Mucormycosis generally presents as an acute infection manifesting in rhinocerebral, pulmonary, gastrointestinal, cutaneous, or disseminated forms. Fungal invasion to the arteries can reduce blood supply by thrombi formation inside the blood vessels, leading to necrosis. Fungal infection usually initiates in the upper turbinate, paranasal sinus, or less commonly in the palate or pharynx. Here we report an unusual case of mucormycosis in the maxilla of a 75-year-old man and present a review of the literature.
Mucoepidermoid carcinoma, a malignant neoplasm of salivary gland, rarely arises within the jaws. Differential diagnosis should include an odontogenic cyst because the central mucoepidermoid carcinoma usually reveals either an unilocular or multilocular radiolucency with hyperostotic border. Long-term follow-up is needed due to late recurrence and clinical slow progress like other salivary gland tumors. We would like to report an unusual case of central mucoepidermoid carcinoma with a review of literature.
Dermoid and epidermoid cysts in the oral cavity are uncommon and account for less than 0.01% of all oral cysts. The large majority of cases arise in the floor of the mouth and there are rare in other sites. We would like to report an unusual case of epidermoid cyst at the buccal mucosa in a 66-year-old male with a review of literature.
The central granular cell odontogenic tumor is a rare benign odontogenic neoplasm of uncertain hisotogenesis characterized by varying amounts of eosinophilic granular cells and apparently inactive odontogenic epithelium with variable presence of calcified tissue. We present a case of central granular cell odontogenic tumor involving the maxilla of 35-year-old man with immunohistochemical characterization of granular cells. In microscopic view, the granular cells densely packed in sheets and lobules with abundant eosinophilic, granular cytoplasm and eccentric round-to-ovoid nuclei revealed immunoreactivity for vimentin, α1-antitrysin and CD68, and NSE but not for cytokeratin and S-100 protein while the interspersed odontogenic epithelial cells were positive for cytokeratin only. Granular cells also revealed strong PAS staining. Numerous concentric structured round to ovoid calcified aggregates were also noted. The lesion was treated with excision without recurrence for 8 years. Our immuohistochemical staining findings also suggest that the granular cells of central granular cell odontogenic tumor are mesenchymal in origin with possible histiocytic differentiation