Publications by authors named "Freedman P"

Four versions of the novel Moletest on-device signal-processing analysis software, delivered on a single-application iPadPro11, were evaluated in pigmented skin lesions of patients sent for biopsy comparing its results with the lesion histology. The primary objective was to demonstrate that the nomela test provided at least 95 ± 2% sensitivity for not-melanoma. Proprietary software recognised the lesion perimeter, rejecting images with uncertain border, and performed analysis using non-scalar metrics of the image within the perimeter.

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Somatic mitochondrial DNA (mtDNA) mutation accumulation has been observed in individuals with retinal degenerative disorders. To study the effects of aging and mtDNA mutation accumulation in the retina, a polymerase gamma (POLG) exonuclease-deficient model, the Polg mutator mice (D257A), was used. POLG is an enzyme responsible for regulating mtDNA replication and repair.

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  • * The cytokine IL-41, initially linked to adipose tissue, has been found to have immunomodulatory properties and was studied for its levels in blood and skin biopsies of SSc patients.
  • * Findings revealed lower levels of IL-41 in patients with diffuse SSc, suggesting it may act as an antifibrotic agent, while elevated levels of a related protein, mTOR, were noted in the skin of these patients.
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Background: Medication-related oral pigmentation is a unique yet benign finding in the dental setting. As new antineoplastic agents emerge, it is likely that this documented manifestation will continue to grow.

Case Description: Here, we describe two case presentations of imatinib-related hyperpigmentation of the palate.

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  • Malakoplakia is a rare inflammatory disorder mainly seen in immunocompromised patients, characterized by an inability of macrophages to effectively kill bacteria.
  • Although it usually occurs in the genitourinary and gastrointestinal regions, this report highlights a rare case where malakoplakia affected the maxilla and maxillary alveolar ridge mucosa, marking a unique instance of oral cavity involvement.
  • Diagnostic stains revealed specific patterns indicating malakoplakia without evidence of microbial infection, emphasizing the need for clinicians and pathologists to consider this condition when evaluating lesions in immunosuppressed patients.
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Dysgenetic polycystic disease, also known just as polycystic disease, is a very rare developmental abnormality affecting the salivary gland duct system. This entity has been reported in only 21 patients previously, although a careful review suggests only 16 patients have histological evidence of the disease. In previously reported cases, this lesion most commonly presents as either an incidental finding or as a swelling affecting the parotid glands bilaterally, or rarely the submandibular glands bilaterally.

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Somatic mitochondrial DNA (mtDNA) mutation accumulation has been observed in individuals with retinal degenerative disorders. To study the effects of aging and mtDNA mutation accumulation in the retina, a Polymerase gamma (POLG) deficiency model, the POLG mutator mice (PolgD257A), was used. POLG is an enzyme responsible for regulating mtDNA replication and repair.

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  • The study addresses the challenge of differentiating between two dental tumors: non-calcifying variant of calcifying epithelial odontogenic tumor (NCLC-CEOT) and amyloid-rich central odontogenic fibroma (AR-COdF), focusing on the role of CD1a positivity in their diagnosis.
  • Researchers analyzed a series of cases with distinct histopathological features and stained them for CD1a and amyloid to determine their relationships and diagnostic criteria.
  • Results indicated that while CD1a positivity appears in both CEOTs and NCLC-CEOTs, it does not reliably distinguish them from AR-COdFs, suggesting that histopathologic criteria should take precedence over staining results.
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Objective: Intraoral salivary lymphoepithelial carcinoma (ISLEC) is a rare malignancy with programmed death-ligand 1 (PD-L1) expression levels that have been greatly understudied. We examined the clinicopathologic and immunophenotypic characteristics, including PD-L1 levels, of 3 cases of ISLEC.

Study Design: We searched the archives of 2 oral and maxillofacial pathology laboratories for specimens diagnosed as ISLEC between 1985 and 2022.

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  • The study aimed to investigate the histology and demographic characteristics of mucoepidermoid carcinoma (MEC) cases that maintain continuity with the oral surface mucosa.
  • Out of 138 cases reviewed, 14 showed this continuity and displayed diverse histological patterns along with a strong female predominance and bimodal age distribution.
  • The findings suggest that these cases may have a different underlying cause compared to typical MECs, highlighting the need for pathologists to recognize the histologic signs of surface origins in oral MEC for accurate diagnosis.
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  • * This report discusses three hospitalized COVID-19 patients who developed unusual herpetic ulcerations while receiving remdesivir and steroids, which are more common in immunocompromised individuals.
  • * The ulcerations observed in these patients are different from typical herpes infections, prompting the authors to raise awareness for early diagnosis and to highlight the potential immunocompromised status of COVID-19 patients undergoing treatment.
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Ectomesenchymal chondromyxoid tumor is a rare and benign neoplasm with a predilection for the anterior dorsal tongue. Despite morphologic heterogeneity, most cases are characterized by a proliferation of bland spindle cells with a distinctive reticular growth pattern and myxoid stroma. The immunophenotype of these neoplasms is likewise variable; most cases express glial fibrillary acid protein and S100 protein, with inconsistent reports of keratin and myoid marker expression.

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Eosinophilic ulcer of the oral mucosa (EUOM) is a rare, benign, self-resolving lymphoproliferative disorder, which typically presents with asymptomatic to mildly tender ulcers. Histological findings of EUOM are characterized by a polymorphic infiltrate with many eosinophils often extending into the underlying muscle. Although this entity is well documented within the dental literature, it is not well known to physicians.

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Background: Glandular odontogenic cyst (GOC) demonstrates a significant predilection toward localized biologic aggressiveness and recurrence. GOC shares certain histopathologic features with intraosseous mucoepidermoid carcinoma (IMEC). The current investigation evaluates a group of recurrent, biologically aggressive GOCs to determine whether any cases demonstrated unique histologic features or mastermind-like2 (MAML2) rearrangements common to IMEC.

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Objective: To assess whether tumors originally classified as adenocarcinoma not otherwise specified (Adca-NOS), adenoid cystic carcinoma (ACC), and polymorphous low-grade adenocarcinoma (PLGA) could be reclassified as cribriform adenocarcinoma of the tongue and minor salivary gland (CATMSG).

Study Design: Tumors diagnosed between 1992 and 2014 at Oral Pathology Laboratory, Inc. (New York Presbyterian Hospital) were selected.

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Aims: Ectomesenchymal chondromyxoid tumour (ECT) is a rare, benign intraoral neoplasm showing a predilection for the anterior dorsum of the tongue. The World Health Organization includes ECT in the pathological spectrum of soft tissue myoepithelioma. EWS RNA-binding protein 1 gene (EWSR1) rearrangement is found in 45% of cutaneous, soft tissue and bone myoepithelial neoplasms, and pleomorphic adenoma gene 1 (PLAG1) aberrations are found in 37% of EWSR1-negative soft tissue myoepitheliomas.

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Epithelioid multinodular osteoblastoma is a rare variant of osteoblastoma characterized by numerous nodules of epithelioid osteoblasts surrounding bony trabeculae, as well as clusters of epithelioid osteoblasts without osteoid formation. It commonly occurs in the gnathic bones of the face and spine, and has a male predominance. To date, only 26 cases of epithelioid multinodular osteoblastoma have been reported and described in detail in the literature.

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Sebaceous carcinoma of the oral cavity is extremely rare. To date, only 9 cases of primary sebaceous carcinoma involving the oral cavity have been reported in the English literature, with the majority of cases occurring on the buccal mucosa. This report describes a case of sebaceous carcinoma involving the maxillary gingiva.

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Ethnopharmocological Relevance: During the European Middle Ages aromatic products imported from Asia and Africa were credited with both preventive and curative medical properties. In addition spices provided an image of wellness and as they were expensive and had many uses in cuisine and fragrance, they functioned as prestige consumer goods.

Materials And Methods: This is an effort to look historically at a social and cultural phenomenon for the period roughly A.

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Malignant rhabdoid tumors (MRTs) are exceedingly rare lesions. To our knowledge, only 2 cases have been reported in the oral cavity, with both examples occurring in infants. The current case is the third reported case of MRT of the oral cavity and the first reported case to occur in an adult at this location.

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Clear cell squamous cell carcinoma (CCSCC) is a rare variant of squamous cell carcinoma, first reported by Kuo, who described 6 cases of squamous cell carcinoma of the skin of the head and neck. CCSCC is composed of cells with clear cytoplasm, which Kuo attributed to the accumulation of intracellular fluid and not the presence of glycogen, lipid, or mucin. This case describes a 59-year-old woman who presented with an exophytic, hemorrhagic lesion on the posterior mandibular gingiva of 2 months' duration.

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Anaplastic large cell lymphoma (ALCL), a subgroup of T-cell non-Hodgkin's lymphoma, is an uncommon tumor exhibiting CD30 positivity and a characteristic immunophenotypic profile. Histologically, ALCL is characterized by the proliferation of large, anaplastic lymphoid cells with eccentric horseshoe- or kidney-shaped nuclei and one or more prominent nucleoli. Rare cases have been cited in the literature of ALCL presenting primarily in the oral cavity.

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A look at what fine restaurants served in mid-nineteenth century America, using the New York Public Library’s collection of menus from the Fifth Avenue Hotel in New York City for the years 1859 to 1865. With particular paid attention to the entrée category, 1,250 menus were analyzed. There are 900 different dishes mentioned, and the article discusses what were the most popular and the setting and customs governing such meals.

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