A retrospective analysis of gingival biopsied lesions in South Indian population: 2001-2006 (original) (raw)
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Analysis of gingival biopsies in the Gujarati population: A retrospective study
Journal of Cancer Research and Therapeutics, 2014
Background: Biopsy is an important diagnostic tool used in the diagnosis of lesions ranging from simple non-neoplastic, tumor-like lesions to malignancies, and is often the only way to diagnose oral lesions and diseases. The gingiva is the most common site for some kind of irritation or low-grade injury, resulting in localized overgrowths that are considered to be reactive and non-neoplastic lesions. This aim of this study is to analyze the frequency and distribution of gingival lesions in the Gujarati population. Materials and Methods: In this retrospective study, gingival biopsies submitted for a period of five years were included. Microscopic slides of all the cases were reviewed by two observers for confirmation of the diagnosis. Results: Among the 106 cases of gingival biopsies, the most frequent category of lesions encountered was the non-neoplastic category, which accounted for 73.58% of the cases. Both benign and malignant neoplasms constituted 26.42% of the cases. Among the non-neoplastic lesions, Pyogenic granuloma was the most frequent lesion (38.46%), followed by fibrous hyperplasia (20.51%), inflammatory hyperplasia (19.23%), and Epulis (8.97%). Neoplasms accounted for 26.42% of the gingival biopsies (92.85% benign and 7.15% malignant). Among the benign neoplastic lesions, Fibroma (30.76%) and Fibrolipoma (26.92%) were the most frequent, followed by peripheral ossifying fibroma (23.08%) and peripheral giant cell granuloma (11%). Conclusion: It is difficult to compare studies carried out in various countries due to differences in people's attitudes toward oral health and the accessibility of various population groups to biopsy services. Nevertheless, this study has provided some information about the frequency and distribution of biopsied gingival lesions in the Gujarati population over a period of five years.
Histopathologic Analysis of Gingival Lesions: A 10-Year Retrospective Study
Oral Health and Dental science, 2021
Background: Lesions of the gingiva account for a significant portion of the diagnostic workload of any oral pathology practice. Biopsy is important in establishing a definitive diagnosis. The aim of this study was to determine the relative frequency and distribution of biopsied gingival lesions in a Nigerian population. Methods: This was a retrospective study of all gingival biopsies performed over a 10-year period. Data on age, gender, site (maxillary or mandibular) and histopathological diagnosis were recorded. The lesions were categorized into two groups: non-neoplastic and neoplastic, with the neoplastic lesions further divided into benign and malignant lesions. Data analysis was done using SPSS version 23. Results: There were a total of 501 orofacial biopsies during the period under review, with gingival biopsies accounting for 73 (14.6%) cases. The mean age of subjects was 29.6 ± 20.1 years. There were 48 (65.8%) females and 25 (34.2%) males. Non-neoplastic lesions were 50 (68...
Histopathological patterns of Neoplastic gingival lesions: A six year study
IOSR Journal of Dental and Medical Sciences
Gingiva including the jaw bones (maxilla and mandible) is a site for multitude of neoplastic conditions. Traditionally histopathological examination of a tissue biopsy of the suspicious lesion is regarded as the gold standard in diagnosing these lesions. The study was a 6 year retrospective analysis carried out from
Dental and Medical Problems, 2022
Background. The gingiva is a common site for neoplastic or non-neoplastic lesions. Neoplasms refer to progressive autonomous growth that can have either a benign or a malignant course. On the other hand, non-neoplastic lesions are mainly inflammatory, or occur as a reaction to some kind of irritation or lowgrade injury. Objectives. Assessing the frequency distribution of gingival lesions is important to optimize oral health care services. The present study retrospectively analyzed the frequency distribution of gingival lesions on the basis of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. The secondary objective was to compare this system with the 1999 International Workshop classification system. Material and methods. The hematoxylin and eosin (H&E)-stained histopathological slides of the gingival lesions reported over the last 3 years (2018-2020) were retrieved from the archive of the Division of Oral Pathology and Microbiology at a tertiary care hospital in New Delhi, India. Correlating clinical, radiological and pathological details enabled the categorization of lesions according to the new classification system. Results. In total, 73 gingival lesions were analyzed. Among these, reactive processes were the most frequent (39.73%), followed by inflammatory and immune conditions and lesions (26.03%), malignant tumors (21.92%), benign epithelial lesions (5.48%), and oral potentially malignant disorders (OPMDs) (5.48%). Genetic/developmental disorders were the least frequent (1.37%). However, as per the 1999 American Academy of Periodontology (AAP) system, the majority of lesions belonged to a non-specified category. Conclusions. The frequency distribution of biopsied gingival lesions according to the 2017 World Workshop classification in comparison with the previous classification system showed that differences between the 2 systems could be attributed to heterogeneous terminology rather than to real geographical variations.
An observational study of benign oral lesions in central India
International Journal of Otorhinolaryngology and Head and Neck Surgery
INTRODUCTION Oral health is important to the quality of life of individuals of all the age groups. Oral lesions can lead to interference of daily activities due to discomfort or pain that interferes with mastication, swallowing and speech, producing additional symptoms such as halitosis, xerostomia or oral dysesthesia, which hampers an individual's daily social activities. 1 The oral mucosa serves as a protective barrier against trauma, pathogens and carcinogenic agents. It can be affected by a wide variety of lesions and conditions, some of which are harmless while others may have serious complications. 2 It is one of the most common sites for various tumors and tumor like lesions. Tumor may originate from epithelial tissue, connective tissue, muscle tissue, nerve tissue and from vessels. The appearance of benign oral soft tissue masses can occasionally resemble malignant tumors. It is therefore, crucial to distinguish benign from malignant masses and in order to make a proper diagnosis, the clinical characteristics of benign oral soft tissue masses needs to be well known. Most benign oral soft tissue ABSTRACT Background: The oral mucosa serves as a protective barrier against trauma, pathogens and carcinogenic agents. It can be affected by a wide variety of lesions and conditions, some of which are harmless while others may have serious complications. The appearance of benign oral soft tissue masses can occasionally resemble malignant tumors. Methods: Present study is an observational and cross sectional study under taken in the Department of ENT in Shri Vasant Rao Naik Government Medical College, Yavatmal. All cases of benign oral lesions were included in the study and following cases were excluded: malignant oral lesions, immunocompromised state and benign Oral lesions due to systemic diseases. Results: Present study included 235 lesions of oral cavity which were clinically or histo-pathologically found to be benign in nature. Benign oral lesions were more commonly found in males with (70.2%) than females (29.8%), and M:F ratio was 2.3:1. most common benign oral lesions were found to be Oral Sub Mucus Fibrosis (26.8%) followed by Apthous ulcers (20.4%), Leukoplakia (18.3%) and Mucocele (17.1%). Least common benign oral lesions were found to be Minor Salivary Gland Tumor (MSGT) (1.7%) followed by Squamous Papilloma (2.1%), Ranula (2.1%) and Hemangioma (2.1). There was a male predominance in oral sub mucus fibrosis with M:F ratio of 9.5:1 followed by Leukoplakia with M:F ratio of 4.4:1. OSMF was found most commonly in 21-30 years age group with (57.1%). Followed by 11-20 years with (20.6%). No cases were found in ≤10 years, 51-60 and >60 years age group. Conclusions: Most of the benign oral lesions have a predilection to transform into malignant lesions therefore imperative to diagnose the pre malignant lesions of oral cavity in an early stage where appropriate treatment can be given.
Spectrum of the Oral Lesions in a Rural-based Tertiary Care Teaching Hospital in Central India
Indian journal of public health research and development, 2024
Background: The oral cavity is a common site for pathological lesion with a wide spectrum of neoplastic and nonneoplastic lesions. They are either symptomatic or asymptomatic. Some lesions may prove to be premalignant and may be a cause of malignancy in future. Histopathological reporting is very important and essential part because the core finding we provide in reporting significantly influences the treatment part. Material and Methods: This study was carried out in the Department of Pathology, Amaltas Institute of Medical Sciences, Dewas (Madhya Pradesh) from May 2021 to March 2023. The study included all the patients admitted in ENT, Surgery and Oncology wards of hospital presenting with oral pathology and given written informed consent. A total 80 cases were taken in to account and were studied, in relation with age, sex, site predilection. All biopsy specimens and resected tissues/organs were received in 10% formalin solution and were processed as per standard protocol and slides of standard thickness were prepared for histopathological examination. After thorough microscopic study, the diagnosis was made and categorized into major groups (non-neoplastic, benign, borderline and malignant) and subgroups according to type of lesion on histopathological examination. Results: The site of involvement of various lesions shows maximum involvement of buccal mucosa 43(53.75%),followed by tongue 19(23.75%), tonsil 7(8.75%), alveolus 4(5%) , floor of mouth 3(3.75%) and least involvement of lip and palate with 2(2.5%) cases in each. Of the inflammatory lesions tonsils were the commonest site of involvement. Conclusion: We conclude our study with the findings that lesions of buccal mucosa is commonest site and squamous cell carcinoma was the commonest entity with diversity in lesions and a wide age group of presentation. This emphasizes the role of histopathological study and diagnosis in oral lesions and provides us with valuable information of the lesion being neoplastic or non-neoplastic and timely intervention could be planned.
Prevalence of Oral Mucosal Lesions in a Tertiary Care Dental Hospital of Kathmandu
Journal of Nepal Medical Association, 2017
Introduction: Oral mucosa can be affected by a variety of soft tissue lesions and conditions. Benign as well as malignant lesions of oral cavity are common. Squamous cell carcinoma is one of the commonest malignancies. The present retrospective study was undertaken to study the prevalence of various oral mucosal lesions in a tertiary care dental hospital of Kathmandu. Methods: This retrospective study was carried out in the Department of Oral and Maxillofacial Pathology at Kantipur Dental College and Teaching hospital from January 2015 to January 2017. The study included biopsy specimen from the oral cavity. The parameters included in the study were age, gender, site of the lesion and histopathological diagnosis. The data collected was statistically analyzed. Results: A total of 111 biopsy cases were included in the present study. Out of which, there was 16 (14.4%) cases of non-neoplastic and 16 (14.4%) cases of benign pathology. The oral cavity lesions were commonly seen in age range between 6-74 years where males 59 (53.2%) were mostly affected. The most common site for oral lesion was buccal mucosa 23 (20.7%) and anterior gingiva 23 (20.7%). Total 15 (13.5%) cases of oral squamous cell carcinoma were seen as the predominant malignancy affecting in the vestibular region 8 (7.2%). Conclusions: The present study shows benign as well as the non-neoplastic lesions were more prevalent in oral mucosa with the buccal mucosa and anterior gingiva as the commonest site of occurrence.
Localised Hyperplastic Lesions of the Gingiva : A Clinico-Pathological Study
2017
Background: There are probably only few types of specific inflammatory hyperplasias affecting the gingiva, there is considerable confusion because of histological variations and overlap. It is possible that specific histologic appearances are due to triggering of a specific response resulting in a specific pathologic entity or it is possible that the different histologic pictures are that of a single lesion in different stages of repair. Objectives: To review the clinical features of the lesions grouped on the basis of histologic features for clinicpathologic correlation. Methodology: A series of patients reporting to the out patient department of Govt. Dental College, Trivandrum were examined for localised gingival mass till 100 cases of reactive lesions were obtained. The patients were subjected to a thorough clinical examination followed by other diagnostic methods like radiography, routine hematologic examinations and finally biopsy Results: The inflammatory gingival hyperplasia...
SCIENTIFIC JOURNAL OF MEDICAL RESEARCH, 2020
Objectives: This study aimed to evaluate the prevalence of oral lesions in Basrah province and compare with other reviews. Methods: A retrospective study, data obtained from the oral biopsy reports seen in the histopathology laboratory of Al Sadder Teaching Hospital and private laboratories in Basrah from 1981-2000. Following variables were analyzed: type of oral lesion, age, sex and site of distribution. Oral lesions classified into five major categories: inflammatory lesions, cystic lesions, neoplastic lesions, white lesions and tumour-like lesions. The age of patients grouped as follows: 1-15, 16-30, 31-45, 46-60, and above 61 years. Site of distribution lesions includes palate, the floor of mouth, lips, tongue, gingiva, buccal mucosa, maxilla and mandible. Results: Among the 743 oral biopsy reports, 475 (63.9%) found in males and 268 (36.1%) were in females. Neoplastic lesions were the commonest oral lesions 514 (69.2%) followed by tumour-like lesions 116 (15.6%), cystic lesions 54 (7.3%), inflammatory lesions 35 (4.7%) and then white lesions 24 (3.2%). The first site was tongue 140 (18.8%), followed by lips 118 (15.9%) and the floor of the mouth 115 (15.5%)meanly between 46-60 years 205 (27.6%). Conclusion: The majority of oral lesions were in males, and it is of a neoplastic and tumour-like type. This will highlight the importance of prevention, early detection and diagnosis of such lesions. Copyright©2020, Ghaydaa Hashim Al Qudsi , Sundus Abdul Wadood Aljazaeri and Adil G. Fadil. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited.
Prevalence of Oral Soft Tissue Lesions in Sangli, India
Journal of Community Health, 2011
The purpose of this study was to determine the prevalence of oral soft tissue lesions in patients who attended the outpatient department, at Bharati Vidyapeeth Deemed University Dental College during a period of 18 months in 2009-2010. About 24,422 subjects belonging to a semi-urban district of Sangli in Western Maharastra (India) were screened. Out of these about 623 cases showed soft tissue lesions. Statistical analysis was done using the SPSS software. 2.5% of the population studied had one or more oral lesions associated with prosthetic use, trauma and tobacco consumption etc. Six hundred and twentythree patients were found to have significant mucosal lesions. 75 had leukoplakia, 152 had oral submucous fibrosis, 14 had both both leukoplakia and oral submucous fibrosis, 82 had oral squamous cell carcinoma, 35 had oral lichen planus, 195 had apthous ulcers, 23 had denture stomatitis, 28 had fibroma and 19 cases had pyogenic granuloma. The findings in the present study reveal a high prevalence of oral soft tissue lesions and a rampant misuse of variety of addictive substances in the community. Close follow up and systematic evaluation is required in this population. There is an urgent need for awareness programs involving the community health workers, dentists and allied medical professionals.