title: Traumatic ulcerative granuloma with stromal eosinophilia of the retromolar region.
abstract: 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.
authors.affiliation: Division of Maxillofacial Surgery, Department of Clinical Physiopathology, San Giovanni Battista Hospital, Turin, Italy. paolo.boffano@gmail.com
authors.forename: Paolo
authors.initials: P
authors.lastname: Boffano
authors.forename: Cesare
authors.initials: C
authors.lastname: Gallesio
authors.forename: Paola
authors.initials: P
authors.lastname: Campisi
authors.forename: Fabio
authors.initials: F
authors.lastname: Roccia
mesh_terms: 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
chemical_list: D015703:Antigens, CD; D018951:Antigens, CD20; D015214:Antigens, Differentiation, Myelomonocytic; D017730:Ki-1 Antigen; C067980:CD68 antigen, human; D000097382:CD68 Molecule