Oral cavity verruciform xanthoma – the importance of total excision – report of two cases

Detalhes bibliográficos
Autor(a) principal: Almeida, Alessandra de Aragão
Data de Publicação: 2022
Outros Autores: Arantes, Camila de Souza, Parizi, José Luiz Santos, Nai, Gisele Alborghetti
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/25315
Resumo: Verruciform xanthoma is a relatively rare epithelial hyperplasia found in the oral mucosa, usually in the gingiva, alveolar mucosa and hard palate. However, it can also affect the skin and genital mucosa. This study aims to describe two cases of verruciform xanthoma and the importance of total excision of this lesion. The patients are two Caucasian females, 58 and 23 years old. On clinical examination, both had a somewhat verrucous lesion on the lateral border of the tongue. Surgical excision of the lesions was performed. The specimens were sent for anatomopathological examination, which showed epithelium with discrete parakeratosis, irregular acanthosis with epidermal crest elongation and an accumulation of numerous xanthomatous macrophages in the connective tissue, diagnosed as verruciform xanthoma. One of the patients had compromised surgical margins, in whom the lesion recurred. Although it is an uncommon lesion, verruciform xanthoma should be considered in the differential diagnosis of verrucous (benign and malignant) lesions of the oral cavity, and total excision prevents the recurrence of this lesion.
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spelling Oral cavity verruciform xanthoma – the importance of total excision – report of two casesXantoma verruciforme de la cavidad oral - la importancia de la escisión total - informe de dos casosXantoma verruciforme de cavidade oral - a importância da excisão total – relato de dois casosXanthomatosisEpitheliumTongueBiopsyMouth neoplasms. XantomatosisEpitelioLenguaBiopsiaNeoplasias de la boca.XantomatoseEpitélioLínguaBiopsiaNeoplasias bucais.Verruciform xanthoma is a relatively rare epithelial hyperplasia found in the oral mucosa, usually in the gingiva, alveolar mucosa and hard palate. However, it can also affect the skin and genital mucosa. This study aims to describe two cases of verruciform xanthoma and the importance of total excision of this lesion. The patients are two Caucasian females, 58 and 23 years old. On clinical examination, both had a somewhat verrucous lesion on the lateral border of the tongue. Surgical excision of the lesions was performed. The specimens were sent for anatomopathological examination, which showed epithelium with discrete parakeratosis, irregular acanthosis with epidermal crest elongation and an accumulation of numerous xanthomatous macrophages in the connective tissue, diagnosed as verruciform xanthoma. One of the patients had compromised surgical margins, in whom the lesion recurred. Although it is an uncommon lesion, verruciform xanthoma should be considered in the differential diagnosis of verrucous (benign and malignant) lesions of the oral cavity, and total excision prevents the recurrence of this lesion.El xantoma verruciforme es una hiperplasia epitelial relativamente rara que se encuentra en la mucosa oral, por lo general en la encía, la mucosa alveolar y el palato duro. Sin embargo, también puede afectar la piel y la mucosa genital. Este estudio tiene como objetivo describir dos casos de xantoma verruciforme y la importancia de la escisión total de esta lesión. Los pacientes son dos mujeres caucásicas, de 58 y 23 años. Al examen clínico, ambos tenían una lesión verrugosa en el borde lateral de la lengua. Se realizó escisión quirúrgica de las lesiones. Las muestras fueron enviadas para examen anatomopatológico, las cuales mostraron epitelio con paraqueratosis leve, acantosis irregular con alargamiento de la cresta epidérmica y acumulación de numerosos macrófagos xantomatosos en el tejido conectivo, diagnosticados como xantomas verruciformes. Una de las pacientes tenía márgenes quirúrgicos comprometidos, en lo que la lesión recidivó. Aunque que sea una lesión infrecuente, el xantoma verruciforme debe considerarse en el diagnóstico diferencial de las lesiones verrugosas (benignas y malignas) de la cavidad bucal, y la escisión total evita la recurrencia de esta lesión.O xantoma verruciforme é uma hiperplasia epitelial relativamente rara encontrada na mucosa oral, geralmente na gengiva, mucosa alveolar e palato duro. No entanto, também pode afetar a pele e a mucosa genital. Este estudo tem como objetivo descrever dois casos de xantoma verruciforme e a importância da excisão total dessa lesão. Os pacientes são duas mulheres caucasianas, 58 e 23 anos. No exame clínico, ambos apresentavam lesão verrucosa na borda lateral da língua. A excisão cirúrgica das lesões foi realizada. As amostras foram enviadas para exame anatomopatológico, que mostrou epitélio com paraqueratose discreta, acantose irregular com alongamento da crista epidérmica e acúmulo de numerosos macrófagos xantomatosos no tecido conjuntivo, diagnosticados como xantomas verruciformes. Uma das pacientes apresentou margens cirúrgicas comprometidas, na qual a lesão recidivou. Embora seja uma lesão incomum, o xantoma verruciforme deve ser considerado no diagnóstico diferencial de lesões verrucosas (benignas e malignas) da cavidade oral, e a excisão total impede a recorrência dessa lesão.Research, Society and Development2022-01-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2531510.33448/rsd-v11i1.25315Research, Society and Development; Vol. 11 No. 1; e53411125315Research, Society and Development; Vol. 11 Núm. 1; e53411125315Research, Society and Development; v. 11 n. 1; e534111253152525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIenghttps://rsdjournal.org/index.php/rsd/article/view/25315/22157Copyright (c) 2022 Alessandra de Aragão Almeida; Camila de Souza Arantes; José Luiz Santos Parizi; Gisele Alborghetti Naihttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessAlmeida, Alessandra de Aragão Arantes, Camila de Souza Parizi, José Luiz Santos Nai, Gisele Alborghetti 2022-01-16T18:08:18Zoai:ojs.pkp.sfu.ca:article/25315Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:43:37.763349Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
Xantoma verruciforme de la cavidad oral - la importancia de la escisión total - informe de dos casos
Xantoma verruciforme de cavidade oral - a importância da excisão total – relato de dois casos
title Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
spellingShingle Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
Almeida, Alessandra de Aragão
Xanthomatosis
Epithelium
Tongue
Biopsy
Mouth neoplasms.
Xantomatosis
Epitelio
Lengua
Biopsia
Neoplasias de la boca.
Xantomatose
Epitélio
Língua
Biopsia
Neoplasias bucais.
title_short Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
title_full Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
title_fullStr Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
title_full_unstemmed Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
title_sort Oral cavity verruciform xanthoma – the importance of total excision – report of two cases
author Almeida, Alessandra de Aragão
author_facet Almeida, Alessandra de Aragão
Arantes, Camila de Souza
Parizi, José Luiz Santos
Nai, Gisele Alborghetti
author_role author
author2 Arantes, Camila de Souza
Parizi, José Luiz Santos
Nai, Gisele Alborghetti
author2_role author
author
author
dc.contributor.author.fl_str_mv Almeida, Alessandra de Aragão
Arantes, Camila de Souza
Parizi, José Luiz Santos
Nai, Gisele Alborghetti
dc.subject.por.fl_str_mv Xanthomatosis
Epithelium
Tongue
Biopsy
Mouth neoplasms.
Xantomatosis
Epitelio
Lengua
Biopsia
Neoplasias de la boca.
Xantomatose
Epitélio
Língua
Biopsia
Neoplasias bucais.
topic Xanthomatosis
Epithelium
Tongue
Biopsy
Mouth neoplasms.
Xantomatosis
Epitelio
Lengua
Biopsia
Neoplasias de la boca.
Xantomatose
Epitélio
Língua
Biopsia
Neoplasias bucais.
description Verruciform xanthoma is a relatively rare epithelial hyperplasia found in the oral mucosa, usually in the gingiva, alveolar mucosa and hard palate. However, it can also affect the skin and genital mucosa. This study aims to describe two cases of verruciform xanthoma and the importance of total excision of this lesion. The patients are two Caucasian females, 58 and 23 years old. On clinical examination, both had a somewhat verrucous lesion on the lateral border of the tongue. Surgical excision of the lesions was performed. The specimens were sent for anatomopathological examination, which showed epithelium with discrete parakeratosis, irregular acanthosis with epidermal crest elongation and an accumulation of numerous xanthomatous macrophages in the connective tissue, diagnosed as verruciform xanthoma. One of the patients had compromised surgical margins, in whom the lesion recurred. Although it is an uncommon lesion, verruciform xanthoma should be considered in the differential diagnosis of verrucous (benign and malignant) lesions of the oral cavity, and total excision prevents the recurrence of this lesion.
publishDate 2022
dc.date.none.fl_str_mv 2022-01-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/25315
10.33448/rsd-v11i1.25315
url https://rsdjournal.org/index.php/rsd/article/view/25315
identifier_str_mv 10.33448/rsd-v11i1.25315
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/25315/22157
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 11 No. 1; e53411125315
Research, Society and Development; Vol. 11 Núm. 1; e53411125315
Research, Society and Development; v. 11 n. 1; e53411125315
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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