Traumatic ulcerative granuloma with stromal eosinophilia of the retromolar region.
Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a rare chronic benign lesion of the oral mucosa. Clinically, it may mimic squamous cell carcinoma as well as other malignant lesions. Most cases of TUGSE are reactive. A case of TUGSE of the retromolar region is reported. An asymptomatic ulceration with indurated borders, limited to the gingiva, was localized in the right retromolar region. An incisional biopsy was taken. Six weeks after the biopsy, the residual ulceration spontaneously disappeared. After 6 months of follow-up, the lesion had not recurred.Traumatic ulcerative granuloma with stromal eosinophilia can be interpreted as a subset of lymphoproliferative disorders.A malignant lymphoid proliferation should be suspected when atypical histologic findings and monoclonality are observed. Given the benign nature of TUGSE, overtreatment should be prevented in patients affected by this disease.
Boffano
Paolo
P
Division of Maxillofacial Surgery, Department of Clinical Physiopathology, San Giovanni Battista Hospital, Turin, Italy. paolo.boffano@gmail.com
Gallesio
Cesare
C
Campisi
Paola
P
Roccia
Fabio
F
D015703:Antigens, CD / Q000032:analysis; D018951:Antigens, CD20 / Q000032:analysis; D015214:Antigens, Differentiation, Myelomonocytic / Q000032:analysis; D003832:Denture, Partial, Removable / Q000009:adverse effects*; D004803:Eosinophilic Granuloma / Q000209:etiology*; D006801:Humans; D007150:Immunohistochemistry; D017730:Ki-1 Antigen / Q000032:analysis; D008297:Male; D008338:Mandibular Injuries / Q000150:complications*; D008875:Middle Aged; D019226:Oral Ulcer / Q000209:etiology; D000097382:CD68 Molecule
D015703:Antigens, CD; D018951:Antigens, CD20; D015214:Antigens, Differentiation, Myelomonocytic; D017730:Ki-1 Antigen; C067980:CD68 antigen, human; D000097382:CD68 Molecule