Assuntos
Humanos , Masculino , Pessoa de Meia-Idade , Pronação , Pneumonia , Insuficiência Respiratória , Infecções por Coronavirus/complicações , Intubação , Otolaringologia , Doenças da Língua , Doenças Raras , Doenças Transmissíveis , Microbiologia , Resultado do Tratamento , Pacientes Internados , Exame Físico , Avaliação de SintomasRESUMO
El tumor miofibroblástico inflamatorio (TMI) es un tumor del estroma submucoso raro cuya presentación más frecuente es en el pulmón. Se trata de un tumor heterogéneo, formado por células fusiformes, inflamatorias y miofibroblastos, que por lo general es benigno, pero puede producir invasión local, recidiva y transformación maligna. Presentamos un paciente joven con una neoplasia en la lengua de aspecto invasivo e infiltrante que resultó ser un tumor miofibroblástico, pero que causó gran preocupación por su rápido crecimiento.(AU)
An inflammatory myofibroblastic tumour is a rare submucosal stromal tumour whose most common presentation is in the lung. This is a heterogeneous tumour, comprised of spindle cells, inflammatory cells and myofibroblasts, which is generally benign. However, it can cause local invasion, recurrence and malignant transformation. We report a young patient with an invasive and infiltrating tumour on the tongue that turned out to be a myofibroblastic tumour but caused major concern due to its rapid growth.(AU)
Assuntos
Humanos , Masculino , Adulto , Pacientes Internados , Exame Físico , Avaliação de Sintomas , Neoplasias de Tecido Muscular , Língua/lesões , Neoplasias da Língua/diagnóstico , Língua/cirurgia , Medicina de Família e Comunidade , Doenças da Língua/diagnóstico , Tabagismo , PatologiaRESUMO
Background: to analyse the potential risk factors of tongue lesions, comparing the results with a control group. Material and Methods: An observational, case-control study was designed. The study included a case group comprising 336 patients with tongue lesions and 336 sex and age-matched controls. We recorded tobacco/alcohol habits, presence of dentures, allergies, medical conditions, and medications. Statistical analysis was performed via logistic regression models to estimate the odds ratio (OR) adjusted for gender, age, tobacco, and alcohol using propensity score-matching analysis (PSM). Results: According to the final PSM model, patients with tongue lesions were more likely to suffer from allergies (OR 2.13; 1.27-3.66) or medical conditions (OR 2.14; 1.19-3.85), and more likely to take medication (OR 1.99; 1.11-3.57). Elderly individuals were more prone to hairy tongue (OR 3.82; 1.53-10.47). Smoking was associated with coated tongue (OR 2.05; 1.12-3.63), hairy tongue (OR 3.77; 1.52-9.22) and median rhomboid glossitis (OR 40.49; 5.84-860.43). Allergic individuals were more likely to exhibit sublingual varices (OR 1.73; 1.02-2.88). Medical conditions increased the chances of having coated tongue (OR 2.44; 1.36-4.64) or crenated tongue (OR 2.70; 1.42-5.30). Arterial hypertension was associated with median rhomboid glossitis (OR 5.85; 1.08-34.18). Individuals on medication showed a higher risk of fissured tongue (OR 1.87; 1.20-2.94) and varices (OR 2.42; 1.58-3.80). Agents acting on the alimentary tract and metabolism increased the probability of fissured tongue (OR 2.31; 1.42-3.79). Conclusions: As far as we are aware, this is the first study on lingual pathology to include a PSM analysis. The results suggest that a history of allergies, the presence of medical conditions, and the use of medication are associated with increased probability of tongue lesions. The analysis of diseases and medications by subgroups requires studies matched by habits with larger sample sizes, in order to corroborate our observations.(AU)
Assuntos
Humanos , Idoso , Idoso , Fatores de Risco , Língua , Doenças da Língua , Língua Fissurada , Estudos de Casos e Controles , Pontuação de PropensãoAssuntos
Humanos , Masculino , Adolescente , Doenças da Língua/diagnóstico , Sífilis/complicações , Sífilis/diagnósticoAssuntos
Humanos , Feminino , Pessoa de Meia-Idade , Carcinoma , Diagnóstico , Mioepitelioma , Língua , Doenças da Língua , PacientesRESUMO
No disponible
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Humanos , Feminino , Idoso de 80 Anos ou mais , Doenças da Língua/diagnóstico , Neoplasias Vasculares/diagnóstico por imagem , Paraganglioma/diagnóstico por imagem , Veias Jugulares , Imageamento por Ressonância MagnéticaRESUMO
No disponible
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Humanos , Masculino , Adulto Jovem , Adulto , Sífilis/diagnóstico , Sífilis/complicações , Doenças da Língua/etiologia , Língua/lesões , Doenças da Língua/diagnóstico , Sífilis/tratamento farmacológico , Mucosa Bucal , Dermatopatias/complicaçõesRESUMO
There is a distinct lack of uniformity in the definitions and clinical terminologies related to oral leukoplakia and leukoplakialike lesions and disorders. Proposals have been put forward to subclassify leukoplakia into a homo-geneous and a non-homogeneous type based on color only, being either predominantly white or mixed white-and-red, respectively, irrespective of the texture of the lesion. In this proposal there is no need anymore to regard the poorly defined proliferative verrucous leukoplakia as a separate entity. Since keratosis is primarily a histo-pathological term, its clinical use is discouraged. Alternative terminology for these so-called keratotic lesions and disorders has been put forward. Finally, a suggestion has been made to rename the term hairy leukoplakia, being a well defined, not potentially malignant disorder particularly related to HIV-infection, into 'EBV-positive white lesion of the tongue' (EBVposWLT)
No disponible
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Humanos , Leucoplasia Oral/classificação , Doenças da Língua/classificação , Terminologia como AssuntoRESUMO
No disponible
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Humanos , Ativador de Plasminogênio Tecidual/efeitos adversos , Doenças da Língua/induzido quimicamente , Doenças da Língua/terapia , Angioedema/induzido quimicamente , Angioedema/terapiaRESUMO
No disponible
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Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Doenças da Língua/epidemiologia , Hiperplasia/complicações , Hiperplasia/patologia , Língua/patologia , Serviços Médicos de EmergênciaRESUMO
Background: The aim of this study was to describe the clinicopathological characteristics of 43 intraoral lipomas and classify them according to their microscopic variants. Material and Methods: All the cases of intraoral lipomas diagnosed at an Oral Pathology service were selected for the study. Clinical data, such as age, gender, location, time of evolution, clinical presentation, clinical hypothesis of diagnosis, and treatment, were collected from the clinical files. Results: Of the 43 cases analyzed, 24 (55.8%) occurred in women. The mean age was 77.4 years. The most affected site was the buccal mucosa (22 cases, 51.1%). The mean lesion size was 1.7 cm. Twenty-three cases (53.5%) were classified as simple lipoma, 14 (32.6%) as fibrolipoma, four (9.3%) as spindle cell/pleomorphic lipoma (SC/PL), one (2.3%) as lipoma of the salivary glands, and one (2.3%) as intramuscular lipoma. In one case of SC/PLs, lipoblasts were observed. No atypical lipoblasts or mitoses were noted. Lipoma was considered more often than other tumor histological subtypes among the clinical hypotheses of diagnosis when the final diagnosis was simple lipoma (p = 0.01). Conclusions: Intraoral lipomas present different clinical presentation depending on the histological subtype. In SC/PLs, lipoblasts with vacuolated cytoplasm may be found and the presence of mature adipocytes is essential for diagnosis
No disponible
Assuntos
Humanos , Feminino , Idoso , Lipoma , Doenças da Língua , Mucosa BucalRESUMO
Objetivo: Mostrar las manifestaciones orales cuya etiología está relacionada con la artritis reumatoide (AR), revisando la literatura más reciente, a propósito de un caso. Caso clínico: El tratamiento de la AR está basado principalmente en la terapia farmacológica, siendo esta responsable de manifestaciones a nivel de la cavidad oral. Se presenta el caso de una mujer de 65 años con AR en tratamiento bajo metotrexato y tocilizumab, que acude a consulta por presentar desde hace 40 días una úlcera en el borde lateral de la lengua. Conclusión: Las manifestaciones orales de la AR derivan principalmente de la terapia farmacológica, que se debe conocer para el correcto diagnóstico y tratamiento de la patología oral de estos pacientes
Objective: The aim of the present article was to describe the oral manifestations whose etiology is related to rheumatoid arthritis (RA), reviewing the most recent literature, in relation to a case. Clinical case: The treatment of RA is based mainly on pharmacological therapy, being responsible for the manifestations at the level of the oral cavity. We present the case of a 65-year-old woman with RA on treatment with methotrexate and tocilizumab, which occurs through 40 days on the lateral border of the tongue. Conclusion: The oral manifestations of RA are derived mainly from pharmacological therapy, which should know the correct diagnosis and treatment of the oral pathology of these patients
Assuntos
Humanos , Feminino , Idoso , Artrite Reumatoide/complicações , Doenças da Língua/etiologia , Úlceras Orais/etiologia , Artrite Reumatoide/tratamento farmacológico , Metotrexato/administração & dosagemRESUMO
No disponible
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Humanos , Masculino , Adulto , Paralisia de Bell/diagnóstico , Paralisia de Bell/etiologia , Língua/patologia , Doenças da Língua/complicações , Paresia/diagnóstico , Nervo Hipoglosso/patologia , Radiografia Torácica , Imageamento por Ressonância Magnética/métodos , Crânio/diagnóstico por imagem , Crânio/patologiaRESUMO
Background: Oral mucocele is the most common minor salivary gland lesion with good prognosis after surgical removal. However, its recurrence is not rare, sometimes bothersome. This study aimed to identify the possible predictive variables affecting the recurrence rate of oral mucocele. Material and Methods: The histoclinical data of 164 patients diagnosed with oral mucocele were retrospectively obtained by reviewing dental records. The predictive variables for its recurrence were identified by analyzing its recurrence rate according to clinical variables. Results: The recurrence rate showed the significant differences according to location and age. Oral mucocele recurred with significantly higher frequency on the ventral mucosa of tongue (50.0%) than on the labial/buccal mucosa (8.8%). Its recurrence was significantly more common in the younger patients (aged < 30 years, 16.0%) than in the older patients (aged ≥ 30 years, 4.4%). However, there was no significant difference in recurrence rates between surgical procedures using scalpels and those using lasers. Conclusions: Patients with oral mucocele should be more carefully informed of its possible recurrence, especially when it is found on the ventral surface of the tongue or in a younger population
No disponible
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Humanos , Masculino , Feminino , Criança , Adolescente , Adulto Jovem , Adulto , Mucocele/complicações , Doenças da Língua/complicações , Terapia a Laser , Recidiva , Previsões , Fatores de Risco , 50293 , Estudos RetrospectivosRESUMO
No disponible