Publications by authors named "Bufalino A"

Purpose: Approximately 10% of all lymphomatoid papulosis (LyP) cases affect pediatric patients. Pediatric LyP is clinically similar to adult LyP, frequently with cutaneous involvement, whereas the affectation of mucosal surface is rare. The LyP clinicopathological spectrum includes type A, B, C, D, E, and LyP with DUSP22/IRF4 rearrangement, with LyP type D representing < 5% of all LyP cases.

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Introduction: Pyoderma gangrenosum (PG) is a rare neutrophilic dermatosis often associated with inflammatory bowel disease.

Case Report: We present a case of PG affecting the oral mucosa in a 31-year-old female with ulcerative colitis, necessitating total colectomy due to aggressive lesion progression. Despite initial adalimumab treatment, the lesions persisted, prompting a multidisciplinary approach.

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Article Synopsis
  • * Histopathology revealed atypical lymphoid cells showing specific markers, raising concerns for anaplastic large cell lymphoma (ALCL), though the ulcer healed completely within three weeks.
  • * The authors conclude that this case represents a rare type of intraoral CD30+ T-cell LPD, which they believe corresponds to cutaneous LyP type C, highlighting its diagnostic challenges.
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Chlorhexidine (CHX) is a prime choice to control the oral microbiota. However, it's a chemical agent leading to side effects such as teeth strains, taste disturbance, and desquamation of oral mucosa. Alternatively, the lactoferrin and oxygen-based Blue®M has been introduced as an alternative to the CHX, not disturbing tissue repair.

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  • Proliferative verrucous leukoplakia (PVL) is a type of oral leukoplakia known for its recurring white plaques and risk of turning cancerous.
  • A 52-year-old woman was initially misdiagnosed with oral lichen planus (OLP), but after further examination, she was correctly identified as having early-stage PVL.
  • Six years after receiving dental implants, she developed squamous cell carcinoma, highlighting the need for careful monitoring in PVL patients with oral lesions near implants.
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Rationale: Osseous dysplasia (OD) is a benign fibro-osseous lesion classified as periapical, focal or florid with some rare cases being diagnosed as expansive OD.

Patient Concerns: A 43-year-old female presented with gross mandible expansion and tooth displacement.

Diagnosis: Imaging scans revealed an expansive lesion in the anterior mandible, with varying opacity in the central region, and other smaller lesions in the region of teeth #37 and #47, consistent with expansive OD.

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Objective: The present study performed a systematic review and meta-analysis of observational studies on whether calreticulin levels could represent a prognostic factor in carcinoma patients. Calreticulin (CRT) is a multifunctional protein in the endoplasmic reticulum that can play distinct roles in different cancers.

Methods: The search was performed in PubMed, Scopus, the Cochrane Library, Web of Science, Lilacs, Science Direct, Embase, Bireme, and SciELO databases.

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Article Synopsis
  • Necrotizing sialometaplasia (NS) is a rare, self-limiting condition that mainly affects the minor salivary glands in the palate and is more common in men over 45 years old.
  • *It typically appears as an ulcerative lesion but can also be non-ulcerated, making it critical to include in diagnoses when examining oral lesions.
  • *A case involving a 50-year-old male with a non-ulcerated lesion on the hard palate highlighted differences in age and gender prevalence compared to traditional ulcerated cases, emphasizing the unique characteristics of NS.
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Proliferative verrucous leukoplakia (PVL) is an oral potentially malignant disorder associated with high risk of malignant transformation. Currently, there is no treatment available, and restrictive follow-up of patients is crucial for a better prognosis. Oral leukoplakia (OL) shares some clinical and microscopic features with PVL but exhibits different clinical manifestations and a lower rate of malignant transformation.

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Oral potentially malignant disorders (OPMD) are clinical presentations that carry an increased risk of cancer development. Currently, epithelial dysplasia grade is based on architectural and cytological epithelial changes and is used to predict the malignant transformation of these lesions. However, predicting which OPMD will progress to a malignant tumor is very challenging.

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This study aimed to evaluate the density of the dendritic cells (DCs) and macrophages in oral leukoplakia (OL) and proliferative verrucous leukoplakia (PVL) by immunohistochemical analysis. We analysed paraffined tissue samples of PVL ( = 27), OL ( = 20), and inflammatory fibrous hyperplasia ( = 20) as the control group using the immunomarkers for DCs (CD1a, CD207, CD83, CD208 and CD123) and macrophages (CD68, CD163, FXIIIa and CD209). A quantitative analysis of positive cells in the epithelial and subepithelial areas was determined.

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Lipomas are mesenchymal neoplasms relatively uncommon in the oral cavity. Lipomas can exhibit histopathological features mimicking atypical lipomatous tumors (ALT) or dysplastic lipoma (DL) in the presence of degenerative changes. Relevantly, immunohistochemistry assists in the correct diagnosis.

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Sialolithiasis is a common nonneoplastic disease of the major salivary glands that often affects the submandibular glands. Minor salivary gland involvement by sialolithiasis is uncommon, with only 273 cases reported. A long clinical history, acute symptoms, and mucopurulent discharge are unusual features of these cases.

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  • Oral leukoplakia (OL) and proliferative verrucous leukoplakia (PVL) are conditions in the mouth that can become cancerous, with PVL having a much higher risk of turning malignant than OL.
  • The study analyzed the presence of T cells and various cytokines in dysplastic lesions from patients with OL and PVL, focusing on how these immune responses could influence cancer progression.
  • Results indicated that PVL had more CD8 T cells and showed changes in cytokine levels compared to OL, suggesting that the immune system's response is significantly altered in PVL, contributing to its aggressive nature.
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  • Hereditary hemorrhagic telangiectasia (HHT) is a rare condition characterized by fragile blood vessels that increase the risk of various health issues, including bleeding and anemia.
  • This case report details a safe periodontal treatment approach for a 39-year-old woman diagnosed with HHT, who presented with generalized periodontitis.
  • The treatment involved nonsurgical therapy with strict protocols, including antibiotic prophylaxis, leading to improved clinical outcomes and the importance of coordinated care between dental and medical professionals for patient safety.
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  • * It presents a case study of a 33-year-old man who developed progressive facial swelling and lower lip involvement, with specific microscopic findings leading to a diagnosis of PC peripheral T-cell lymphoma, NOS (PTCL-NOS).
  • * After chemotherapy, the patient experienced complications, including facial nerve palsy, emphasizing the need to consider CD8+ T-cell LPDs when evaluating similar symptoms like facial swelling and oral involvement.
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Oral pigmented lesions can be physiological or pathological, exogenous or endogenous, as well as focal, multifocal, or diffuse. Among them, the oral melanotic macule (OMM) is a small, well-delimited brown-to-black macule, often affecting the lip and gingiva. Amalgam tattoo (AT) is a grey or black area of discoloration on the oral mucosa as a result of entry of dental amalgam into the soft tissues, commonly gingiva and alveolar ridge.

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The localized juvenile spongiotic gingival hyperplasia (LJSGH) mainly affects the maxillary vestibular attached gingiva of juvenile patients, without sex predilection. Similar lesions involving extragingival sites have not been reported to date. Here, we report 2 cases of extragingival soft tissue lesions with similar clinicopathological features to those reported in LJSGH and 12 cases of intraoral reactive soft tissue lesions microscopically showing LJSGH-like focal areas.

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By using a meta-analytical approach, this study aimed to analyse the diagnostic capacity of protein-based biomarkers in saliva for the differential diagnosis of oral potentially malignant disorders (OPMDs) and oral squamous cell carcinoma (OSCC) from healthy individuals as control group (HCG).Articles on protein-based biomarkers in saliva, which provided quantitative expression in individuals with clinical and histopathological diagnosis of OPMD or oral leukoplakia (OL) were considered eligible. Searches were conducted in eight electronic databases.

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Scleroderma is a rare autoimmune disease characterized by excessive collagen production. The oral manifestations of the patient with scleroderma can include microstomia, xerostomia, and changes in the resorption teeth. We report the case of a 7-year-old female patient diagnosed with systemic scleroderma where photobiomodulation therapy was used to treat xerostomia associated with hyposalivation.

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Spindle cell squamous cell carcinoma (SpSCC) is a rare biphasic malignant neoplasm, uncommonly affecting the oral cavity. The SpSCC diagnosis is difficult, especially when it exhibits inconspicuous morphology, inadequate tissue sampling, or association with an exuberant inflammatory reaction. Post-radiotherapy recurrent SpSCC occurring at the same site of conventional SCC is a rare phenomenon.

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