Publications by authors named "Roberta Rayra Martins Chaves"

Background: Aspergillosis is a fungal disease caused by the inhalation of fungal spores of the genus spp. This fungus mainly affects the lungs but can spread and infect the maxillofacial region through the bloodstream or inoculation of the fungus after extraction or endodontic treatment, especially in the upper posterior teeth. The disease has nonspecific clinical manifestations that hinder its early diagnosis.

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  • The study presents a cohort of 24 patients treated for conventional ameloblastoma, focusing on the outcomes after marginal or segmental resections over 21 years.
  • Most patients were middle-aged females, with the mandible being the most affected site and a predominance of multilocular lesions.
  • The results indicate a low recurrence rate (8.33%) following surgery, with patients monitored for an average of 79.25 months, suggesting that marginal/segmental resection is effective in managing this type of tumor.
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Introduction: Striated duct adenoma (SDA) is a rare benign salivary gland tumor with a recently described genetic signature. Recurrent oncogenic mutations affecting the IDH2 gene differentiate SDA from its primary differential diagnosis of canalicular adenoma. Here, we report a case of SDA affecting the parotid gland with IDH1/2 mutation-specific immunohistochemical positivity.

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  • Oral squamous cell carcinoma (OSCC) is a prevalent cancer worldwide, with rising cases among non-smokers prompting a need to investigate dietary influences alongside smoking.
  • This scoping review utilized a systematic approach to assess the relationship between diet and OSCC, analyzing data from 17 studies involving over 10,000 patients primarily from countries with high human development.
  • Findings suggest that higher consumption of fruits, vegetables, and tea may reduce OSCC risk, while diets high in salty meats, dairy, and fried/spicy foods could increase it, highlighting the need for standardized research to clarify these associations.
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Objective: To investigate the clinicopathological, immunohistochemical and molecular features of histiocytic sarcomas affecting the oral cavity.

Methods: Pathology files of two institutions were searched for cases of histiocytic sarcoma, and new H&E-stained slides and immunohistochemistry reactions evaluated for diagnosis confirmation. Molecular screening for KRAS and PIK3CA mutations was performed through polymerase chain reaction (PCR) followed by Sanger sequencing.

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  • This study investigated chronic sclerosing sialadenitis (CSS) to explore its histopathological and immunohistochemical features, with a focus on IgG4-related disease (IgG4-RD).
  • Out of 17 cases examined, the majority showed inflammatory and fibrotic changes, with notable presence of CD3-positive T lymphocytes and stromal fibroblasts, but only three cases met IgG4-RD criteria.
  • The findings suggest that CSS in the submandibular gland is primarily a reactive condition rather than directly related to IgG4-RD, providing valuable insights into its characteristics and immunological profile.
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  • Pyodermatitis-pyostomatitis vegetans (PPV) is a rare disease indicated by pustules that often signals inflammatory bowel disease (IBD), with oral manifestations known as pyostomatitis vegetans (PSV).
  • A study analyzed various cases of PSV from literature to identify key diagnostic features, including specific appearances of oral lesions and their relation to IBD.
  • The research found 77 PSV cases with helpful diagnosis indicators but noted the lack of a standardized treatment approach, which typically involves multiple medications like corticosteroids and immunosuppressives, and highlighted a high risk of oral lesion recurrence upon dosage changes.
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  • The case study discusses a recurring ameloblastoma in soft tissue and provides an estimated growth rate for the lesion.
  • Using ImageJ software, the area of the tumor was measured, revealing a growth rate of 5.3 cm per year during follow-up.
  • The findings suggest a new method for estimating growth, which could aid clinicians in developing follow-up protocols for early diagnosis of recurring cases.
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Altered metabolic fingerprints of Diffuse large B-cell lymphoma, not otherwise specified (DLBCL NOS) may offer novel opportunities to identify new biomarkers and improve the understanding of its pathogenesis. This study aimed to investigate the modified metabolic pathways in extranodal, germinal center B-cell (GCB) and non-GCB DLBCL NOS from the head and neck. Formalin-fixed paraffin-embedded (FFPE) tissues from eleven DLBCL NOS classified according to Hans' algorithm using immunohistochemistry, and five normal lymphoid tissues (LT) were analyzed by high-performance liquid chromatography-mass spectrometry-based untargeted metabolomics.

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  • - Systematic reviews (SRs) are crucial for evidence-based practice but are often confused with scoping reviews, which can lead to errors in healthcare decision-making.
  • - The letter discusses the rise of SRs in oral pathology and medicine, pointing out common methodological mistakes researchers make.
  • - It emphasizes the need for clinicians, pathologists, and journal reviewers to focus on improving the quality and critical evaluation of published SRs.
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Background: Unicystic ameloblastoma is an encapsulated odontogenic neoplasm with a single cyst cavity. The conservative or aggressive surgical approaches used to treat the tumor directly affect recurrence rates. However, there is a lack of a standard protocol that can guide its management.

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Background: Three years after the first confirmed COVID-19 case in Brazil, the outcomes of Federal government omissions in managing the crisis and anti-science stance heading into the pandemic have become even more evident. With over 36 million confirmed cases and nearly 700 000 deaths up to January 2023, the country is one of the hardest-hit places in the world. The lack of mass-testing programs was a critical broken pillar responsible for the quick and uncontrolled SARS-CoV-2 spread throughout the Brazilian population.

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Background: Oral leukoplakia (OL) is associated with an increased risk for oral cancer (OC) development. Prediction of OL cancer progression may contribute to decreased OC morbidity and mortality by favoring early intervention. Current OL progression risk assessment approaches face large interobserver variability and is weakly prognostic.

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Throughout the centuries, the world's outstanding scientists and research groups have gathered their efforts to characterise the initiation and progression of malignant neoplasms. The temporal dissection of tumourigenesis provided by phylogenetic studies is one of the milestones in understanding cancer; however, some black boxes are still unsolved. Currently, there is no consensus regarding the development of oral squamous cell carcinoma (OSCC), the leading cancer of the head and neck region.

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Sporadic central giant cell granulomas of the jaws (GCGJ) are often solitary lesions, characterized by KRAS, FGFR1, and TRPV4 somatic mutations. Multifocal lesions may occur and are associated with hyperparathyroidism or underlying syndromes such as cherubism, which is marked by SH3BP2 mutations, and RASopathies, which are caused by mutations in the FGFR-RAS-RAF-MEK-ERK signaling cascade. The diagnosis of multiple GCGJ can be challenging.

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  • - The study aims to compare demographic data, recurrence rates, metastasis occurrences, and survival prognoses of ameloblastic carcinoma (AC) and metastasizing ameloblastoma (MA) using existing literature and diagnostics.
  • - A total of 77 publications were reviewed, revealing that both tumors commonly appear in the mandible, but have differing profiles in terms of patient sex and age; however, survival rates between the two were similar despite MA patients living longer post-metastasis.
  • - It was found that conservative treatments lead to more recurrences, particularly in MA patients, and that AC patients have a poorer prognosis compared to MA when metastasis occurs, indicating that conservative therapies should be avoided for both.
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Background: The coronavirus disease 2019 (COVID-19) pandemic had quite an impact on dental health care. Concerns about the risk of SARS-CoV-2 transmission through contaminant fluids and droplet formation during several dental procedures highly impacted dental health care, drastically reducing the number of dental practices worldwide. To monitor SARS-CoV-2 contamination in dental clinics, a longitudinal study was carried out during the return of dental practice at university.

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Adenoid ameloblastoma with dentinoid is an uncommon benign odontogenic neoplasm, and its unicystic variant seems to be even rarer. A 34-year-old man was referred for evaluation of an asymptomatic swelling in the posterior maxilla. Intraoral examination showed an expansive lesion, soft to palpation, covered by a normal color mucosa.

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Aging is not a matter of choice; it is our fate. The "time-dependent functional decline that affects most living organisms" is coupled with several alterations in cellular processes, such as cell senescence, epigenetic alterations, genomic instability, stem cell exhaustion, among others. Age-related morphological changes in dental follicles have been investigated for decades, mainly motivated by the fact that cysts and tumors may arise in association with unerupted and/or impacted teeth.

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  • The study aimed to explore the metabolic pathways involved in the changes in epithelial lining of odontogenic keratocysts after a surgical procedure called marsupialization, comparing tissue samples before and after the procedure as well as adjacent oral mucosa.
  • Researchers analyzed 18 tissue samples using advanced metabolomics techniques to identify differences in cellular processes related to inflammation, oxidative stress, and cell differentiation.
  • The findings suggest that the metabolic changes linked to marsupialization could help in understanding the condition better and may lead to the development of targeted therapies for treating odontogenic keratocysts.
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Background: BRAF p.V600E is reported in up to 80% of ameloblastomas. Despite the high frequency, the presence of this mutation in different histopathological areas of the tumour has not been investigated.

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The glandular odontogenic cyst (GOC) is an uncommon jawbone cyst with a challenging diagnosis because of the presence of several clinical and histopathologic overlaps with other odontogenic lesions and central mucoepidermoid carcinoma. To date, less than 200 cases of GOC have been published in the literature with reliable clinical and histopathologic information. Furthermore, the lack of a well-documented GOC case series impairs a more detailed understanding about the biological behavior and appropriate management of the lesion.

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