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Ye C, You M, Cheng G, Zhao L, Huang P, Tang J, Chen Y, Wang X. A puzzling pregnancy epulis with aggressive bone loss mimicking malignant neoplasm: A case report. J Stomatol Oral Maxillofac Surg 2019; 121:312-316. [PMID: 30981907 DOI: 10.1016/j.jormas.2019.04.007] [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] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Revised: 04/02/2019] [Accepted: 04/03/2019] [Indexed: 02/05/2023]
Abstract
Epulis is a benign tumor, rarely involves aggressive alveolar bone resorption. This study reported a rare case of rapid growth of pregnancy epulis with extensive alveolar bone destruction and the management of this case. A 24-year old pregnant woman at 35 weeks and 1 day of gestation presented a large asymptomatic nodular mass with severe teeth loosening at the anterior mandibular region for 4 weeks. Radiographic examination showed extensive alveolar bone resorption around the affected teeth to the apical area. After delivery, the patient received an extended resection under general anesthesia. The final histopathological analysis revealed the diagnosis of epulis. In conclusion, the rapid growth of epulis during pregnancy mimicking malignant neoplasm with aggressive alveolar bone destruction was rare and puzzling. In such cases, the histopathological and immunohistochemical examinations are the only effective method to reach the correct diagnosis and clinician should proceed with high precaution.
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Affiliation(s)
- C Ye
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Periodotology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.
| | - M You
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Radiology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - G Cheng
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Periodotology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - L Zhao
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Periodotology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - P Huang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Periodotology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - J Tang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Periodotology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Yu Chen
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Pathology, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - X Wang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China.
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Bhattacharya S, Bhattacharyya SK, Patua B. Lingual pyogenic granuloma gravidarum. Rev Obstet Gynecol 2013; 6:46-47. [PMID: 24340125 PMCID: PMC3848667] [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] [Subscribe] [Scholar Register] [Indexed: 06/03/2023]
Affiliation(s)
- Sohini Bhattacharya
- Department of Gynecology & Obstetrics, North Bengal Medical College, Darjeeling, India
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