Publications by authors named "Patricia Carlos Caldeira"

Article Synopsis
  • - The study aimed to compare the fractal dimension (FD) and lacunarity of mandibular bone in patients with osteoradionecrosis (ORN) versus those without, using digital panoramic radiographs and ImageJ software for analysis.
  • - A total of 25 patients were divided into two groups (14 with ORN and 11 without), and while FD and lacunarity values were similar across groups, certain thresholds were identified that helped differentiate between the two populations.
  • - Although the differences in FD and lacunarity were not statistically significant, the effect sizes suggest potential clinical relevance, indicating that these measurements could be useful in evaluating bone health post-radiotherapy.
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Background: Oropharyngeal squamous cell carcinoma (OP-SCC) represents a public health problem and human papillomavirus (HPV) is one of the risk factors. Neutrophil extracellular traps (NET) are meshes of DNA strands and granule proteins. NET has been identified in diverse cancers, whether associated with viruses or not.

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Background: Treatment for head and neck squamous cell carcinoma (HNSCC) is often associated with various adverse effects, including changes in salivary parameters and complaints of halitosis. This study aimed to investigate changes in volatile sulfur compound (VSC) levels and salivary parameters in patients undergoing treatment for HNSCC.

Methods: This prospective longitudinal study was conducted at a Brazilian oncology center, where a convenience sample of 24 HNSCC patients undergoing radiotherapy or chemoradiotherapy were evaluated for VSC levels, salivary flow, pH, viscosity, dry mouth, and tongue coating.

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Objective: To characterize the oral microbiome of patients with head and neck squamous cell carcinoma (HNSCC) before and during radiotherapy (RT), compared to healthy individuals. Evaluating the impact of oral microbiome in the clinical outcomes one year following the end of RT.

Methods: Oral samples were collected from HNSCC patients who underwent RT using the following regimens: no dose received (T0), dose 12-16 Gy (T1), dose 30-36 Gy (T2) and dose ≥ 60 Gy (T3).

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Article Synopsis
  • Amyloidosis can present with various systemic signs and challenging oral symptoms, prompting this study to examine its features specifically in the oral cavity.
  • The study analyzed 26 biopsies from 23 patients, finding that 67% showed oral symptoms as the first sign of amyloidosis, with amyloid deposits located in several tissues surrounding nerves and muscles.
  • Results suggest that oral biopsies are a valuable diagnostic tool for identifying amyloidosis, even in cases without visible oral symptoms, due to their ability to detect amyloid deposits effectively.
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Background: This study aimed to investigate the clinicopathological features of metastases in the oral and maxillofacial regions.

Methods: In this retrospective study, biopsy records were obtained from referral centers for oral and maxillofacial diagnosis in Brazil, Guatemala, Mexico, and South Africa.

Results: A total of 120 cases were evaluated.

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Article Synopsis
  • * Histological findings included epithelial acanthosis and melanin incontinence, with TRP2-positive melanocytes found in all cases, while T-lymphocytes predominantly outnumbered B-lymphocytes.
  • * A broader scoping review identified 85 additional cases, predominantly in females and black-skinned individuals, suggesting that oral melanoacanthoma primarily affects the buccal mucosa and may arise from specific immune cell involvement.
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Article Synopsis
  • The study aimed to analyze the duration from the onset of oral and oropharyngeal cancer (OOC) symptoms to the initiation of treatment, and to explore factors contributing to treatment delays.
  • It collected both retrospective and prospective data from patients at a Brazilian public hospital, evaluating time across four intervals related to medical appointments and treatment preparation.
  • Results indicated a mean treatment delay of 217 days, with the longest delays occurring during the transition to specialized care and influenced by factors such as smoking, alcohol consumption, and encounters with general practitioners.
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Background: The aim of this study was to collect, synthesize, and analyze the clinic-demographic data of rhabdomyosarcoma affecting the oral cavity of young children.

Methods: The clinical question was "What are the clinical characteristics of oral rhabdomyosarcoma in children aged zero to two years?" Two independent reviewers selected the studies, extracted data, and assessed the methodological quality through the Joanna Briggs Institute Checklist. Descriptive statistics were performed in SPSS.

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Tobacco smoking involves a high risk of human malignancies, including oral cancer, because it contains multiple carcinogens that cause genetic instability. Thus, a worse prognosis would be expected for cancer patients who are smokers. The aim of this study was to assess the DNA damage response through the expression of checkpoint kinase 2 (CHK2), H2A histone family member X (H2AX), and P53 among smokers and non-smokers with oral squamous cell carcinoma (OSCC).

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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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Background: The aim was to analyze the frequency, clinical and demographic features of solitary and multiple/diffuse oral pigmented lesions submitted to histopathological examination, and to summarize the features that guide the clinical differential diagnosis.

Methods: Clinical and demographic data were retrieved from biopsy records and descriptive statistics were performed.

Results: Nine hundred and five (0.

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Head and neck radiotherapy causes quantitative and qualitative changes in saliva. The objective of this case-control study was to evaluate the salivary biomarkers associated with bone remodeling and tissue repair in patients submitted to radiotherapy for head and neck cancer treatment, compared with non-irradiated individuals. Total unstimulated saliva was collected for ELISA assay analysis of receptor activator for nuclear factor κ B (RANK) and its ligand (RANK-L), osteoprotegerin, matrix metalloproteinase-9/ tissue inhibitor of metalloproteinase-2, vascular endothelial growth factor, and epidermal growth factor.

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Background: Benign connective and soft-tissue neoplasms (CSTNs) are unusual in the head and neck region. The aim of the present study was to evaluate the demographic and clinicopathological features of these neoplasms.

Methods: A cross-sectional study was conducted of cases diagnosed as benign CSTNs, with data collected from biopsy records.

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About 92,000 new cases of oropharynx carcinoma are expected to occur annually worldwide. There is no consensus about the best therapy for these advanced tumors. The objective of the present study was to evaluate overall and disease-free survival rates of patients with advanced oropharynx squamous cell carcinoma, comparing surgery + radiotherapy with chemotherapy + radiotherapy.

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Objectives: Epithelioid rhabdomyosarcoma (EpiRMS) is a novel morphologically distinct variant of rhabdomyosarcoma, with an unusually challenging microscopic diagnosis. The occurrence of rhabdomyosarcomas in the jaws is extremely rare. This study presents the first case of EpiRMS in the jaw (mandible) and a literature review of the previous 35 cases of EpiRMS.

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The present study reports a case of a mandibular buccal bifurcation cyst (MBBC) associated with a partially erupted mandibular first molar. The intraoral examination revealed vestibular swelling in the right mandibular permanent first molar region. Panoramic radiography and cone-beam computed tomography (CBCT) showed a well-delimited radiolucent image involving the roots and part of the crown of the right mandibular permanent first molar with bulging and areas of buccal cortical bone resorption.

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Gingival lesions rarely occur in newborns. However, when present, they commonly worry the parents and impair the infant's feeding, thus affecting growth. Such lesions are usually nonneoplastic in nature, although malignancies may develop; therefore, specimens must be submitted for histopathologic examination.

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Background: Analyze the clinical, demographic, histopathological, and immunohistochemical features of oral lymphoepithelial cyst (OLEC).

Methods: Samples were retrospectively retrieved from five oral pathology services. Clinical and demographic data were collected from patient charts.

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Cytokines and chemokines have a fundamental role in the maintenance of inflammation and bone response, which culminate in the development of chronic periapical lesions. Regulatory (Treg) and Th17 cytokines play a key role in regulating the immune response involved in this process. The aim of this study was to investigate the role of Treg and Th17 cells in chronic inflammatory periapical disease, by comparing the expression of the immunoregulatory mediators TGF-β, IL-10, CCL4, and the proinflammatory IL-17 and CCL20 in the periapical tissue of teeth with pulp necrosis, with and without associated chronic lesions.

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Objectives: To assess the prognosis for early-stage oral squamous cell carcinoma according to tumor depth of invasion (DOI).

Methods: This study was logged in the PROSPERO database under protocol # CRD42017059976. The search was conducted in six electronic databases up to May 2019.

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