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Biomedical subjects

R Kuffer

Publications and source records attributed to R Kuffer.

At least 37 records · Page 2Linked to original sources
PubMed1985

[Pigmented lesions of the oral cavity].

Pigmented lesions of the oral cavity are of multiple origin. They can be subdivided as follows: non tumoral pigmentations, non melanin pigmented tumors or tumor-like lesions, benign melanin pigmented tumors and malignant melanomas. Among non tumoral pigmented lesions, some of them show melanin deposits: they can be associated with a systemic disease (Peutz Jeghers syndrome, Addison's disease) or have a medicamentous origin, or belong to a lichen migricans. Non tumoral and non melanin pigmentations are principally due to a heavy metal accumulation or an accidental tatoo arising after tooth treatment. Peripheral giant cell granuloma, so-called giant cell epulis is the major non pigmented non melanin pseudotumoral lesion; pigmentation is due to hemosiderin deposits. In the oral cavity nevi are principally of the intramucosal type. Blue nevus, the second type in frequency, is usually located on the hard palate. Primary malignant melanomas are rare in the oral cavity, but it is--because its very bad prognosis--the most important lesion. In order to improve the survival it is necessary to do the diagnosis as early as possible.

Adult↗
PubMed1985

[Solitary plasmocytoma of the mandible].

The authors present a case of solitary bony plasmocytoma of the mandibule, with local amyloid deposition. Diagnosis was made at extemporaneous pathological examination, then confirmed by the examination of the fixed surgical sample. Immunoenzymologically the proliferation proved to be monoclonal, with secretion of kappa light chain. The patient was treated by surgical curettage and homologous cancelous bone filling, followed by 5,500 rads of electrontherapy. He was then regularly controlled during 8 years and remained free from local recurrence. All investigations in search of dissemination (Kahler disease) remained negative.

Humans↗
PubMed1985

[Intravascular papillary hemangioendothelioma. 4 case reports with oral localization].

The authors report four cases of papillary intravascular haemangioendothelioma of P. Masson located on the mucosa of the cheek, lip or tongue. They always presented as a painless submucosal blueish nodule, more or less elevated and firm, appearing as a thrombosed angioma. As a rule, the size was less than one centimeter. Pathological examination shows an angiomatous papillary neoformation, enclosed within a swollen veinous cavity. Diagnosis is easy on an operative specimen. However, on a small biopsy specimen, a capillary angioma, or a malignant haemangioendothelioma may be more difficult to eliminate. Surgical removal, even partial, will allow complete healing.

Adult↗
PubMed1985

[Osteoblastoma of the jaws. 2 cases and a review of the literature].

The authors report on two cases of osteoblastoma: one of the maxilla in a twenty-two year old woman, the other of the mandible in a thirty-eight year old woman. In the two cases, the lesions were discovered after a systematic X-ray examination and they were treated by curettage. To date, sixty-seven cases of jawbone osteoblastoma and eleven cases of osteoid osteoma, a lesion which resembles and is perhaps similar to the osteoblastoma, have been reported in the literature. The authors develop the differential diagnosis and study the relationship between these two varieties of a same tumor or pseudo-tumor.

Adolescent↗
PubMed1985

[Osteomatous chronic otitis. 27 new cases. 2 new forms].

The authors report 27 new cases of osteomatous chronic otitis, with (15) or without (12) cholesteatomas, with perforated (13) or intact (14) drum, the latter sometimes having a very atypical appearance (2), frankly purulent or simply inflammatory. This results in a wide range of clinical appearances. There are two macroscopic forms: the diffuse attico-antral form and localized forms (drum - C.S.C.L.). The authors emphasize: the primordial interest of tomography (or CT scan), the keystone of their discovery, as well as the dangers of their surgical treatment. In addition to review of these known concepts, two forms have been identified: 1) Osteomatous attico-chain monoblock, where the ossicles of the ear are adherent in their entirety, either to the external attical wall or, much more rarely, to the medial attical wall. They describe 13 cases, the pattern of which is very different, according to whether the diagnosis is one of cholesteatomatous chronic otitis or not. In the absence of cholesteatoma (8 cases), the clinical picture is suggestive of otospongiosis or of chronic otitis with intact drum. The surgical procedure is related to these findings: 1 completion of myringoplasty, 7 piston-malleus. In cases of cholesteatomatous chronic otitis (5 cases), the picture is completely different, the cholesteatoma developing at leisure, behind the impenetrable osteomatous shield. Once again, the surgical procedure is modified: 4 vast evacuation cavities and one mastoatticotomy for giant cholesteatoma with intact drum. 2) Diffuse and "progressive" osteomatous stenosis of the walls of the E.A.M. The authors describe 6 cases occurring either during cholesteatomatous chronic otitis, or within a few weeks, simulating chronic otitis with intact drum.

Adolescent↗
PubMed1985

[Rare diseases of the ear: fibrous dysplasia of the tympanic bone, extensive papillomatosis, ceruminoma, aspergilloma, spontaneous évidement of the tympanic bone].

The authors report six cases of rare ear diseases: fibrous dysplasia of the tympanum mimicking an partially obstructive osteoma of the external auditory canal. The authors draw a parallel between the rarity of these monostotic forms of the temporal bone which are strictly localised to a single region (tympanum-mastoid-atrium) and the diffuse forms which involve several regions at the same time; extensive papillomatosis of the external and middle ear, a rare condition with serious repercussions; two ceruminomas with very different clinical presentations and outcomes; an atrial pseudo-tumoral aspergilloma which was easily excised ans repaired with a myringoplasty with a good long term result; hypoplasia of the tympanum, which constituted a spontaneous évidement, discovered at operation for an attic cholesteatoma. This finding was sufficiently unusual to warrant reporting.

Adenocarcinoma↗
PubMed1984

[Mucocutaneous and salivary manifestations of the graft vs host reaction after bone marrow transplantation].

Mucocutaneous reactions to graft versus host disease may be acute (maculopapular rash, scarlatiniform rash, epidermal necrosis), related to T lymphocyte aggression to basal layer cells, or chronic (lichenoid, or even poikilodermic and sclerous lesions) when a complex mechanism is involved. The syndrome sicca is a major manifestation of graft versus host disease of a chronic type, histology showing moderate lymphocyte infiltration and then marked fibrosis.

Bone Marrow Transplantation↗
PubMed1984

[Striated lichenoid keratosis. 2 cases with oral manifestations].

We present two cases of keratosis lichenoides striata. Both patients have the typical features of the disease: linear verrucous formations on the limbs, and a seborrheic--like dermatitis. The oral mucosa was involved, showing erythematous patches and papules. A treatment by etretinate did not bring a significant improvement.

Adult↗
PubMed1984

[Epidermal nevus syndrome. A case with oral involvement].

We report the case of a girl with a large epidermal nevus involving the right superior part of the body, i.e. scalp, face, neck, chest, and oral mucosa. Stress is laid on the clinical features of the mucosal involvement of the épidermal nevus syndrome.

Adult↗
PubMed1982

Different papillomaviruses as the causes of oral warts.

We have observed four patients with oral papillomas. Two children had oral mucosal lesions characteristic of focal epithelial hyperplasia, a young man had common, wart-like lesions on his hard palate, and a male immunosuppressed renal allograft recipient had condyloma-like lesions on his gingivae. Papillomavirus-like particles were seen by electron microscopy in lesions from both patients with focal epithelial hyperplasia. No structural antigens for human papillomavirus (HPV) 1, 2, 3, or 5 were found by immunofluorescent microscopy, but further evidence of the presence of a papillomavirus was found by immunoperoxidase microscopy using a cross-reacting sodium lauryl sulfate-disrupted bovine papillomavirus 1 anti-rabbit serum sample. The distinct histologic pattern seen in focal epithelial hyperplasia suggests that a yet undescribed HPV type might be associated with this disease. Histologic, ultrastructural, and immunofluorescent microscopy and restriction endonuclease analysis all gave evidence of HPV 2 in the palatal lesions in patient 3. Evidence of papillomavirus antigen was found by immunoperoxidase microscopy in the oral condylomas from our immunosuppressed patient.

Adult↗
PubMed1982

[Intramandibular salivary inclusions and ectopia (author's transl)].

Intramandibular salivary inclusions and ectopia concern the main salivary glands. The most common takes the form of a regular well-defined lacunar appearance situated at the mandibular angle or molar region. This asymptomatic inclusions is in fact only the imprint of a lobule of the sub-mandibular gland on the mandible. More rarely, the parotid gland and sublingual gland may also be responsible for a lacunar radiological appearance in the mandible. By contrast, a few ectopic glandular lobules of the sublingual may be completely induced at the site of the mandibular symphsis. Salivary inclusions and ectopia thus result from two different aerio-pathogenic mechanisms.

Choristoma↗
PubMed1981

[Mucoepidermoid tumor of the mandible (author's transl)].

The diagnosis of a mucoepidermoid tumor of the mandible has been made by pathological examination. This asymptomatic tumor was discovered on a routine radiographic film. Our 44 years old male patient was treated by surgical means. We have found 62 cases in the literature; intra-osseous cases of mucoepidermoid tumor seem to be rather scarce. Let us recall the presence of salivary glands in the mandible, a possible explanation of the occurrence of intra-osseous glandular tumor.

Adult↗