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1.
Rev. Odontol. Araçatuba (Impr.) ; 41(2): 58-63, maio-ago.2020. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1102706

RESUMO

O presente estudo tem como objetivo descrever por meio de um caso clínico o diagnóstico e a conduta clínica no tratamento de um Granuloma Piogênico (GP) recidivante associado à doença periodontal. O GP é uma lesão inflamatória hiperplásica que se encontra nos tecidos moles da cavidade bucal e que possui um crescimento reagente estimulado por irritação local de baixa intensidade, fator hormonal ou trauma, podendo causar desconforto ao paciente e interferir na fala e mastigação. O GP acomete principalmente mulheres na segunda e terceira décadas de vida em regiões como gengiva, lábios, língua e mucosa bucal. O tratamento do GP consiste em excisão cirúrgica e o diagnóstico decisivo é realizado por meio de exame histopatológico. Paciente do gênero feminino, 57 anos, procurou atendimento no Centro Universitário da Serra Gaúcha ­ FSG por apresentar lesão rósea pediculada na região de papila incisiva com cerca de 2 cm de diâmetro. A paciente foi submetida a dois procedimentos cirúrgicos e em ambos ocorreu a recidiva. A completa excisão da lesão somente foi realizada após realização de tratamento periodontal e remoção de fatores irritantes como biofilme e cálculo dentário. Desta forma, foi possível concluir que é de suma importância a observação e remoção dos fatores irritantes durante o tratamento do GP e que desta maneira se diminuiu as chances de posterior recidiva(AU)


The present study aims to describe through a clinical case the diagnosis and clinical management treatment of a recurrent Piogenic Granuloma (GP) associated with periodontal disease. PG is a hyperplastic inflammatory lesion found in the soft tissues of the oral cavity and has a reactive growth stimulated by low intensity local irritation, hormonal factor or trauma, which may cause patient discomfort and interfere with speech and chewing. GP affects mainly women in the second and third decades of life in regions such as gums, lips, tongue and oral mucosa. The treatment of GP consists of surgical excision and the decisive diagnosis is made by histopathological examination. Female patient, 57 years old, attended the University Center of Serra Gaúcha - FSG presenting pediculated pink lesion in the incisive papilla region with about 2 cm in diameter. The patient underwent two surgical procedures and both relapsed. Complete excision of the lesion was only performed after periodontal treatment and removal of irritating factors such as biofilm and dental calculus. Thus, it was possible to conclude that the observation and removal of irritating factors during the treatment of GP is of paramount importance and thus reduced the chances of further relapse(AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Doenças Periodontais , Granuloma Piogênico , Granuloma Piogênico/cirurgia , Granuloma Piogênico/diagnóstico , Granuloma Piogênico/terapia
3.
Ugeskr Laeger ; 181(44)2019 Oct 28.
Artigo em Dinamarquês | MEDLINE | ID: mdl-31791469

RESUMO

In this case report, a 78-year-old man presented with dyspnoea, globus sensation and haemoptysis. CT scan and fibre-optic laryngoscopy revealed a 2 × 3 cm tumour on the laryngeal surface of the epiglottis. The tumour was surgically removed by direct laryngoscopy and debulking. Histology showed a pyogenic granuloma with large amounts of yeasts and bacteria. Six months later the tumour recurred. Treatment with fluconazole and removal with CO2 laser was effective. After a year and a half there were no signs of recurrence.


Assuntos
Granuloma Piogênico , Idoso , Epiglote , Granuloma Piogênico/diagnóstico , Granuloma Piogênico/cirurgia , Humanos , Laringoscopia , Masculino , Recidiva Local de Neoplasia
4.
Middle East Afr J Ophthalmol ; 26(3): 138-140, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31619900

RESUMO

PURPOSE: To describe a case series of periocular lobular capillary hemangiomas in adults, outlining characteristic clinical and histopathological patterns. MATERIALS AND METHODS: This was a retrospective case series of 16 patients with review of clinical and histopathological features. RESULTS: Eleven male and five female patients were diagnosed with periocular lobular capillary hemangioma at a median age of 38 years (mean, 41 years; range, 21-71 years). The median tumor basal diameter was 6 mm (mean, 7 mm; range, 3-14 mm) and all were well circumscribed. They arose over the course of weeks to months and developed most commonly in the eyelid region (n = 10), followed by the conjunctiva (n = 6). Excisional biopsy of the lesion was done in all cases. On histopathology, the tumors were composed of repeating units of capillary-sized lobules lined by plump endothelial cells. Lesion recurrence was noted in one case. CONCLUSION: Lobular capillary hemangiomas are common benign vascular tumors of periocular region in adults. Clinicohistopathological features and clinical presentation of these lesions are distinctive. Excisional biopsy was curative with recurrence noted rarely.


Assuntos
Doenças da Túnica Conjuntiva/patologia , Doenças Palpebrais/patologia , Granuloma Piogênico/patologia , Adulto , Idoso , Biópsia , Doenças da Túnica Conjuntiva/cirurgia , Doenças Palpebrais/cirurgia , Feminino , Granuloma Piogênico/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade , Procedimentos Cirúrgicos Oftalmológicos , Estudos Retrospectivos , Adulto Jovem
5.
BMJ Case Rep ; 12(5)2019 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-31142481

RESUMO

Pyogenic granuloma gravidarum is a benign fibrovascular proliferative lesion usually involving the oral gingivae in pregnant patients. While it also occurs, although less frequently, on other oral sites such as lips, tongue and palate, it is relatively unusual to find it in the nasal cavity. Furthermore, lesions normally involute spontaneously after childbirth. For persistent lesions requiring surgical management, imaging has historically been limited to CT. This case is notable not only for its uncommon location but also for its recurrent nature, failure to regress post partum and the use of MRI in the preoperative planning.


Assuntos
Granuloma Piogênico/cirurgia , Cavidade Nasal/cirurgia , Doenças Nasais/cirurgia , Complicações na Gravidez/cirurgia , Adulto , Epistaxe/etiologia , Feminino , Humanos , Imagem por Ressonância Magnética , Planejamento de Assistência ao Paciente , Gravidez , Cuidados Pré-Operatórios/métodos , Recidiva , Tomografia Computadorizada por Raios X
6.
Br J Ophthalmol ; 103(10): 1469-1474, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-30709809

RESUMO

AIMS: To systematically describe the clinical and histopathological features of a case series of conjunctival carcinomatous lesions underlying as-and also masquerading-pyogenic granuloma. METHODS: Nine cases of conjunctival carcinomatous lesions underlying a pyogenic granuloma (which were clinically predominant) were retrospectively identified. Patients' records were analysed for demographic data, clinical appearance and the postoperative course. Formalin-fixed paraffin-embedded specimens were routinely processed and stained with H&E and periodic acid-Schiff. Immunohistochemical stains for cytokeratin were performed in selected cases. RESULTS: All nine tumours were located in the conjunctiva (bulbar, tarsal, limbal conjunctiva) of patients between 44 and 80 years. The lesions exhibited clinical features of pyogenic granuloma which dominated the clinical appearance. Additional features comprised a papillomatous appearance of the adjacent conjunctiva, a more whitish aspect of the lesion and a history of squamous cell carcinoma (SCC) respectively surgery for other entities. Histopathological analysis revealed a carcinomatous lesion (conjunctival intraepithelial neoplasia or SCC) at the base of a classic pyogenic granuloma in all nine cases. Surgical removal (R0 resection) was performed. Three cases received adjuvant mitomycin C or interferon α2b treatment. Two lesions locally recurred within 2 years after initial presentation. CONCLUSION: Carcinomatous lesions may be accompanied by a pyogenic granuloma which may dominate the clinical pictures. As the tumour is usually located at the base of the lesion, a complete surgical excision followed by histopathological analysis is mandatory for each lesion appearing as conjunctival pyogenic granuloma.


Assuntos
Carcinoma in Situ/diagnóstico , Carcinoma de Células Escamosas/diagnóstico , Neoplasias da Túnica Conjuntiva/diagnóstico , Granuloma Piogênico/diagnóstico , Adulto , Idoso , Idoso de 80 Anos ou mais , Antineoplásicos/uso terapêutico , Biomarcadores Tumorais/metabolismo , Carcinoma in Situ/metabolismo , Carcinoma in Situ/cirurgia , Carcinoma de Células Escamosas/metabolismo , Carcinoma de Células Escamosas/cirurgia , Quimioterapia Adjuvante , Neoplasias da Túnica Conjuntiva/metabolismo , Neoplasias da Túnica Conjuntiva/cirurgia , Diagnóstico Diferencial , Feminino , Granuloma Piogênico/metabolismo , Granuloma Piogênico/cirurgia , Humanos , Interferon alfa-2 , Queratinas/metabolismo , Masculino , Pessoa de Meia-Idade , Mitomicina/uso terapêutico , Estudos Retrospectivos
10.
Gen Thorac Cardiovasc Surg ; 67(3): 332-335, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29804176

RESUMO

A 27-year-old female patient had presented progressing exertional dyspnea due to pulmonary hypertension. Chest CT revealed diffusely spread patchy ground-glass opacities sparing subpleural parenchymal areas suggesting the diagnosis of pulmonary veno-occlusive disease (PVOD). Despite the diagnosis of PVOD, she was somehow managed by a repetitive escalation of the epoprostenol dose and oxygen supply during the 12-month waiting period until successful bilateral lung transplantation was performed. Pathology demonstrated capillary proliferation in alveolar septae with scarce lesions of narrowed and/or occluded postcapillary small veins, leading to the final diagnosis of pulmonary capillary hemangiomatosis (PCH), not PVOD. We herein present a case of PCH diagnosed after lung transplantation with a focus on its etiology and a key to clinical diagnosis.


Assuntos
Granuloma Piogênico/diagnóstico , Pneumopatias/diagnóstico , Adulto , Diagnóstico Diferencial , Dispneia/etiologia , Feminino , Granuloma Piogênico/complicações , Granuloma Piogênico/patologia , Granuloma Piogênico/cirurgia , Humanos , Hipertensão Pulmonar/etiologia , Pneumopatias/complicações , Pneumopatias/patologia , Pneumopatias/cirurgia , Transplante de Pulmão , Tomografia Computadorizada por Raios X
11.
Lasers Med Sci ; 34(1): 41-45, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29998355

RESUMO

Pyogenic granuloma (PG) is a common benign vascular proliferation which often occurs on the head, neck, hands, and feet. Among the various treatment options for PG, surgical excision is the most effective treatment which offers the lowest overall recurrence rates and also provides the exact diagnosis. However, it could have difficulties to do the surgery when lesions are located on the fingers and toes, especially very near to the nails, so laser may be a very good alternative choice. In this article, we evaluated the clinical efficacy and safety of neodymium-yttrium aluminum garnet (Nd:YAG) laser for treatment of PG located on the fingers and toes. Twenty-one patients with 21 PGs located on the fingers and toes were treated by multispot Nd-YAG laser. We chose monopulse (pulse width 10.5-13.5 ms; energy 100-125 J/cm2); treatment interval was 3-4 weeks. All lesions disappeared after one or two treatments. There was no apparent scar formation, no impact on the function of the fingers and toes, no damage to nail growth, and no recurrence in more than 12-month follow-up. Nd-YAG is an effective and safety treatment option for treatment of PG located on the fingers and toes.


Assuntos
Dedos/cirurgia , Granuloma Piogênico/cirurgia , Lasers de Estado Sólido/uso terapêutico , Dedos do Pé/cirurgia , Adolescente , Adulto , Idoso , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
13.
Gen Thorac Cardiovasc Surg ; 67(5): 479-482, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-29721848

RESUMO

We herein report an unreported case of pyogenic granuloma that originated in the pulmonary artery. A 38-year-old man was urgently hospitalized with dyspnea and back pain. He had been on hemodialysis for 2 years due to chronic renal failure. We performed contrast-enhanced computed tomography and detected a mass occluding the left main pulmonary artery. The maximum standardized uptake value (SUVmax) of 18F-fluorodeoxy glucose (FDG) in the mass was 4.1. We made a tentative diagnosis of pulmonary artery tumor, and planned an operation. We performed median sternotomy and left anterolateral thoracotomy. As the tumor had not reached the bottom of the left pulmonary artery, we first performed left upper lobectomy. We then performed resection of the pulmonary artery tumor under cardiopulmonary bypass and reconstructed the pulmonary artery with self-pericardium. The pathological diagnosis was pyogenic granuloma. To our knowledge, pyogenic granuloma originating in the pulmonary artery has never been reported before.


Assuntos
Granuloma Piogênico/diagnóstico por imagem , Artéria Pulmonar/diagnóstico por imagem , Doenças Vasculares/diagnóstico por imagem , Adulto , Ponte Cardiopulmonar , Fluordesoxiglucose F18 , Granuloma Piogênico/patologia , Granuloma Piogênico/cirurgia , Humanos , Masculino , Pericárdio/cirurgia , Tomografia por Emissão de Pósitrons , Artéria Pulmonar/patologia , Artéria Pulmonar/cirurgia , Diálise Renal , Esternotomia , Toracotomia , Tomografia Computadorizada por Raios X , Doenças Vasculares/patologia , Doenças Vasculares/cirurgia
14.
Am J Otolaryngol ; 40(2): 331-333, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30514577

RESUMO

Pyogenic granuloma (PG) may involve gingival mucosa (granuloma gravidarum) in pregnancy but rarely involves the airway. This case report is perhaps the only reported presentation of PG in the larynx causing hemoptysis at a late stage of pregnancy. On laryngoscopic exam, a vascular, right false vocal fold neoplasm was identified with pathological characteristics consistent with PG. Conclusions: Pyogenic granuloma is a relatively common tumor of pregnancy but rarely involves the larynx. In the case of airway involvement during pregnancy, it is best managed in coordination with the high-risk obstetrical team and can be removed safely via standard microsurgical techniques.


Assuntos
Granuloma Piogênico/complicações , Hemoptise/etiologia , Doenças da Laringe/complicações , Complicações na Gravidez , Feminino , Granuloma Piogênico/diagnóstico , Granuloma Piogênico/patologia , Granuloma Piogênico/cirurgia , Humanos , Doenças da Laringe/diagnóstico , Doenças da Laringe/patologia , Doenças da Laringe/cirurgia , Laringoscopia , Lasers de Estado Sólido/uso terapêutico , Microcirurgia/métodos , Equipe de Assistência ao Paciente , Gravidez , Risco , Adulto Jovem
15.
J Hand Surg Asian Pac Vol ; 23(4): 577-580, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-30428790

RESUMO

Pyogenic granuloma, also known as lobular capillary hemangioma, is a benign vascular lesion of the skin or mucous membrane with rapid growth or repetitive trauma. Rarely seen in adult, its management varies and surgical intervention is usually common. We report a case of pyogenic granuloma of the right index finger in a 46-year-old gentleman who presented with painless swelling of the right index finger after a trivial injury. Wedge biopsy confirmed the diagnosis and excision of the granuloma measuring 3 cm × 3 cm × 2 cm was done with curettage and electrocautery over the base of granuloma. The wound subsequently healed well with good functional and aesthetic outcome.


Assuntos
Eletrocoagulação/métodos , Dedos/cirurgia , Granuloma Piogênico/diagnóstico , Pele/patologia , Biópsia , Dedos/diagnóstico por imagem , Granuloma Piogênico/cirurgia , Humanos , Masculino , Pessoa de Meia-Idade
17.
BMJ Case Rep ; 20182018 Aug 09.
Artigo em Inglês | MEDLINE | ID: mdl-30093461

RESUMO

Pyogenic granuloma is a 'reactive lesion' in the oral cavity caused due to hormonal imbalance or poor oral hygiene. There are different methods to excise this lesion but most successful is treatment with lasers. Currently, there are different lasers available commercially and are used by clinicians to excise this lesion. In this case report, a 20-year-old female patient reported to the department with a complaint of overgrowth of gingiva on lower canine. It was excised by using neodymium-doped yttrium aluminium garnet laser and the patient was asked for regular follow-up after 1 week and 6 months. The excised lesion was sent to pathology where the lesion was confirmed to be pyogenic granuloma. The patient reported no pain, no blood loss during or postsurgery. Laser is a useful technique for excisional surgeries; it is safe, effective and reduces time of treatment as well as time of healing.


Assuntos
Doenças da Gengiva/cirurgia , Granuloma Piogênico/cirurgia , Lasers de Estado Sólido/uso terapêutico , Feminino , Doenças da Gengiva/diagnóstico , Doenças da Gengiva/patologia , Granuloma Piogênico/diagnóstico , Granuloma Piogênico/patologia , Humanos , Adulto Jovem
18.
J Craniofac Surg ; 29(8): 2160-2163, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30015736

RESUMO

The use of laser in oral surgery and periodontology is a matter of debate, mainly because of the lack of consensual therapeutic protocols. The aim of this study was to evaluate the surgical advantages of diode laser versus traditional surgery with a cold blade for the surgical excision of pyogenic granuloma (PG). Twenty-one patients (10 males, 11 females, aged 19-66 years; mean age: 46.5 years), requiring PG excision, were enrolled in the study. Through a randomized clinical trial design, all patients were randomly subjected to PG surgical excision with either diode laser or cold blade. Parameters analyzed were the speed of incision, time of intervention, intraoperative bleeding, number of stitches, and patient compliance. Histologic examination was performed before and after surgical excision of the lesions. Patients compiled a subjective evaluation questionnaire. Both treatments were successful in surgical excision of PG. However, the mean speed of incision was significantly reduced in diode laser group (0.61 ±â€Š0.29 mm/s) compared with cold blade group (1.47 ±â€Š1.23 mm/s) (P < 0.05). The mean lengths of time for the whole surgical intervention were significantly lower in diode laser group (221.15 ±â€Š220.89 s) compared with cold blade group (316.10 ±â€Š248.69 s) (P < 0.05). Moreover, diode laser induced a reduced intrasurgical bleeding, and a better gingival healing compared with cold blade surgical treatment. This study demonstrated that the use of diode laser showed additional advantages compared with cold blade in terms of less postoperative discomfort and pain for surgical removal of PG.


Assuntos
Granuloma Piogênico/cirurgia , Terapia a Laser , Lasers Semicondutores/uso terapêutico , Doenças da Boca/cirurgia , Procedimentos Cirúrgicos Bucais , Adulto , Idoso , Feminino , Gengiva , Granuloma Piogênico/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Doenças da Boca/patologia , Resultado do Tratamento , Cicatrização , Adulto Jovem
19.
Int J Surg Pathol ; 26(8): 735-738, 2018 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-29737225

RESUMO

Pyogenic granuloma (PG) is a capillary hemangioma mainly found in the skin and oral mucosa, but rarely described in the esophagus. We report the case of a 66-year-old man who consulted for retrosternal pain. Endoscopic studies showed a 28-mm polypoid mass located at the distal esophageal mucosa. The patient underwent endoscopic resection, and the histopathological examination showed a neoplastic proliferation of small blood vessels growing in a lobular architecture, with edematous stroma and prominent inflammatory infiltrate. Special stains for fungus showed pseudohyphae compatible with Candida spp. Findings were consistent with those of an esophageal PG associated with Candida infection. This case is a reminder that PG can be found in the esophagus, can be associated with other entities such as Candida infection, and is one of the differential diagnoses of neoplastic vascular proliferations that may mimic malignancy. In addition, we reviewed previously reported cases of esophageal PG.


Assuntos
Doenças do Esôfago/patologia , Esôfago/patologia , Granuloma Piogênico/patologia , Idoso , Endossonografia , Doenças do Esôfago/diagnóstico , Doenças do Esôfago/cirurgia , Esôfago/diagnóstico por imagem , Esôfago/cirurgia , Granuloma Piogênico/diagnóstico , Granuloma Piogênico/cirurgia , Humanos , Masculino , Resultado do Tratamento
20.
J Clin Pediatr Dent ; 42(5): 383-385, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29763352

RESUMO

Pyogenic granuloma, also called lobular capillary hemangioma, is a benign vascular lesion of the skin and mucous membranes. While the majority of pyogenic granulomas in the oral cavity involve the gingiva, they also infrequently present at other sites including lips, oral mucosa, palate, and tongue. We report a case of a pyogenic granuloma of the tongue in a five-year old female patient.


Assuntos
Granuloma Piogênico/patologia , Doenças da Língua/patologia , Pré-Escolar , Feminino , Granuloma Piogênico/cirurgia , Humanos , Doenças da Língua/cirurgia
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