AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
A misleading swelling of the tongue.(Oral pathology)
A 41 year old Indian man presented with a swelling on the tip of the tongue of six months' duration. He reported having irregular sharp teeth that caused repeated ulceration on the tongue, for which he had earlier sought orthodontic therapy. Intraoral examination revealed a 2 x 2 cm hard multilobulated swelling, exhibiting a smooth mucosal surface, situated at the tip of the oral tongue (fig 1). Cervical lymphadenopathy was absent. Systemic examination was normal. The haematological and biochemical parameters failed to reveal any abnormality and the chest radiograph was normal. A wide excision of the lesion with primary closure was carried out.
[FIGURE 1 OMITTED]
On gross examination, the specimen measured 2.5 x 2.5 x 1.5 cm and was covered with mucosa showing an irregular grey-white area measuring 1.5 x 1 cm extending close to deeper margin of excision. Microscopic examination revealed the lining stratified squamous epithelium with plenty of closely packed, well demarcated, non-caseating granulomas in the underlying connective tissue (fig 2). These granulomas were composed of epithelioid cells, few lymphocytes, occasional plasma cells, and multinucleated Langhan's and foreign body type of giant cells (fig 3). Some of the giant cells showed reddish-pink, spider-like, stellate inclusions (asteroid bodies) within the cytoplasm (fig 4). There was no evidence of necrosis.
[FIGURES 2-4 OMITTED]
QUESTIONS
(1) What is the differential diagnosis for this lesion?
(2) How will you establish a definitive diagnosis and suggest the investigations necessary for the same?
- Daubert, doctors and differential diagnosis: treating medical causation...
- Magazine article from: Defense Counsel Journal Kent, Michael B., Jr. October 1, 1999 700+ words
...winnowing process, known as "differential diagnosis" in the medical community, coupled...Although Dr. Papano conducted a differential diagnosis to determine what did not cause...is the medical technique called differential diagnosis. It is a clinical procedure whereby...
- New differential diagnosis therapy study findings have been reported by V....
- Newspaper article from: Biotech Week August 6, 2008 700+ words
...Rennes, France report (see also Differential Diagnosis Therapy). "We propose a unified...Comprehensive lists of roentgen differential diagnosis, fourth ed., 2003], the Unified...comprehensive lists of roentgen differential diagnosis, fourth ed., 2003] (3481 words...
- Differential Diagnosis for Primary Practice.(Review)
- Magazine article from: Physical Therapy Scherer, Susan November 1, 1999 700+ words
Differential Diagnosis for Primary Practice Jamison...This text does not focus on differential diagnosis for physical therapy-related...therapist educators teaching differential diagnosis and appropriate referral...
- New differential diagnosis study findings have been reported by M. Murray and...
- Newspaper article from: Medical Devices & Surgical Technology Week June 28, 2009 700+ words
...mammary epithelium that raise the differential diagnosis of atypia. Because the identification...United States report (see also Differential Diagnosis). "Objective.-To highlight...mammary epithelium and to discuss the differential diagnosis with true atypia. Data Sources...
- Practical Differential Diagnosis in Surgical Neuropathology.(Review)
- Magazine article from: Archives of Pathology & Laboratory Medicine THOMAS, CHINNAMMA March 1, 2001 700+ words
Practical Differential Diagnosis in Surgical Neuropathology...Press, 2000. In Practical Differential Diagnosis in Surgical Neuropathology...and radiologic studies. Differential diagnosis of reactive astrocytosis...
- Report summarizes differential diagnosis study findings from S. Suresh and...
- Newspaper article from: Biotech Week August 20, 2008 700+ words
...There is no study discussing the differential diagnosis of clavicular lesions based on...age at presentation aid in the differential diagnosis of focal clavicular lesions. Materials...Suresh and colleagues (see also Differential Diagnosis). The researchers concluded...
- Ferri's Differential Diagnosis: A Practical Guide to the Differential Diagnosis...
- Magazine article from: SciTech Book News June 1, 2006 700+ words
0323040934 Ferri's differential diagnosis; a practical guide to the differential diagnosis of symptoms, signs, and clinical...School) provides a concise guide to differential diagnosis for over 900 signs, symptoms and...
- Research on differential diagnosis reported by H.A. Elkhatib et al.
- Magazine article from: Women's Health Weekly August 14, 2008 700+ words
...literature. In this regard, a differential diagnosis is presented regarding the lipomatosis...Elkhatib and colleagues (see also Differential Diagnosis). The researchers concluded...Classification, treatment, and differential diagnosis. Annals of Plastic Surgery, 2008...
- P-cadherin as a marker in the differential diagnosis of breast lesions. (Short...
- Magazine article from: Journal of Clinical Pathology Kovacs, A. Walker, R.A. February 1, 2003 700+ words
...as a myoepithelial marker in the differential diagnosis of benign and malignant breast...cadherin is a useful marker in the differential diagnosis of breast lesions...KA. Myoepithelial cells in the differential diagnosis of complex benign and malignant...
- ABC of Emergency Differential Diagnosis - A Practical Guide To The Diagnosis...
- Press release article from: M2 Presswire July 3, 2009 700+ words
...and Markets: ABC of Emergency Differential Diagnosis - A Practical Guide To The Diagnosis...s new report "ABC of Emergency Differential Diagnosis" to their offering. A practical...conditions, the ABC of Emergency Differential Diagnosis provides a step-by-step guide...
