Foreign Body Granuloma in the Tongue by a Pequi Spine.


Journal

Case reports in dentistry
ISSN: 2090-6447
Titre abrégé: Case Rep Dent
Pays: Egypt
ID NLM: 101573242

Informations de publication

Date de publication:
2020
Historique:
received: 29 07 2020
revised: 28 10 2020
accepted: 29 10 2020
entrez: 23 11 2020
pubmed: 24 11 2020
medline: 24 11 2020
Statut: epublish

Résumé

Substances considered foreign to the human organism can penetrate it due to local trauma, initially causing an acute inflammatory response against these substances, involving a neutrophilic infiltrate that, when it fails to deal with these foreign bodies, ends up generating a granulomatous inflammatory response. Granuloma formation has been associated with a variety of conditions. The correct clinical and imaging diagnoses are extremely important for the dentist to choose an appropriate therapeutic approach, aiming at the best possible treatment. This work is aimed at describing a case report of a foreign body granuloma, formed on the tongue, from the penetration of a pequi spine, in a 76-year-old patient, in whom, after an imaging diagnosis with ultrasound, surgical removal of the lesion was performed, and the piece was sent for histopathological examination, which confirmed the initial diagnostic hypothesis of a foreign body granuloma. The initial diagnosis of foreign body granulomas is challenging. For this reason, more sophisticated means of diagnosis such as tomography and magnetic resonance become important in the diagnosis, as they can show with greater clarity and reliability the nature of the lesion and its relationship with adjacent anatomical structures. In the case in question, an ultrasound examination was chosen, which was extremely important as an aid to diagnosis, considerably improving surgical planning. In addition, after surgical removal, the result of the histopathological analysis is essential to determine the definitive diagnosis, as it determines the granulomatous characteristic of the lesion.

Identifiants

pubmed: 33224535
doi: 10.1155/2020/8838250
pmc: PMC7671806
doi:

Types de publication

Case Reports

Langues

eng

Pagination

8838250

Informations de copyright

Copyright © 2020 Rafael Martins Afonso Pereira et al.

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

Rafael Martins Afonso Pereira (RMA)

School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil.

Patrícia Cristine de Oliveira Afonso Pereira (PC)

School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil.

Vitor Carvalho Rodrigues (VC)

School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil.

Luiz Fernando Braga de Andrade (LFB)

School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil.

Elisa Morais de Carvalho (EM)

School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil.

Helvécio Marangon Júnior (HM)

School of Dentistry, University Center of Patos de Minas (UNIPAM), Patos de Minas, Minas Gerais, Brazil.

Classifications MeSH