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LPLUNC2 IS EXPRESSED IN PERITUMORAL MAST CELLS OF MUCOEPIDERMOID CARCINOMAS OF SAL- IVARY GLANDS González-Arriagada WA 1 , Santos-Silva AR 1 , Silva AA 1 , Vargas PA 2 , Bingle L 3 , Speight P 3 , Lopes MA 1 - 1 FOP-UNICAMP - ESTOMATOPATOLOGIA, 2 F- ESTOMATOPATOLOGIA, 3 UNIVERSITY OF SHEFFIELD - ORAL PATHOLOGY Background: Recently was reported the LPLUNC2 immu- nohistochemical expression of mast cells in mucoepidermoid carcinoma (MEC). Objectives: The aim of this study was to compare the expression of LPLUNC2 and trypsine of mast cells in MEC of salivary glands. Study design: The immunohistochemical expression of LPLUNC2 and trypsine was evaluated in 30 MECs. The evalu- ation considered the number and patterns of distribution of the positive cells. Results: LPLUNC2 showed specific positivity in cells that resemble mast cells in 83.33% of the samples. Subsequently, immunohistochemistry for trypsine was performed, showing pos- itivity in the LPLUNC2-positive cells. Conclusions: The expression of LPLUNC2 in mast cells is a previously unrecognized event. We suggest that LPLUNC2 can be considered as a new potential marker that aids in the identi- fication of mast cells and that this protein may play a role in the function of these cells in the host tumoral immune response. HEAD AND NECK VASCULAR LEIOMYOMA IN A BRA- ZILIAN POPULATION Alves AM 1 , Gomes APN 1 , Etges A 1 , Furuse C 1 , Vasconcelos ACU 1 , Tarquinio SBC 1 - 1 UNIVER- SIDADE FEDERAL DE PELOTAS - SEMIOLOGIA E CLÍNICA Objective: the aim of this study was to determine the prev- alence of head and neck vascular leiomyoma and their clinical and epidemiological characteristics from Center of Diagnosis Oral Diagnosis – Pelotas/Brazil. Study design: biopsies files from CDOD were evaluated in the period between 1959 and 2012. Data about sex, age, site and lesion were collected and submitted to descriptive analysis. Results: from a total of 20,022 biopsies analyzed, 13 (0.1%) were vascular leiomyoma, being male 61.5% of the patients. The average age was 44.2 years (varying from 14 to 73 years-old). In order of prevalence, were found 4 cases in lower lip (30.7%), 2 in upper lip (15.4%), 2 in buccal mucosa (15.4%), 2 in palate (15.4%), 1 in ear (7.7%), 1 in maxillary sinus (7,7%), and 1 in lower gutter (7.7%). Conclusion: head and neck vascular leiomyomas are very uncommon lesions, and the most affected site was lower lip. References: [1] Brooks JK, Nikitakis NG, Goodman NJ, Levy BA. Clin- icopathologic characterization of oral angioleiomyomas. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2002 Aug;94(2): 221-7. [2] Wang CP, Chang YL, Sheen TS. Vascular leiomyoma of the head and neck. Laryngoscope 2004 Apr;114(4):661-5. [3] Gaitan Cepeda LA, Quezada Rivera D, Tenorio Rocha F, Leyva Huerta ER, Mendez Sanchez ER. Vascular leiomyoma of the oral cavity. Clinical, histopathological and immunohisto- chemical characteristics. Presentation of five cases and review of the literature. Med Oral Patol Oral Cir Bucal 2008 Aug;13(8): E483-8. [4] Nonaka CF, Pereira KM, Miguel MC. Oral vascular leiomyoma with extensive calcification areas. Braz J Otorhino- laryngol 2010 Jul-Aug;76(4):539. EXTENSIVE LABIAL NECROSIS AS INITIAL MANIFESTA- TION OF ACUTE LYMPHOBLASTIC LEUKEMIA Oliveira DT 1 , Garcia AS 2 , Andrea MLM 1 , Oliveira DT 2 - 1 DARCY VARGAS CHILDREN HOSPITAL - PEDIATRIC ONCOL- OGY, 2 BAURU SCHOOL OF DENTISTRY, UNIVERSITY OF SÃO PAULO, BRAZIL - DEPARTMENT OF STOMATOL- OGY - AREA OF PATHOLOGY A ten year-old girl sought medical care by lesion in the inferior lip associated to local trauma and cervical lymphadenop- athy. After one day, there was increase of the signs including, local edema and cervical/submandibular lymphadenopathy. The patient was submitted to pharmacological treatment with ibupro- fen and hexamidine. Two days later the patient was hospitalized presenting labial necrosis, petechiae in the body, pancytopenia, coagulation abnormalities and prostration. She received blood transfusion and evolved with gastric and labial bleeding. Due the persistence of pancytopenia by five days, a myelogram was performed and revealed 90% of the blasts presented lymphoid L3 aspect. Then established the diagnosis of acute lymphoblastic leukemia (ALL). The patient underwent treatment for ALL in according to the ALL-BFM-02 protocol with disease remission and total regression of the lip lesion. KERATOACANTHOMA IN THE LOWER LIP - CASE REPORT Paiva K 1 , Ferreira SMS 1 , Farias AC 1 , Albuquerque ECS 1 , Vasconcelos MLAA 1 , Beder C 1 - 1 CENTRO DE ES- TUDOS SUPERIORES DE MACEIÓ - ODONTOLOGIA The keratoacanthoma is a benign tumor of rapid growth that has clinical and pathologic features similar to squamous cell carcinoma. In most cases affects older patients with white skin photosensitivity in areas exposed to the face and upper extrem- ities. This paper reports a case of keratoacanthoma in the lower lip. Patient E.S.S., female, 61 years old, attended the dental specialty center complaining of a ”sign in your mouth.” The lesion is approximately one month in duration, is painless, raised borders and rapidly growing. The extra-oral examination showed nodular reddish, firm, painless, bleeding surface, one measuring 1.0 cm x 0.5 cm in the lower lip. The treatment was surgical excision of the entire lesion, which provided definitive histo- pathological diagnosis beyond the cure of disease. HRPT2 AND CYCLIN D1 MOLECULAR INVESTIGA- TION IN FIBROUS DYSPLASIA, OSSIFYING FIBROMA AND OSTEOSARCOMA OF THE JAWS Netto ACM 1 , Go- mez RS 1 , Silva TF 1 , Diniz MG 1 , Campos K 1 , Carlos R 2 , Gomes CC 3 - 1 DEPARTMENT OF ORAL SURGERY AND PATHOLOGY, SCHOOL OF DENTISTRY, UNIVERSIDADE FEDERAL DE MINAS GERAIS, BELO HORIZONTE-MG, MINAS GERAIS, BRAZIL, 2 CENTRO CLÍNICO DE CABEZA Y CUELLO / HOSPITAL HERRERA-LLERANDI, GUATE- MALA, 3 DEPARTMENT OF PATHOLOGY, BIOLOGICAL SCIENCES INSTITUTE, UNIVERSIDADE FEDERAL DE MINAS GERAIS, BELO HORIZONTE-MG, MINAS GERAIS, BRAZIL Background: Studies demonstrate genetic alterations of the HRPT2 gene in ossifying fibroma (OF). Inhibition of cyclin D1 OOOO ORAL ABSTRACTS Volume 114, Number 4 Abstracts e105

Extensive labial necrosis as initial manifestation of acute lymphoblastic leukemia

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Page 1: Extensive labial necrosis as initial manifestation of acute lymphoblastic leukemia

OOOO ORAL ABSTRACTSVolume 114, Number 4 Abstracts e105

LPLUNC2 IS EXPRESSED IN PERITUMORAL MASTCELLS OF MUCOEPIDERMOID CARCINOMAS OF SAL-IVARY GLANDS González-Arriagada WA1, Santos-SilvaAR1, Silva AA1, Vargas PA2, Bingle L3, Speight P3, LopesMA1 - 1FOP-UNICAMP - ESTOMATOPATOLOGIA, 2F -ESTOMATOPATOLOGIA, 3UNIVERSITY OF SHEFFIELD -ORAL PATHOLOGY

Background: Recently was reported the LPLUNC2 immu-nohistochemical expression of mast cells in mucoepidermoidcarcinoma (MEC).

Objectives: The aim of this study was to compare theexpression of LPLUNC2 and trypsine of mast cells in MEC ofsalivary glands.

Study design: The immunohistochemical expression ofLPLUNC2 and trypsine was evaluated in 30 MECs. The evalu-ation considered the number and patterns of distribution of thepositive cells.

Results: LPLUNC2 showed specific positivity in cells thatresemble mast cells in 83.33% of the samples. Subsequently,immunohistochemistry for trypsine was performed, showing pos-itivity in the LPLUNC2-positive cells.

Conclusions: The expression of LPLUNC2 in mast cells isa previously unrecognized event. We suggest that LPLUNC2 canbe considered as a new potential marker that aids in the identi-fication of mast cells and that this protein may play a role in thefunction of these cells in the host tumoral immune response.

HEAD AND NECK VASCULAR LEIOMYOMA IN A BRA-ZILIAN POPULATION Alves AM1, Gomes APN1, Etges A1,Furuse C1, Vasconcelos ACU1, Tarquinio SBC1 - 1UNIVER-SIDADE FEDERAL DE PELOTAS - SEMIOLOGIA ECLÍNICA

Objective: the aim of this study was to determine the prev-alence of head and neck vascular leiomyoma and their clinicaland epidemiological characteristics from Center of DiagnosisOral Diagnosis – Pelotas/Brazil.

Study design: biopsies files from CDOD were evaluated inthe period between 1959 and 2012. Data about sex, age, site andlesion were collected and submitted to descriptive analysis.

Results: from a total of 20,022 biopsies analyzed, 13 (0.1%)were vascular leiomyoma, being male 61.5% of the patients. Theaverage age was 44.2 years (varying from 14 to 73 years-old). Inorder of prevalence, were found 4 cases in lower lip (30.7%), 2in upper lip (15.4%), 2 in buccal mucosa (15.4%), 2 in palate(15.4%), 1 in ear (7.7%), 1 in maxillary sinus (7,7%), and 1 inlower gutter (7.7%).

Conclusion: head and neck vascular leiomyomas are veryuncommon lesions, and the most affected site was lower lip.

References:[1] Brooks JK, Nikitakis NG, Goodman NJ, Levy BA. Clin-

icopathologic characterization of oral angioleiomyomas. OralSurg Oral Med Oral Pathol Oral Radiol Endod 2002 Aug;94(2):221-7.

[2] Wang CP, Chang YL, Sheen TS. Vascular leiomyoma ofthe head and neck. Laryngoscope 2004 Apr;114(4):661-5.

[3] Gaitan Cepeda LA, Quezada Rivera D, Tenorio Rocha F,Leyva Huerta ER, Mendez Sanchez ER. Vascular leiomyoma ofthe oral cavity. Clinical, histopathological and immunohisto-chemical characteristics. Presentation of five cases and review ofthe literature. Med Oral Patol Oral Cir Bucal 2008 Aug;13(8):

E483-8.

[4] Nonaka CF, Pereira KM, Miguel MC. Oral vascularleiomyoma with extensive calcification areas. Braz J Otorhino-laryngol 2010 Jul-Aug;76(4):539.

EXTENSIVE LABIAL NECROSIS AS INITIAL MANIFESTA-TION OF ACUTE LYMPHOBLASTIC LEUKEMIA OliveiraDT1, Garcia AS2, Andrea MLM1, Oliveira DT2 - 1DARCYVARGAS CHILDREN HOSPITAL - PEDIATRIC ONCOL-OGY, 2BAURU SCHOOL OF DENTISTRY, UNIVERSITY OFSÃO PAULO, BRAZIL - DEPARTMENT OF STOMATOL-OGY - AREA OF PATHOLOGY

A ten year-old girl sought medical care by lesion in theinferior lip associated to local trauma and cervical lymphadenop-athy. After one day, there was increase of the signs including,local edema and cervical/submandibular lymphadenopathy. Thepatient was submitted to pharmacological treatment with ibupro-fen and hexamidine. Two days later the patient was hospitalizedpresenting labial necrosis, petechiae in the body, pancytopenia,coagulation abnormalities and prostration. She received bloodtransfusion and evolved with gastric and labial bleeding. Due thepersistence of pancytopenia by five days, a myelogram wasperformed and revealed 90% of the blasts presented lymphoid L3aspect. Then established the diagnosis of acute lymphoblasticleukemia (ALL). The patient underwent treatment for ALL inaccording to the ALL-BFM-02 protocol with disease remissionand total regression of the lip lesion.

KERATOACANTHOMA IN THE LOWER LIP - CASEREPORT Paiva K1, Ferreira SMS1, Farias AC1, AlbuquerqueECS1, Vasconcelos MLAA1, Beder C1 - 1CENTRO DE ES-TUDOS SUPERIORES DE MACEIÓ - ODONTOLOGIA

The keratoacanthoma is a benign tumor of rapid growth thathas clinical and pathologic features similar to squamous cellcarcinoma. In most cases affects older patients with white skinphotosensitivity in areas exposed to the face and upper extrem-ities. This paper reports a case of keratoacanthoma in the lowerlip. Patient E.S.S., female, 61 years old, attended the dentalspecialty center complaining of a ”sign in your mouth.” Thelesion is approximately one month in duration, is painless, raisedborders and rapidly growing. The extra-oral examination showednodular reddish, firm, painless, bleeding surface, one measuring1.0 cm x 0.5 cm in the lower lip. The treatment was surgicalexcision of the entire lesion, which provided definitive histo-pathological diagnosis beyond the cure of disease.

HRPT2 AND CYCLIN D1 MOLECULAR INVESTIGA-TION IN FIBROUS DYSPLASIA, OSSIFYING FIBROMAAND OSTEOSARCOMA OF THE JAWS Netto ACM1, Go-mez RS1, Silva TF1, Diniz MG1, Campos K1, Carlos R2,Gomes CC3 - 1DEPARTMENT OF ORAL SURGERY ANDPATHOLOGY, SCHOOL OF DENTISTRY, UNIVERSIDADEFEDERAL DE MINAS GERAIS, BELO HORIZONTE-MG,MINAS GERAIS, BRAZIL, 2CENTRO CLÍNICO DE CABEZAY CUELLO / HOSPITAL HERRERA-LLERANDI, GUATE-MALA, 3DEPARTMENT OF PATHOLOGY, BIOLOGICALSCIENCES INSTITUTE, UNIVERSIDADE FEDERAL DEMINAS GERAIS, BELO HORIZONTE-MG, MINAS GERAIS,BRAZIL

Background: Studies demonstrate genetic alterations of the

HRPT2 gene in ossifying fibroma (OF). Inhibition of cyclin D1