D(std), MRE(av) & TTP(av)) might achieve sensitivity (SENS), specificity (SPEC) = 100%, with a slight reduction after cross-validation analysis (SENS = 0.875; SPEC = 1). CONCLUSION Although preliminary and not conclusive, our results suggest that differentiation between WT and PA is possible through a multiparametric approach based on combination of DCE- and DW-MRI parameters.
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Affiliation(s)
- Francesca Patella
- Postgraduation School of Radiodiagnostic of Milan, Università degli Studi di Milano, Milan, Italy
| | | | - Mario Petrillo
- Diagnostic & Interventional Radiology Service, San Paolo Hospital, Milan, Italy
| | - Mario Sansone
- Department of Electrical Engineering & Information Technologies, University "Federico II" of Naples, Via Claudio, Naples, Italy
| | - Roberta Fusco
- Radiology Unit, "Dipartimento di supporto ai percorsi oncologici Area Diagnostica, Istituto Nazionale Tumori - IRCCS - Fondazione G Pascale", Via Mariano Semmola, Naples, Italy
| | - Filippo Pesapane
- Postgraduation School of Radiodiagnostic of Milan, Università degli Studi di Milano, Milan, Italy
| | - Giovanni Pompili
- Diagnostic & Interventional Radiology Service, San Paolo Hospital, Milan, Italy
| | - Anna Maria Ierardi
- Diagnostic & Interventional Radiology Service, San Paolo Hospital, Milan, Italy
| | - Alberto Maria Saibene
- Otolaryngology Unit, ASST Santi Paolo e Carlo, Department of Health Sciences, Università degli Studi di Milano, Milan, Italy
| | - Laura Moneghini
- Department of Health Sciences, Division of Pathology, University of Milan, AO Santi Paolo e Carlo, 20142 Milan, Italy
| | - Federico Biglioli
- Maxillofacial Surgery Unit, ASST Santi Paolo e Carlo, Università degli Studi di Milano, Milan, Italy
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Biglioli F, Kutanovaite O, Autelitano L, Lozza A, Moneghini L, Bulfamante G, Allevi F. Surgical treatment of painful inferior alveolar nerve injuries following endodontic treatment: a consecutive case series of seven patients. Oral Maxillofac Surg 2017; 21:461-466. [PMID: 28932988 DOI: 10.1007/s10006-017-0656-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2017] [Accepted: 09/14/2017] [Indexed: 06/07/2023]
Abstract
PURPOSE Injuries of the inferior alveolar nerve (IAN) related to endodontic treatment are being increasingly reported. However, consensus on the preferred intervention and the timing of and indications for surgical treatment is lacking. Here, we describe our experience with painful IAN injuries arising from endodontic treatment and requiring prompt microsurgical treatment. METHODS Seven consecutive patients with painful IAN injuries were referred to the Maxillofacial Surgery Unit of San Paolo Hospital in Milan. All patients had undergone root canals endodontic treatment in the mandibular molar or premolar between 2007 and 2014. The time elapsed between injury and referral for surgical treatment ranged from 10 days to 20 months. Each patient was treated by one of several different microsurgical procedures, described herein. RESULTS Overall, neurosensory status and IAN-related pain improved in all seven patients. The best results were obtained by IAN replacement with a sural nerve graft. However, complete sensory recovery was not achieved in any of the patients. CONCLUSIONS Although our sample includes only seven patients, early surgical treatment with an interpositional sural nerve graft seems to allow neurosensory recovery. Less satisfactory results are achieved in patients with IAN injuries of > 12 months duration.
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Affiliation(s)
- Federico Biglioli
- Maxillofacial Surgical Unit, San Paolo Hospital, Department of Health Sciences, University of Milan, Via di Rudini' 8, 20142, Milan, Italy
| | - Otilija Kutanovaite
- Maxillofacial Surgery Department, Vilnius University Hospital Zalgiris Clinics, Vilnius, Lithuania
| | - Luca Autelitano
- Maxillofacial Surgical Unit, San Paolo Hospital, Department of Health Sciences, University of Milan, Via di Rudini' 8, 20142, Milan, Italy
| | - Alessandro Lozza
- Neurophysiopathology Service, C. Mondino National Neurological Institute, Pavia, Italy
| | - Laura Moneghini
- Unit of Pathology, Department of Health Sciences, San Paolo Hospital, Scienze della Salute Department, University of Milan, Milan, Italy
| | - Gaetano Bulfamante
- Unit of Pathology, Department of Health Sciences, San Paolo Hospital, Scienze della Salute Department, University of Milan, Milan, Italy
| | - Fabiana Allevi
- Maxillofacial Surgical Unit, San Paolo Hospital, Department of Health Sciences, University of Milan, Via di Rudini' 8, 20142, Milan, Italy.
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36
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Khalil A, Moneghini L, Pispero A, Lodi G. Ampia neoformazione dell’emipalato di destra. Dental Cadmos 2017. [DOI: 10.19256/d.cadmos.09.2017.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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37
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Scotti F, Mandaglio M, Decani S, Baruzzi E, Moneghini L. Tumefazione del volto. Dental Cadmos 2017. [DOI: 10.19256/d.cadmos.08.2017.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Abstract
Skin malignant melanoma (MM) is an aggressive cancer with an increasing incidence with limited therapies in advanced stages. Tumor-associated macrophages (TAMs) are the major immune constituent of the MM microenvironment and contribute toward its prognosis. TAMs' characterization and localization in human cancer is important to understand cancer progression and to identify molecular personalized therapies. M2 TAMs in stage I-II MMs are associated with worse prognostic parameters. A comprehensive M1-macrophage and M2-macrophage intratumoral localization and quantification in all stages of skin MMs is documented here with its clinical significance. To highlight immune pathways and possible early indicators of MM progression, we evaluated the number of M1 and M2 TAMs and intratumoral distribution in a large series of skin MMs. CD68 double immunostaining with MRP8-14 or inducible nitric oxide synthase (M1 macrophages) and with CD163 or CD204 (M2 macrophages) was performed in 94 stage I-IV skin MMs with a long duration of follow-up. The accumulation and distribution of M1 and M2 TAMs in intratumoral nests, stroma, and at the invasive front was correlated with clinicopathological variables. Since the early stage of MMs, M1 intratumoral macrophages were fewer than the M2 population; their recruitment was rapidly and progressively overwhelmed by an increase in M2 TAMs during MM progression. Independent of their intratumoral distribution, the accumulation of both M1 and M2 TAMs is associated with poor prognostic indicators and patients' survival. M1-recruited macrophages shift to the M2 phenotype early in MM development, possibly induced by high inducible nitric oxide synthase intratumoral increase peculiarly occurring since the initial MM stages. M2-recruited TAMs overwhelm M1 accumulation in all stages of MM progression, thus favoring neoplastic growth and dissemination. Independent of their intratumoral distribution, the prevalent accumulation of M2 TAMs in MM is statistically confirmed to be a poor indicator of patients' outcome and a potential target of immune therapies.
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Affiliation(s)
- Monica Falleni
- aDepartment of Health Sciences, Unit of Pathology bDepartment of Health Sciences, Division of Dermatology, University of Milan cUnit of Pathology, ASST Santi Paolo e Carlo, Milan, Italy
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Tomasini C, Moneghini L, Barbui AM. Chronic amastigote-negative cutaneous leishmaniasis: A clinical, histopathologic and molecular study of 27 cases with emphasis on atypical and pseudolymphomatous presentations. J Cutan Pathol 2017; 44:530-537. [DOI: 10.1111/cup.12927] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2017] [Revised: 02/23/2017] [Accepted: 03/01/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Carlo Tomasini
- Dermatopathology Unit; Azienda Ospedaliero-Universitaria Città della Salute e della Scienza; Turin Italy
| | - Laura Moneghini
- Division of Pathology, Department of Health Sciences; University of Milan, Hospital San Paolo; Milan Italy
| | - Anna M. Barbui
- Microbiology and Virology Unit; Azienda Ospedaliero Universitaria Città della Salute e della Scienza; Turin Italy
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40
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Pallotta ML, Beltramini GA, Moneghini L, Monteverdi R, Giannì AB, Silvestre FJ, Baj A. Oral melanoma with osteocartilagineous differentiation: a case report and literature review. J BIOL REG HOMEOS AG 2017; 31:147-154. [PMID: 28691466] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/07/2023]
Abstract
Osteocartilagineous differentiation within malignant melanoma is a rare occurrence with several implications for diagnosis. Most of the reported cases have occurred in acral lentiginous malignant melanomas. In this paper, the authors describe the clinical, morphological, immunohistochemical features and surgical treatment of a case of primary oral mucosal melanoma with osteocartilaginous differentiation and they review the existing literature. The clinical history of a 67-year-old man affected of oral malignant melanoma was described from the first presentation to the second recurrence. FISH analysis on primary lesion and on relapses showed positive results both in epithelioid and in osteocondroblastic areas. Because of the scarcity of literature in osteogenic melanoma, histological identification may be problematic and prognostic factors and therapeutic protocols are nor well established. Immunohistochemical and molecular techniques can help to diagnosis this rare lesion.
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Affiliation(s)
- M L Pallotta
- Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy 3 Department of Pathology “Azienda Ospedaliera Santi Paolo e Carlo”, University of Milan, Milan, Italy
| | - G A Beltramini
- Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy 3 Department of Pathology “Azienda Ospedaliera Santi Paolo e Carlo”, University of Milan, Milan, Italy
| | - L Moneghini
- Department of Pathology “Azienda Ospedaliera Santi Paolo e Carlo”, University of Milan, Milan, Italy
| | - R Monteverdi
- Department of Maxillofacial Surgery, IRCCS, Istituto ortopedico Galeazzi Milan, Italy
| | - A B Giannì
- Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy 3 Department of Pathology “Azienda Ospedaliera Santi Paolo e Carlo”, University of Milan, Milan, Italy
| | - F J Silvestre
- Stomatology and Oral Surgery, Dr Peset University Hospital, Department of Stomatology, University of Valencia, Spain
| | - A Baj
- Maxillofacial and Dental Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di Milano, Milan, Italy
- Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy 3 Department of Pathology “Azienda Ospedaliera Santi Paolo e Carlo”, University of Milan, Milan, Italy
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41
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Ferrari D, Codecà C, Viale G, Bocci B, Broggio F, Crepaldi F, Violati M, Luciani A, Bauer D, Moneghini L, Bulfamante G, Foa P. An unusual case of tracheo-pleural fistula and cardiac metastases in oropharyngeal carcinoma: a case report and review of the literature. Cancers Head Neck 2016; 1:16. [PMID: 31093345 PMCID: PMC6460740 DOI: 10.1186/s41199-016-0018-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Accepted: 11/21/2016] [Indexed: 01/03/2023]
Abstract
Background Oropharyngeal cancer is frequently associated with human papilloma virus, that also represents a strong prognostic factor. Local relaps and treatment-related complications are frequent, whereas distant metastases occur in about 25% of patients. Case presentation A 49 years-old male presented with a loco-regionally advanced oropharyngeal squamous cell carcinoma and was treated with concomitant chemoradiation. A complete clinical and pathological response was achieved, but the occurrence of necrotising tracheo-esophagitis, with tracheo-mediastino-pleural fistula formation, further complicated the subsequent clinical course. The patient died suddenly. Autopsy revealed multiple myocardial and epicardial metastases from oropharyngeal squamous cell carcinoma. Conclusions Even in case of a transient complete local response, the potential occurrence of severe complications and distant metastases, although infrequent, should be considered. Cardiac metastases are frequently underestimated, as they are often asymptomatic, but may lead to sudden death. Further efforts are needed to improve diagnosis and therapy in this setting.
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Affiliation(s)
- Daris Ferrari
- 1Medical Oncology, San Paolo Hospital, Milan, Italy.,5San Paolo Hospital, via Di Rudinì 8, 20142 Milan, Italy
| | - Carla Codecà
- 1Medical Oncology, San Paolo Hospital, Milan, Italy
| | - Giulia Viale
- 1Medical Oncology, San Paolo Hospital, Milan, Italy
| | | | | | | | | | | | - Dario Bauer
- 2Division of Pathology, San Paolo Hospital, University of Milan Medical School, Milan, Italy
| | - Laura Moneghini
- 2Division of Pathology, San Paolo Hospital, University of Milan Medical School, Milan, Italy
| | - Gaetano Bulfamante
- 3Department of Medicine, Surgery and Dentistry, Division of Pathology, San Paolo Hospital, University of Milan Medical School, Milan, Italy
| | - Paolo Foa
- 4Department of Oncology, Medical Oncology, San Paolo Hospital, University of Milan Medical School, Milan, Italy
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Pispero A, Lodi G, Moneghini L, Khalil A. Neoformazione della mucosa labiale inferiore. Dental Cadmos 2016. [DOI: 10.19256/d.cadmos.10.2016.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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43
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Betti R, Agape E, Vergani R, Moneghini L, Cerri A. An observational study regarding the rate of growth in vertical and radial growth phase superficial spreading melanomas. Oncol Lett 2016; 12:2099-2102. [PMID: 27602146 DOI: 10.3892/ol.2016.4813] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2014] [Accepted: 12/04/2015] [Indexed: 11/06/2022] Open
Abstract
The natural history of superficial spreading melanomas (SSMs) involves the progression from a radial growth phase (RGP) to a vertical growth phase (VGP). Currently, a patient's history represents the only method to estimate the rate of tumor growth. The present study aimed to verify whether the estimated rate of growth (ROG) of SSMs with a RGP or VGP exhibited any differences, and to evaluate the possible implications for the most important prognostic determinants. ROG was quantified as the ratio between Breslow's thickness in millimeters (mm) and the time of tumor growth in months, defined as the time between the date that the patient had first noticed the lesion in which melanoma subsequently developed and the date on which the patient first felt this lesion changed. A total of 105 patients (58 male and 47 female) were studied. Of these, 66 had VGP-SSMs, whilst 39 had RGP-only SSMs (RGP-SSMs). No significant differences in age and gender were observed between these groups. The mean Breslow's thickness in patients with VGP-SSMs was significantly greater than in patients with RGP-SSMs (0.78±0.68 vs. 0.48±0.22 mm, P=0.0096). Similarly, the ROG was observed to be higher in VGP-SSM vs. RGP-SSM patients (0.13±0.16 vs. 0.065±0.09 mm/month, P=0.0244). In patients with VGP-SSMs, Breslow's thickness and ROG were significantly higher for tumors with a mitotic rate of ≥1 mitosis/mm2 compared with those with <1 mitosis/mm2 (1.15±0.96 vs. 0.56±0.30 mm, P=0.0005; and 0.188±0.20 vs. 0.09±0.12 mm/month, P=0.0228, respectively). According to these results, two subsets of SSMs exist: The first is characterized by the presence of mitosis and a higher ROG, while the second exhibits a more indolent behavior and is characterized by an RGP only. Given the differences in the Breslow's thickness and ROG, clinicians must be aware of the possible diagnostic delay in these subsets of melanoma that, differently from true nodular melanomas, generally fulfill the classical ABCD clinical criteria.
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Affiliation(s)
- Roberto Betti
- Dermatology Clinic, Department of Health Sciences, University of Milan, Hospital San Paolo, 20142 Milan, Italy
| | - Elena Agape
- Dermatology Clinic, Department of Health Sciences, University of Milan, Hospital San Paolo, 20142 Milan, Italy
| | - Raffaella Vergani
- Dermatology Clinic, Department of Health Sciences, University of Milan, Hospital San Paolo, 20142 Milan, Italy
| | - Laura Moneghini
- Division of Pathology, Department of Health Sciences, University of Milan, Hospital San Paolo, 20142 Milan, Italy
| | - Amilcare Cerri
- Dermatology Clinic, Department of Health Sciences, University of Milan, Hospital San Paolo, 20142 Milan, Italy
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Rossi A, Moneghini L, Capilupi V, Anello T, Corsi E, Tregambi A, Palombo D, Chiapasco M. Displasia odontomascellare segmentale: revisione della letteratura e descrizione del primo caso italiano. Dental Cadmos 2016. [DOI: 10.1016/s0011-8524(16)30046-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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45
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Colletti G, Dalmonte P, Moneghini L, Ferrari D, Allevi F. Adjuvant role of anti-angiogenic drugs in the management of head and neck arteriovenous malformations. Med Hypotheses 2015; 85:298-302. [DOI: 10.1016/j.mehy.2015.05.016] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/10/2015] [Accepted: 05/28/2015] [Indexed: 01/06/2023]
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46
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Allevi F, Battista V, Moneghini L, Biglioli F. Two typical cases of pseudoankylosis of the jaw: same treatment, different outcome. BMJ Case Rep 2015; 2015:bcr-2015-210099. [PMID: 26240098 DOI: 10.1136/bcr-2015-210099] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Pseudoankylosis of the temporomandibular joint is a rare, extra-articular form of ankylosis of the jaw. It is characterised by limited mandibular movement caused by an extrinsic condition of the joint leading to fusion between the coronoid process and temporal, zygomatic or maxillary bone. Pseudoankylosis is less frequent than the intracapsular form. Extracapsular ankylosis can be congenital or acquired; approximately 70% of cases are associated with trauma. A CT scan is usually requested to achieve a diagnosis. CT can detect bony fusion, thus differentiating pseudoankylosis from true ankylosis. Once symptomatic bone ankylosis is diagnosed, surgery with postoperative physiotherapy is the recommended treatment. The ankylotic bone is removed together with the coronoid process and the mouth is forced open under general anaesthesia. Two cases of post-traumatic pseudoankylosis of the jaw treated with bilateral coronoidectomy and postoperative physiotherapy are described.
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Affiliation(s)
- Fabiana Allevi
- Department of Maxilllo Facial Surgery, San Paolo Hospital, University of Milan, Milan, Italy
| | - Valeria Battista
- Department of Maxilllo Facial Surgery, San Paolo Hospital, University of Milan, Milan, Italy
| | - Laura Moneghini
- Department of Surgical Pathology, San Paolo Hospital, University of Milan, Milan, Italy
| | - Federico Biglioli
- Department of Maxilllo Facial Surgery, San Paolo Hospital, University of Milan, Milan, Italy
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47
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Baj A, Beltramini G, Moneghini L, Marelli S, Segna E, Giannì A. Pigmented villonodular synovitis of temporomandibular joint: pathological aspects and surgical treatment. Minerva Stomatol 2015; 64:213-218. [PMID: 25937582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Pigmented villonodular synovitis (PVNS) is an uncommon, benign, tumour-like disorder of unknown etiology affecting synovium-lined joints, tendon sheaths, and bursae. It results in proliferative, locally invasive lesions, usually presenting in monoarticular form in adults. PVNS rarely presents in the temporomandibular joint (TMJ). The treatment of choice is complete surgical excision of the lesion, followed by immediate reconstruction. We report a case of PVNS with masticatory space involvement, and focus on the pathological aspects and surgical treatment of the lesion.
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Affiliation(s)
- A Baj
- Unit of Maxillofacial Surgery, Department of Healthy Technology, University of Milan, Ospedale Maggiore Policlinico, Regina Elena e Mangiagalli IRCCS Foundation, Milan, Italy -
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48
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Neri I, Virdi A, Balestri R, Moneghini L, Misciali C, Patrizi A. Perineal congenital ulcerated infantile hemangioma, with minimal proliferative phase and rapid involution: a new morphological variant of IH? Ital J Dermatol Venerol 2015; 153:298-300. [PMID: 25876028 DOI: 10.23736/s0392-0488.17.04948-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Iria Neri
- Unit of Dermatology, Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Annalucia Virdi
- Unit of Dermatology, Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy -
| | - Riccardo Balestri
- Unit of Dermatology, Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Laura Moneghini
- Division of Pathology, Department of Health Sciences, University of Milan, San Paolo Hospital, Milan, Italy
| | - Cosimo Misciali
- Unit of Dermatology, Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
| | - Annalisa Patrizi
- Unit of Dermatology, Department of Specialistic, Diagnostic and Experimental Medicine, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy
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49
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Stillo F, Baraldini V, Dalmonte P, El Hachem M, Mattassi R, Vercellio G, Amato B, Bellini C, Bergui M, Bianchini G, Diociaiuti A, Campisi C, Gandolfo C, Gelmetti C, Moneghini L, Monti L, Magri C, Neri I, Paoloantonio G, Patrizi A, Rollo M, Santecchia L, Vaghi M, Vercellino N. Vascular Anomalies Guidelines by the Italian Society for the study of Vascular Anomalies (SISAV). INT ANGIOL 2015; 34:1-45. [PMID: 26159424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
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50
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Decani S, Baruzzi E, Masiero S, Moneghini L, Franchini R. Lesione blu del palato. Dental Cadmos 2014. [DOI: 10.1016/s0011-8524(14)70227-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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