An ectopic odontome in the cheek.
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A case of epidermoid cyst associated with an unusual amelanotic intradermal nevus, with structures identical to Meissner's tactile corpuscles, is reported. The possible relationship and the origin of both lesions are discussed.
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A rare case of a buccal glomus tumor was examined by light and electron microscopy. Histologically, the tumor consisted of various vascular spaces surrounded by masses of epithelioid glomus cells, coexisting with a hemangiomatous proliferation of the vessels. Immunohistochemical stainings revealed that the tumor cells were positive for smooth-muscle actin and myosin, with various intensities of the stainings. The electron microscope invariably showed microfilaments in the tumor cells. The results suggest that the glomus tumor cells have characteristics of the smooth-muscle cell and the tumor has a hamartomatous nature.
The distensibility of the upper airways was found to range in 8 subjects between 0.01 and 0.001 L/cm H2O. This distensibility may cause a number of errors in standard respiratory measurements in normal subjects and in patients with airway obstruction due to delays in pressure and flow equilibration between alveoli and mouth. The error include overestimation of thoracic gas volume with the body plethysmograph; of airway inertance and of dynamic lung compliance; underestimation of respiratory resistance with the forced oscillation technique and with interruption pressure; underestimation of total pressure exerted by respiratory muscles with the P o.1 technique during occlusions of the airway opening. The errors are often quite appreciable and may exceed 100%. Ways to reduce them or to compensate for them are discussed.
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Fibrolipomas in the oral cavity are infrequent neoplasms. Their occurrence in children is even more unusual. A case of this tumor involving the check in a child is reported, and the histogenesis discussed. These lesions represent a variant of lipoma and derive their name from their relative amounts of adipose and fibrous tissue. Knowledge of fatty tumors in this region is important to all surgeons who operate in and about the oral cavity.
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The following points can be made about liposarcoma of the oral cavity: 1) it is rare and slow growing; 2) it is often mistaken for a benign lesion; 3) there is a direct correlation of microscopic appearance with biological behavior and prognosis; 4) treatment is primarily surgical, with radiation used for selected cases; and 5) the better-differentiated tumors seem to respond more favorably to radiation.
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