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Biomedical subjects

W B Wescott

Publications and source records attributed to W B Wescott.

At least 37 records · Page 2Linked to original sources

Nonpainful, erythematous, circinate lesions of a protean nature on a fissured tongue.

We have presented a case of BMG with concomitant fissured tongue, a not uncommon association for two rather common oral diseases. BMG is relatively simple to recognize, and the diagnosis most commonly is based on clinical appearance and history of the presence of the lesions. Clinicians should be aware, however, of the similarity, clinically and histologically, of lesions of BMG with other, more serious diseases such as psoriasis and Reiter's syndrome. Patients with characteristic lesions of BMG should be evaluated closely for signs and symptoms of these other diseases.

Aged↗

Firm swelling on the anterior maxillary gingiva of an infant.

A female infant with a congenital granular cell epulis on the maxillary gingiva has been described. This is consistent with the most common clinical presentation of this lesion. The similarities and differences of this lesion are compared with granular cell tumor.

Female↗

Two fluid-filled gingival lesions in the mandibular canine-first premolar area.

The appearance of two gingival cysts in the area of the mandibular right canine and first premolar is reported in a 46-year-old black man (Fig 1) along with a single cyst in the same location in another patient (Fig 2, 3). Gingival cysts are compared with lateral periodontal cysts. The similarities in location, clinical behavior, morphologic appearance, and age of occurrence would indicate a strong relationship. The gingival cyst probably represents the extraosseous counterpart of the intraosseous lateral periodontal cyst. A distinction based on strict clinical, radiographic, and surgical criteria should be made between these cysts.

Cysts↗

Smooth-surfaced, nonpainful swelling in the buccal mucosa.

A typical example of irritation fibrosis arising in the buccal mucosa has been presented. Clinicians are cautioned that although this common oral lesion generally appears clinically in a fairly characteristic manner, to rule out a more serious, similar appearing disease, these lesions should be surgically excised and examined microscopically.

Diagnosis, Differential↗

Multiple recurrences of a lesion at the base of the tongue.

A patient with a well-differentiated liposarcoma at the base of the tongue is reported. The patient experienced many local recurrences over 37 years yet remained free of metastases. Liposarcomas of the oral cavity are rare and are not usually included in the differential diagnosis of soft tissue masses in the oral region. As these tumors may occur anywhere that adipose tissue is found, the possibility of a slowly enlarging asymptomatic, grossly well-defined, soft to firm mass being a liposarcoma must be remembered. Because of the difficulties sometimes experienced in histologically distinguishing between low-grade well-differentiated liposarcoma and certain lipomas, any recurrence of a lipoma should be viewed with a great deal of suspicion about the original diagnosis.

Diagnosis, Differential↗

Firm, nonulcerated mass in the maxillary gingiva.

A firm mass of tissue in a 52-year-old male was diagnosed as peripheral fibroma with metaplastic bone formation. Several terms have been used to describe this type of lesion, which is similar in appearance to the peripheral odontogenic fibroma. The lesions should be excised and removed tissue submitted for microscopic examination. Special care should be taken to remove the attachment because the lesions may recur. The prognosis is excellent.

Diagnosis, Differential↗

Asymptomatic, ill-defined radiolucent area in the posterior body of the mandible.

The focal osteoporotic bone marrow defect is seldom considered preoperatively when a differential diagnosis is considered for focal, ill-defined radiolucent areas of the jaws. Clinicians should be aware of the existence of this abnormality and understand that it appears radiographically similar to other lesions, some of which are malignant; therefore a biopsy is necessary to establish a diagnosis.

Adult↗

Asymptomatic, nonulcerated, freely movable nodule in the anterior floor of the mouth.

Small, localized aggregations of lymphoid tissue can occur commonly in the oral cavity, especially in the soft palate, the floor of the mouth, and the ventral surface of the tongue. They normally appear clinically as asymptomatic, small, soft, pink, and discrete swellings situated immediately beneath the surface epithelium. Chronic irritation may cause the tissue to enlarge and become symptomatic. Clinicians should be aware of the existence of these rather common oral lesions and include them in a differential consideration of small, freely movable, nonulcerated subepithelial swellings in the oral cavity. Microscopic examination is indicated to rule out a more serious disease, especially a developing neoplastic process.

Adult↗

Nonulcerated, sessile nodule of the lower lip.

The intraoral lipoma is a slow-growing, usually asymptomatic, neoplasm of adipose tissue origin. The superficially located lipoma is fairly characteristic in its clinical appearance, a smooth-surfaced, yellowish-pink mass covered by a readily visible vascular network. The deep-seated tumors do not have this characteristic clinical appearance, and consequently are more difficult to detect and remove. Patients tend to overlook these lesions because they are so innocuous. Clinicians, however, should be aware of this uncommon neoplasm and consider it when diagnosing nonulcerated, soft tissue masses in the oral cavity. Surgical excision and microscopic examination are recommended for these lesions.

Diagnosis, Differential↗