Osseous oral hyaline ring granuloma mimicking a mandible tumor in a child with congenital agenesis of the corpus callosum
Identifieur interne : 000129 ( Main/Exploration ); précédent : 000128; suivant : 000130Osseous oral hyaline ring granuloma mimicking a mandible tumor in a child with congenital agenesis of the corpus callosum
Auteurs : Rodrigo Neves-Silva ; Camilla-Borges Ferreira-Gomes ; Natalia Palmier ; Marcelo Brum-Corrêa ; Oslei Paes-Almeida ; Marcio Ajudarte-Lopes ; Pablo Agustin-Vargas ; Alan-Roger Santos-SilvaSource :
- Journal of Clinical and Experimental Dentistry [ 1989-5488 ] ; 2017.
Abstract
Hyaline ring granuloma (HRG) of the oral cavity is an uncommon disorder considered to be a foreign-body reaction resulting from implantation of food vegetable particles. Microscopically, it is characterized by the presence of structures of hyaline rings in an inflamed fibrous tissue background, which contains multinucleated giant cells.
We present the case of a 4-year-old boy diagnosed with a mandible osseous HRG, which showed clinical and tomographic aspects suggestive of an aggressive bone tumor.
The patient underwent surgical exploration and histopathologic analysis showed fragments composed predominantly of widespread dense connective tissue with an acute and chronic inflammatory infiltrate containing multinucleated giant cells and scattered areas of eosinophilic material associated with hyaline rings, strongly suggestive of vegetable particles. The eosinophilic material was positive for periodic acid-Schiff (PAS) and resistant to diastase digestion. These features led to diagnosis of osseous HRG. Scanning electron microscopy (SEM) analysis was performed for illustrative purposes and the multiple structures resembling vegetable particles were characterized in more detail.
Although rare, this case highlights the importance of the clinician’s awareness regarding the existence of an osseous counterpart of HRG.
Url:
DOI: 10.4317/jced.53332
PubMed: 28210458
PubMed Central: 5303340
Affiliations:
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Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Palmier, Natalia" sort="Palmier, Natalia" uniqKey="Palmier N" first="Natalia" last="Palmier">Natalia Palmier</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Brum Correa, Marcelo" sort="Brum Correa, Marcelo" uniqKey="Brum Correa M" first="Marcelo" last="Brum-Corrêa">Marcelo Brum-Corrêa</name><affiliation><nlm:aff id="A2">MD, Department of Head and Neck Surgery, Oncology Center, Piracicaba</nlm:aff><wicri:noCountry code="subfield">Piracicaba</wicri:noCountry></affiliation></author><author><name sortKey="Paes Almeida, Oslei" sort="Paes Almeida, Oslei" uniqKey="Paes 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congenital agenesis of the corpus callosum</title><author><name sortKey="Neves Silva, Rodrigo" sort="Neves Silva, Rodrigo" uniqKey="Neves Silva R" first="Rodrigo" last="Neves-Silva">Rodrigo Neves-Silva</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Ferreira Gomes, Camilla Borges" sort="Ferreira Gomes, Camilla Borges" uniqKey="Ferreira Gomes C" first="Camilla-Borges" last="Ferreira-Gomes">Camilla-Borges Ferreira-Gomes</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Palmier, Natalia" sort="Palmier, Natalia" uniqKey="Palmier N" first="Natalia" last="Palmier">Natalia Palmier</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Brum Correa, Marcelo" sort="Brum Correa, Marcelo" uniqKey="Brum Correa M" first="Marcelo" last="Brum-Corrêa">Marcelo Brum-Corrêa</name><affiliation><nlm:aff id="A2">MD, Department of Head and Neck Surgery, Oncology Center, Piracicaba</nlm:aff><wicri:noCountry code="subfield">Piracicaba</wicri:noCountry></affiliation></author><author><name sortKey="Paes Almeida, Oslei" sort="Paes Almeida, Oslei" uniqKey="Paes Almeida O" first="Oslei" last="Paes-Almeida">Oslei Paes-Almeida</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Ajudarte Lopes, Marcio" sort="Ajudarte Lopes, Marcio" uniqKey="Ajudarte Lopes M" first="Marcio" last="Ajudarte-Lopes">Marcio Ajudarte-Lopes</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Agustin Vargas, Pablo" sort="Agustin Vargas, Pablo" uniqKey="Agustin Vargas P" first="Pablo" last="Agustin-Vargas">Pablo Agustin-Vargas</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author><author><name sortKey="Santos Silva, Alan Roger" sort="Santos Silva, Alan Roger" uniqKey="Santos Silva A" first="Alan-Roger" last="Santos-Silva">Alan-Roger Santos-Silva</name><affiliation><nlm:aff id="A1">DDS, PhD, Department of Oral Diagnosis, Oral Pathology and Oral Semiology Sections, Piracicaba Dental School, University of Campinas (UNICAMP)</nlm:aff><wicri:noCountry code="subfield">University of Campinas (UNICAMP)</wicri:noCountry></affiliation></author></analytic><series><title level="j">Journal of Clinical and Experimental Dentistry</title><idno type="eISSN">1989-5488</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Hyaline ring granuloma (HRG) of the oral cavity is an uncommon disorder considered to be a foreign-body reaction resulting from implantation of food vegetable particles. Microscopically, it is characterized by the presence of structures of hyaline rings in an inflamed fibrous tissue background, which contains multinucleated giant cells.</p></sec><sec><title>Material and Methods</title><p>We present the case of a 4-year-old boy diagnosed with a mandible osseous HRG, which showed clinical and tomographic aspects suggestive of an aggressive bone tumor.</p></sec><sec><title>Results</title><p>The patient underwent surgical exploration and histopathologic analysis showed fragments composed predominantly of widespread dense connective tissue with an acute and chronic inflammatory infiltrate containing multinucleated giant cells and scattered areas of eosinophilic material associated with hyaline rings, strongly suggestive of vegetable particles. The eosinophilic material was positive for periodic acid-Schiff (PAS) and resistant to diastase digestion. These features led to diagnosis of osseous HRG. Scanning electron microscopy (SEM) analysis was performed for illustrative purposes and the multiple structures resembling vegetable particles were characterized in more detail.</p></sec><sec><title>Conclusions</title><p>Although rare, this case highlights the importance of the clinician’s awareness regarding the existence of an osseous counterpart of HRG.</p><p><bold> Key words:</bold>Agenesis of the corpus callosum, child, hyaline ring granuloma, intraosseous, mandible, pulse granuloma.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Dunlap, Cl" uniqKey="Dunlap C">CL Dunlap</name></author><author><name sortKey="Barker, Bf" uniqKey="Barker B">BF Barker</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Almeida, Ly" uniqKey="Almeida L">LY Almeida</name></author><author><name sortKey="Trindade, Pa" uniqKey="Trindade P">PA Trindade</name></author><author><name sortKey="Sverzut, At" uniqKey="Sverzut A">AT Sverzut</name></author><author><name sortKey="Sverzut, Ce" uniqKey="Sverzut C">CE Sverzut</name></author><author><name sortKey="Trivellato, Ae" uniqKey="Trivellato A">AE Trivellato</name></author><author><name sortKey="Oliveira Santos, C" uniqKey="Oliveira Santos C">C Oliveira-Santos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="El Labban, Ng" uniqKey="El Labban N">NG El-Labban</name></author><author><name sortKey="Kramer, Ir" uniqKey="Kramer I">IR Kramer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pola, Jg" uniqKey="Pola J">JG Pola</name></author><author><name sortKey="De La Cruz, A" uniqKey="De La Cruz A">A de la Cruz</name></author><author><name sortKey="Bustillo, F" uniqKey="Bustillo F">F Bustillo</name></author><author><name sortKey="Gallas, M" uniqKey="Gallas M">M Gallas</name></author><author><name sortKey="Leston, Js" uniqKey="Leston J">JS Leston</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chou, L" uniqKey="Chou L">L Chou</name></author><author><name sortKey="Ficarra, G" uniqKey="Ficarra G">G Ficarra</name></author><author><name sortKey="Hansen, Ls" uniqKey="Hansen L">LS Hansen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Adkins, Kf" uniqKey="Adkins K">KF Adkins</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ciola, B" uniqKey="Ciola B">B Ciola</name></author><author><name sortKey="Bahn, Sl" uniqKey="Bahn S">SL Bahn</name></author><author><name sortKey="Yesner, R" uniqKey="Yesner R">R Yesner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Talacko, Aa" uniqKey="Talacko A">AA Talacko</name></author><author><name sortKey="Radden, Bg" uniqKey="Radden B">BG Radden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Philipsen, Hp" 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G">GG Machado</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Agustin Vargas, Pablo" sort="Agustin Vargas, Pablo" uniqKey="Agustin Vargas P" first="Pablo" last="Agustin-Vargas">Pablo Agustin-Vargas</name><name sortKey="Ajudarte Lopes, Marcio" sort="Ajudarte Lopes, Marcio" uniqKey="Ajudarte Lopes M" first="Marcio" last="Ajudarte-Lopes">Marcio Ajudarte-Lopes</name><name sortKey="Brum Correa, Marcelo" sort="Brum Correa, Marcelo" uniqKey="Brum Correa M" first="Marcelo" last="Brum-Corrêa">Marcelo Brum-Corrêa</name><name sortKey="Ferreira Gomes, Camilla Borges" sort="Ferreira Gomes, Camilla Borges" uniqKey="Ferreira Gomes C" first="Camilla-Borges" last="Ferreira-Gomes">Camilla-Borges Ferreira-Gomes</name><name sortKey="Neves Silva, Rodrigo" sort="Neves Silva, Rodrigo" uniqKey="Neves Silva R" first="Rodrigo" last="Neves-Silva">Rodrigo Neves-Silva</name><name sortKey="Paes Almeida, Oslei" sort="Paes Almeida, Oslei" uniqKey="Paes Almeida O" first="Oslei" last="Paes-Almeida">Oslei Paes-Almeida</name><name sortKey="Palmier, Natalia" sort="Palmier, Natalia" uniqKey="Palmier N" first="Natalia" last="Palmier">Natalia Palmier</name><name sortKey="Santos Silva, Alan Roger" sort="Santos Silva, Alan Roger" uniqKey="Santos Silva A" first="Alan-Roger" last="Santos-Silva">Alan-Roger Santos-Silva</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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