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Hidden vegetable matter in tissue sections - A case series
Dhana Lakshmi Jeyasivanesan1, Ramakrishnan Bharathi1
1Department of Oral Pathology, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, India.
Journal of Oral and Maxillofacial Pathology : JOMFP
|May 27, 2024
Summary
Oral pulse granulomas, resulting from impacted food particles, can mimic other oral lesions. This case series explores rare associations with multiple myeloma, osteomyelitis, and carcinoma, offering diagnostic insights.
Area of Science:
- Oral pathology
- Histopathology
- Differential diagnosis
Background:
- Oral pulse granuloma arises from impacted food particles, typically of plant origin.
- This condition presents with diverse histological features, potentially mimicking other oral lesions.
- Rare associations with systemic and malignant conditions are not well-documented.
Observation:
- This case series details clinical, histological, and polarizing microscopic findings.
- Cases include pulse granulomas associated with periapical granuloma and periapical cyst.
- Rare co-occurrences with multiple myeloma, osteomyelitis, and squamous cell carcinoma are presented.
Findings:
- Impacted vegetable matter can present with unusual associations.
- Histological examination is crucial for accurate diagnosis and differentiation.
- Polarizing microscopy aids in identifying foreign material.
Implications:
- Understanding these rare associations improves diagnostic accuracy for oral pulse granuloma.
- Highlights the importance of considering systemic conditions in oral pathology.
- Provides valuable data for clinicians managing complex oral lesions.
