Publications by authors named "Oslei Paes-de-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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The aim of this report was to describe a rare example of sporadic intestinal-type adenocarcinoma of the major salivary glands and oral cavity. A 23-year-old female patient presented an asymptomatic, progressive-growing mass involving the floor of mouth and the left submandibular gland. Fine-needle aspiration cytology, imaging exams, and surgical specimen findings were consisted with the diagnosis of primary intestinal-type adenocarcinoma, despite its similar immunohistochemical results with colorectal adenocarcinoma.

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This study aimed to evaluate the contribution of oral and maxillofacial pathology laboratories (OMPLs) in Brazilian public universities to the diagnosis of lip, oral cavity, and oropharyngeal squamous cell carcinoma (SCC). A cross-sectional study was performed using biopsy records from a consortium of sixteen public OMPLs from all regions of Brazil (North, Northeast, Central-West, Southeast, and South). Clinical and demographic data of patients diagnosed with lip, oral cavity, and oropharyngeal SCC between 2010 and 2019 were collected from the patients' histopathological records.

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Intraoral sebaceous carcinoma (SC) is exceedingly rare, especially in the tongue. We reported the clinicopathological and immunohistochemical features of a rare SC case in a 59-year-old male who presented a painful ulcer on the tongue's posterior region. Microscopically, the tumor was composed of atypical basaloid cells with round to oval nuclei and prominent nucleoli arranged in lobes showing prominent sebaceous differentiation and areas of holocrine secretion.

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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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Article Synopsis
  • 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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Article Synopsis
  • 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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Hybrid peripheral nerve sheath tumors show combined features of more than one type of conventional benign peripheral nerve sheath tumors. There are few cases reported of hybrid peripheral nerve sheath tumors in the head and neck region. A 68-year-old female patient was referred for evaluation of an oral swelling lasting five years.

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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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Article Synopsis
  • - Effective communication between clinicians and pathologists is crucial for accurate diagnoses and quality patient care, yet there is a notable lack of research specifically focusing on this topic in oral and maxillofacial pathology.
  • - A narrative review was conducted, assessing the quality of communication between clinicians and oral pathologists, revealing no existing studies on communication adequacy or necessary skills in oral diagnosis.
  • - The review suggests that improving communication could involve strategies like collaboration, clear reporting, communication skills training, and prioritizing patient-centered care, along with a call for further research to enhance practices in this field.
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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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Article Synopsis
  • Ameloblastic fibromas and fibrosarcomas are rare tumors related to tooth development, sparking debate about their classification, especially regarding hard-tissue formation in Ameloblastic fibrodentinoma and Ameloblastic fibro-odontoma.
  • The study aimed to examine the features of these lesions and evaluate updates to their classification by the World Health Organization in 2017.
  • After reviewing 947 relevant papers, 96 articles were selected to analyze characteristics of these tumors, highlighting their neoplastic behavior and potential for malignant change.
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Article Synopsis
  • 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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