Publications by authors named "Oslei Paes Almeida"

Article Synopsis
  • - An 81-year-old man was found to have a well-defined cyst in his jaw during a routine x-ray, which was thought to be a residual cyst and was surgically removed for analysis.
  • - The analysis revealed that the cyst was mostly lined with a type of tissue associated with tooth development, showing unique features like ghost cells, along with other cystic structures.
  • - The final diagnosis was a calcifying odontogenic cyst containing areas similar to an odontogenic keratocyst, a rare combination, with no signs of recurrence after 9 years of monitoring.
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Myoepithelioma is a benign salivary gland tumor. Central myoepitheliomas are very rare. The aim of this report was to describe a case of maxillary myoepithelioma.

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Article Synopsis
  • * The study involved clinical data from five patients, mostly middle-aged men, with issues primarily in the oral mucosa; all cases showed typical symptoms and characteristics of HPV-OED.
  • * Patients received conservative surgical treatment, and after an average follow-up of 39 months, there were no signs of disease recurrence.
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Benign fibro-osseous lesions with cystic degenerations have been scarcely reported in craniofacial bones and its unusual characteristics pose a diagnostic challenge. Here, we report a case of craniofacial fibrous dysplasia presenting a large cystic degeneration. A 55-year-old woman had a history of pain, slight asymmetry on the zygomatic region and ocular pressure.

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Article Synopsis
  • The study investigated the clinical and pathological characteristics of 19 oral solitary fibrous tumors (SFTs), revealing a predominance in females and an average patient age of 47.3 years.
  • Most tumors were found in the buccal mucosa and appeared as asymptomatic nodules; over half exhibited a classic hybrid pattern in their cellular structure.
  • All tumors tested positive for specific markers (STAT6 and CD34), and follow-up data indicated no local recurrence in the few patients tracked, underscoring the need for accurate diagnosis by pathologists to avoid misdiagnosis of these rare tumors.
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  • Low-grade myofibroblastic sarcoma (LGMS) is a rare tumor typically found in the oral cavity and head/neck region, characterized by myofibroblast cells and a high chance of returning locally but low risk of spreading to distant sites.
  • The study analyzed 13 cases of LGMS from various countries, revealing that most patients are young females, often presenting with nodular lesions in the maxilla, and exhibiting specific microscopic and immunohistochemical features that confirm the diagnosis.
  • Complete surgical removal of the tumor is recommended for treatment, but additional long-term studies are needed to better understand recurrence rates and metastasis potential.
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  • The study aims to evaluate the effectiveness of cell block (CB) preparation from fine-needle aspiration cytology for diagnosing diseases in the oral and maxillofacial regions.
  • Over a period of 20 years, a retrospective analysis of 568 samples was conducted, comparing cytologic diagnoses with histopathologic diagnoses to assess accuracy and predictive values.
  • Results indicated that CB preparation showed a good overall accuracy of 80% and excellent specificity (100%) for identifying malignant lesions, suggesting it could be a valuable tool in diagnosing oral and maxillofacial diseases.
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Background: Subgemmal neurogenous plaques (SNP) are composed of neural structures found in the posterolateral portion of the tongue, rarely biopsied as most of them are asymptomatic or eventually only clinically managed. We aimed to investigate a case series of possible correlation of symptomatic subgemmal neurogenous plaque (SNP) with coronavirus disease 2019 (COVID-19).

Methods: Eleven formalin-fixed paraffin-embedded cases from patients with previous confirmed COVID-19 (by RT-PCR) were retrieved from two pathology files.

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Background: Fibroblast growth factor receptor 1 is a potential prognostic factor for tongue squamous cell carcinoma and is associated with oral epithelial dysplasia grade in oral leukoplakia.

Methods: Thirty cases of tongue squamous cell carcinoma and 30 cases of oral leukoplakia were analyzed. Fibroblast growth factor receptor 1 and phosphorylated Akt protein expression were analyzed by immunohistochemistry and quantified using a digital algorithm.

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Rhabdomyosarcoma (RMS) is a soft tissue sarcoma that develops from skeletal striated muscle cells. RMSs are exceedingly rare in the oral cavity, particularly in the gingiva. Herein, we reported the clinicopathological and immunohistochemical features of a rare case of RMS in a 30-year-old female presenting clinically as a painful polypoid nodule on the mandibular gingiva.

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Rhabdomyosarcomas (RMS) are malignant tumors with skeletal muscle differentiation extremely rare in intraosseous sites. We reported a rare case of an aggressive intraosseous RMS found in the maxilla of a 17-year-old female patient with five months of evolution. Computed tomography revealed a large osteolytic lesion extending from tooth 21 to 27, causing buccal and lingual cortical plate perforation.

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Langerhans cell histiocytosis (LCH) is an uncommon myeloid neoplasm characterized by clonal neoplastic proliferation of Langerhans-type dendritic cells associated with a reactive inflammatory infiltrate composed predominantly of lymphocytes and eosinophils. Only three cases of LCH mimicking periapical lesions have been reported in the English-language literature to date. Herein, we report a rare case of LCH involving the mandible of a 45-years-old woman mimicking microscopically and radiographically a residual cyst.

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Article Synopsis
  • IgG4-related disease is an immune condition that can show different symptoms; this study focused on its effects in the oral and maxillofacial areas.
  • Researchers examined seven cases from Brazil, noting that all patients were women with an average age of 55.4 years; various sites in the mouth and jaw were affected, primarily the submandibular gland.
  • Diagnosis was supported by a specific ratio of immune cells, with steroids as the main treatment; while most patients survived, one death occurred from unspecified reasons.
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Objective: To evaluate the impact of the COVID-19 pandemic on the number of diagnoses of oral and maxillofacial lesions in public laboratories after one year of COVID-19 outbreak in Brazil.

Material And Methods: This is a cross-sectional study. Biopsies submitted to histopathologic examination from March 2019 to February 2020 (pre-pandemic period) and from April 2020 to March 2021 (pandemic period) in nine Brazilian public oral pathology laboratories were retrieved and the number of diagnoses, types of lesion, and percentage changes during both periods were analyzed.

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  • Epithelioid rhabdomyosarcoma is a rare type of cancer with limited documented cases, prompting researchers to investigate an unusual instance in a 33-year-old male with a mass in the gums.
  • The patient experienced progressive growth of the mass over three months and after undergoing chemotherapy and surgery, unfortunately faced local and distant recurrences, ultimately leading to his death 22 months post-diagnosis.
  • The condition is still not well understood in terms of causes and treatment options, and it's unclear whether this type is a distinct subtype or just a variation of other rhabdomyosarcoma forms.
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This report describes a case of an adult rhabdomyoma (ARM) occurring in the oral cavity. A 47-year-old man was referred for the diagnosis of a painless, well-circumscribed, submucous nodule located on the floor of the mouth, measuring approximately 6.0 cm in length.

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Ossifying fibromyxoid tumor (OFMT) is a rare mesenchymal soft tissue benign neoplasm with an uncertain line of differentiation, which arises most frequently in extremities. The head and neck region involvement is uncommon, with only ten intraoral cases published in the English-language literature. One additional case of OFMT is reported here, including a literature review of intraoral reported cases.

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Objective: To report the clinicopathologic features of acquired oral syphilis cases in South American countries.

Materials And Methods: Clinical data were retrospectively collected from the records of 18 oral diagnostic services in Argentina, Brazil, Chile, Colombia, Venezuela, Uruguay, and Peru. Serologies of nontreponemal and treponemal tests were used for diagnosis.

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The oral lymphoepithelial cyst (OLC) is an uncommon lesion whose pathogenesis remains poorly understood. The aim of this study was to report the clinicopathologic features of the OLCs and to verify a possible association between OLCs and subgemmal neurogenous plaque (SNP) in the posterior lateral region of the tongue. A retrospective descriptive cross-sectional study was carried out.

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Smooth muscle neoplasms represent an important group of lesions which is rare in the oral cavity. Leiomyoma (LM) is benign smooth muscle/pericytic tumor usually presenting as non-aggressive neoplasm, while leiomyosarcoma (LMS) represents its malignant counterpart. The rarity of these lesions, together with its unspecific clinical presentation and a variable histopathological appearance, lead to a broad list of differential diagnoses, hampering their diagnoses.

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Article Synopsis
  • Hydroa vacciniforme-like lymphoproliferative disorder (HVLPD) is a chronic condition linked to the Epstein-Barr virus (EBV), which can range from mild to aggressive forms that might progress to T-cell lymphoma.
  • A study analyzed 11 diagnosed cases over 10 years, noting that patients were predominantly male and had an average age of 25, with common symptoms including painful oral ulcers and facial swelling.
  • All cases exhibited severe lymphocytic infiltrate with a cytotoxic T-cell phenotype, were associated with EBV, and unfortunately, all patients died due to disease complications.
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  • - The study focused on Burkitt lymphoma affecting the head and neck (BLHN) in pediatric patients from Africa, Guatemala, and Brazil, revealing common clinical and anatomical characteristics across these regions.
  • - Among the 52 cases reviewed, a significant majority (82.69%) were children, with common symptoms including tumors, cervical lymphadenopathy, and bone destruction, and typical features associated with Burkitt lymphoma were observed.
  • - Immunohistochemical analysis showed uniform expression of specific markers like CD20 and high Ki-67 indices, with Epstein-Barr virus (EBV) present in about 62% of cases, indicating similarities in the disease profile across the studied populations.
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