1,306 results match your criteria: "Oral Nevi"

Bilateral Naevus of Ito and Ota With Palatal Involvement.

Cureus

March 2024

Department of Dermatology, Venereology and Leprosy, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

Article Synopsis
  • Naevus of Ito and naevus of Ota are benign skin conditions caused by the improper migration of melanocytes, resulting in different skin distributions.
  • Bilateral involvement of both conditions, especially in the oral area, is rare, but a review found only 14 cases of naevus of Ota with palatal involvement.
  • A new case is reported involving a 32-year-old male with bilateral naevus of Ito on his back and bilateral naevus of Ota on his face, along with a bluish lesion on the hard palate.
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Article Synopsis
  • The study aimed to clarify the dermatological features of Costello syndrome (CS) and distinguish them from other similar syndromes like cardiofaciocutaneous syndrome (CFCS) and types of Noonan syndrome (NS).
  • A ten-year multi-center study involving 31 patients found common skin and hair anomalies in CS, such as excessive eyebrows and various types of skin growths, which can help differentiate CS from CFCS and NS.
  • The findings propose multiple melanocytic naevi as a potential marker for a milder form of CS and suggest that acitretin could be beneficial for treating certain skin conditions, although no clear genotype-phenotype link was identified.
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Recurrent central odontogenic fibroma in a patient with nevoid basal cell carcinoma syndrome: case report and in vitro analysis.

Oral Surg Oral Med Oral Pathol Oral Radiol

July 2024

Oral and Maxillofacial Surgery, University of Alabama at Birmingham, School of Dentistry, Birmingham, AL, USA. Electronic address:

Article Synopsis
  • - Central odontogenic fibromas (COFs) are uncommon, benign tumors from dental tissue that can develop in the jaw, and this report focuses on a case with a recurrent COF in a 36-year-old man with nevoid basal cell carcinoma syndrome (NBCCS).
  • - The study involved analyzing tissue samples from both the initial and recurrent tumors using techniques like qRT-PCR and immunohistochemistry to understand their genetic and protein characteristics.
  • - Results showed tumor features indicating COF and revealed the presence of specific mRNA and protein expressions, along with PTCH1 gene mutations in the patient, suggesting a link between COF occurrence and NBCCS.
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Article Synopsis
  • White sponge nevus is a rare genetic condition that causes thick, white patches mainly in the mouth, and occasionally in other body areas.
  • A 62-year-old woman with this condition was assessed, and it was crucial to differentiate her lesions from other similar, potentially dangerous oral lesions.
  • The lesions were confirmed through histological examination, but since they were harmless and didn't cause symptoms, no treatment was needed.
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Article Synopsis
  • * A review of 19 BRBNS histopathological specimens from 14 patients showed the presence of specific immunohistochemical markers, particularly PROX1 and D2-40.
  • * Findings revealed that nearly all samples displayed PROX1 positivity, indicating lymphatic differentiation in endothelial cells, while D2-40 was less frequently found, especially in gastrointestinal lesions.
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Article Synopsis
  • Gorlin-Goltz syndrome (GGS) is a rare condition that people inherit from their parents, causing many skin issues and problems with different organs.
  • Dentists can spot early signs of GGS in kids through routine X-rays, as a type of tumor in the jaw (called a keratocystic odontogenic tumor) often appears first.
  • The article discusses a specific case of GGS, including its background, how common it is, what causes it, and how it can be diagnosed and treated.
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Primary Malignant Melanoma of the Endometrium: A Case Report.

Case Rep Oncol

February 2024

Department of Gynecology, Maternal and Child Health Hospital of Hubei Province, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Introduction: Malignant melanoma most commonly occurs in the skin. Primary malignant melanoma of endometrium is quite rare. Its diagnosis depends on clinical characteristics and pathological examination.

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Odontogenic keratocyst (OKC) is a common jaw cyst with a high recurrence rate. OKC combined with basal cell carcinoma as well as skeletal and other developmental abnormalities is thought to be associated with Gorlin syndrome. Moreover, OKC needs to be differentiated from orthokeratinized odontogenic cyst and other jaw cysts.

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Clinical characteristics and surgical management of facial infiltrating lipomatosis: a single center experience.

Head Face Med

February 2024

Department of Plastic & Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Ninth People's Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, P.R. China.

Background: Facial infiltrating lipomatosis (FIL) is a rare condition characterized by congenital facial enlargement. Beyond its impact on physical appearance, FIL can also impair essential facial functions such as swallowing, chewing, vision, and breathing, imposing a substantial physiological and psychological burden. Currently, fewer than 80 cases of FIL have been reported, and the characteristics and management strategies for FIL remain unclear.

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Nevus of Ota or congenital oculodermal melanosis (ODM) is characterized by brown or blue/gray asymptomatic brown or blue/gray flat lesions of the skin, mucosae, episcleral/sclera, and uvea, which are located near the trigeminal nerve's ophthalmic and mandibular branches. The main ophthalmic complications are glaucoma and predisposition to uveal melanoma. "trichilemmal cyst" is also known as "wen" "pilar cyst" or " isthmus catagen cyst".

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Calcified Sclero-Choroidal Choristomas in Mosaic RASopathies: A Description of a New Imaging Sign.

Ophthalmol Retina

July 2024

University of Pittsburgh Medical Center, Children's Hospital of Pittsburgh, Pittsburgh, Pennsylvania; University of Pittsburgh Medical Center, Children's Eye Center, Pittsburgh, Pennsylvania; University of Pittsburgh Medical Center, Vision Institute, Pittsburgh, Pennsylvania. Electronic address:

Article Synopsis
  • - The study aimed to analyze the imaging and clinical aspects of rare calcified lesions in the eyes of patients with mosaic RASopathy, involving 10 eyes across 7 patients.
  • - Various imaging techniques, including fundus photography and B-scan ultrasonography, revealed calcified lesions near the optic nerve, with most affecting both the choroid and sclera.
  • - Results showed that these lesions were associated with different RASopathy syndromes, and complications such as the development of a choroidal neovascular membrane were noted, requiring treatment.
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Article Synopsis
  • A 20-month-old girl with Schimmelpenning-Feuerstein-Mims (SFM) syndrome, affecting her skin on the head, neck, and torso, was treated successfully with topical trametinib.
  • Trametinib targets the MAPK signaling pathway, which includes the mutated KRAS gene found in the child's condition, marking a novel use for the medication.
  • Over 16 months of applying trametinib twice daily, the patient experienced relief from itching and reduction in the size of skin plaques.
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Vulvovaginal melanoma (VVM) is a rare but deadly disease, accounting for 5% of all vulvar malignancies, with a 5-yr survival rate of only 47% for all stages of the disease. VVM is a distinct subset of melanoma, with a unique genomic profile and underlying pathogenesis unassociated with sun exposure. Distinguishing these rare malignancies from very common pigmented lesions of the vulva and vagina is challenging as histologic features often overlap between entities.

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Atypical Presentation of Spitz Nevus: A Case Report.

Skin Appendage Disord

December 2023

Dermatology Department, Instituto Nacional de Pediatría, Mexico City, Mexico.

Introduction: The Spitz nevus (SN) is an acquired melanocytic neoplasm composed of epithelioid and/or spindle cells, which tends to develop in childhood. In pediatric patients, it is usually located on the face and neck. Unusual locations have been found in the literature, such as the penis, mouth, and tongue, as well as 2 cases of ungual SN.

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Gorlin-Goltz syndrome, also known as Gorlin syndrome, basal cell nevus syndrome, and nevoid basal cell carcinoma syndrome, is an autosomal dominant genetic disorder. Its hallmark is an early onset of basal cell carcinoma. Additionally, the syndrome is characterized by a spectrum of distinct clinical attributes encompassing oral, skeletal, ophthalmic, neurological, and developmental aberrations.

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A host of signature genetic alterations have been demonstrated in Spitz neoplasms, most notably fusions of kinase genes (including BRAF, ALK, ROS1, NTRK1, NTRK3, RET, MET, MAP3K8) or variants in HRAS. While there are multiple reports of rearrangements involving NTRK1 and NTRK3 in Spitz tumors, there are very few reports of NTRK2-rearranged Spitz nevi in the literature. This report presents an NTRK2-rearranged atypical Spitz tumor with spindled cell features.

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Conjunctival melanoma is an uncommon tumor that is likely to recur and carries an overall mortality rate of approximately 30%. Melanoma arises from melanocytes, most often in sun-exposed skin. Less commonly, melanoma originates from other tissues such as the uvea, rectum, mouth, respiratory tract, and conjunctiva.

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White sponge nevus (WSN) is a hereditary mucosal defect that primarily affects the oral mucosa, presenting with asymptomatic velvety, corrugated hyperkeratotic white plaques that do not disappear on stretching the mucosa. In this case report, we present a non-familial case of a WSN occurring in the tongue in a middle-aged female, which was misdiagnosed as verrucous leukoplakia.

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Finetuning of GLIDE stable diffusion model for AI-based text-conditional image synthesis of dermoscopic images.

Front Med (Lausanne)

October 2023

Department of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, United States.

Background: The development of artificial intelligence (AI)-based algorithms and advances in medical domains rely on large datasets. A recent advancement in text-to-image generative AI is GLIDE (Guided Language to Image Diffusion for Generation and Editing). There are a number of representations available in the GLIDE model, but it has not been refined for medical applications.

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Nevoid basal-cell carcinoma syndrome (Gorlin syndrome) is characterized by numerous cutaneous basal cell carcinomas mediated by mutations in the hedgehog pathway. Vismodegib or sonidegib represent promising treatment options. We identified 10 Gorlin patients who were treated with sonidegib ( = 6) or vismodegib ( = 4) between March 2012 and March 2022.

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Article Synopsis
  • Acitretin, a common oral treatment for ichthyosis, requires extended contraceptive measures post-treatment, posing challenges for women of childbearing age; alitretinoin is suggested as a safer alternative that allows pregnancy one month after stopping the medication.
  • A study involved nine women aged 19-31 with various ichthyosis types, treated with alitretinoin for 2-28 months, showing significant improvements in skin severity scores.
  • Side effects were generally mild and reversible; literature search revealed that most previous studies on alitretinoin for ichthyosis also reported significant improvements, indicating its potential as a valuable treatment option.
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Infantile Hemangioma of the Upper Lip: Report of a Rare Case With a Brief Review of Literature.

Cureus

July 2023

Oral Pathology and Microbiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Article Synopsis
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Hedgehog-Related Mutation Causes Bone Malformations with or without Hereditary Gene Mutations.

Int J Mol Sci

August 2023

Department of Biochemistry, Tokyo Dental College, 2-9-18 Kanda Misaki-cho, Chiyoda-ku, Tokyo 101-0061, Japan.

The hedgehog (Hh) family consists of numerous signaling mediators that play important roles at various stages of development. Thus, the Hh pathway is essential for bone tissue development and tumorigenesis. Gorlin syndrome is a skeletal and tumorigenic disorder caused by gain-of-function mutations in Hh signaling.

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Basal cell nevus syndrome (BCNS, OMIM 109400) is a familial cancer syndrome characterized by the development of numerous basal cell cancers and various other developmental abnormalities, including epidermal cysts of the skin, calcified dural folds, keratocysts of the jaw, palmar and plantar pits, ovarian fibromas, medulloblastomas, lymphomesenteric cysts, and fetal rhabdomyomas. BCNS shows autosomal dominant inheritance and is caused by mutations in the patched 1 () gene and the suppressor of the fused homolog () gene. In a few cases, variants of patched 2 () have been found in patients who met the criteria for BCNS.

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