A puzzling pregnancy epulis with aggressive bone loss mimicking malignant neoplasm: A case report
| Autor: | Meng You, Xiaoyi Wang, Changchang Ye, Guo-Ping Cheng, Yu Chen, Ping Huang, Jing Tang, Lei Zhao |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Pregnancy
Pathology medicine.medical_specialty Epulis business.industry Cancer 030206 dentistry medicine.disease Asymptomatic Resorption Benign tumor 03 medical and health sciences 0302 clinical medicine Otorhinolaryngology medicine Gestation Surgery Oral Surgery medicine.symptom 030223 otorhinolaryngology business Dental alveolus |
| Zdroj: | Journal of Stomatology, Oral and Maxillofacial Surgery. 121:312-316 |
| ISSN: | 2468-7855 |
| DOI: | 10.1016/j.jormas.2019.04.007 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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