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Oral verruciform xanthoma: Report of 13 new cases and review of the literature

BACKGROUND: Oral verruciform xanthoma (OVX) is a rare lesion. The purpose of the present study is to describe the clinical features of 13 OVXs and review all cases reported in the English literature. MATERIAL AND METHODS: Thirteen cases of OVX diagnosed during a 47-year period were retrospectively c...

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Autores principales: Tamiolakis, Paris, Theofilou, Vasileios I., Tosios, Konstantinos I., Sklavounou-Andrikopoulou, Alexandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051686/
https://www.ncbi.nlm.nih.gov/pubmed/29924759
http://dx.doi.org/10.4317/medoral.22342
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author Tamiolakis, Paris
Theofilou, Vasileios I.
Tosios, Konstantinos I.
Sklavounou-Andrikopoulou, Alexandra
author_facet Tamiolakis, Paris
Theofilou, Vasileios I.
Tosios, Konstantinos I.
Sklavounou-Andrikopoulou, Alexandra
author_sort Tamiolakis, Paris
collection PubMed
description BACKGROUND: Oral verruciform xanthoma (OVX) is a rare lesion. The purpose of the present study is to describe the clinical features of 13 OVXs and review all cases reported in the English literature. MATERIAL AND METHODS: Thirteen cases of OVX diagnosed during a 47-year period were retrospectively collected. The patients’ gender and age, as well as the main clinical features of the lesions were retrieved from the biopsy request forms. Pubmed®, Scopus® and Google ScholarTM electronic databases were searched with the key word “verruciform xanthoma”. Only cases of histologically confirmed OVX were included in the study. RESULTS: The 13 OVXs represented approximately 0.04% of 35,617 biopsies accessioned during the study period. They affected 13 patients, 8 males and 5 females with a mean age of 48.8±14 years. They mainly appeared as asymptomatic granular nodules or plaques, with elastic or normal consistency and white color, in the gingiva or hard palate. Literature review yielded 416 cases of OVX. With the addition of cases of the present study, 429 cases of OVX have been presented in the English literature. OVX has a slight male predominance with a male to female ratio of 1.4:1 and the majority of patients are in the 5th to 7th decade of life. Clinically, OVX mainly presents as an asymptomatic, single, papillary or granular plaque or nodule, with elastic or soft consistency and white, red or pink color. It measures approximately 1cm and is most commonly located on the gingiva, tongue, hard palate or buccal mucosa. The treatment of choice is surgical excision with little rates of recurrence. CONCLUSIONS: Verruciform xanthoma is a rare lesion most often encountered on the ginigival mucosa. As its clinical presentation is not pathognomonic, it should be included in the differential diagnosis of verrucous or papillary lesions. Key words:Oral verruciform xanthoma, oral tumors.
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spelling pubmed-60516862018-07-23 Oral verruciform xanthoma: Report of 13 new cases and review of the literature Tamiolakis, Paris Theofilou, Vasileios I. Tosios, Konstantinos I. Sklavounou-Andrikopoulou, Alexandra Med Oral Patol Oral Cir Bucal Review BACKGROUND: Oral verruciform xanthoma (OVX) is a rare lesion. The purpose of the present study is to describe the clinical features of 13 OVXs and review all cases reported in the English literature. MATERIAL AND METHODS: Thirteen cases of OVX diagnosed during a 47-year period were retrospectively collected. The patients’ gender and age, as well as the main clinical features of the lesions were retrieved from the biopsy request forms. Pubmed®, Scopus® and Google ScholarTM electronic databases were searched with the key word “verruciform xanthoma”. Only cases of histologically confirmed OVX were included in the study. RESULTS: The 13 OVXs represented approximately 0.04% of 35,617 biopsies accessioned during the study period. They affected 13 patients, 8 males and 5 females with a mean age of 48.8±14 years. They mainly appeared as asymptomatic granular nodules or plaques, with elastic or normal consistency and white color, in the gingiva or hard palate. Literature review yielded 416 cases of OVX. With the addition of cases of the present study, 429 cases of OVX have been presented in the English literature. OVX has a slight male predominance with a male to female ratio of 1.4:1 and the majority of patients are in the 5th to 7th decade of life. Clinically, OVX mainly presents as an asymptomatic, single, papillary or granular plaque or nodule, with elastic or soft consistency and white, red or pink color. It measures approximately 1cm and is most commonly located on the gingiva, tongue, hard palate or buccal mucosa. The treatment of choice is surgical excision with little rates of recurrence. CONCLUSIONS: Verruciform xanthoma is a rare lesion most often encountered on the ginigival mucosa. As its clinical presentation is not pathognomonic, it should be included in the differential diagnosis of verrucous or papillary lesions. Key words:Oral verruciform xanthoma, oral tumors. Medicina Oral S.L. 2018-07 2018-06-21 /pmc/articles/PMC6051686/ /pubmed/29924759 http://dx.doi.org/10.4317/medoral.22342 Text en Copyright: © 2018 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Tamiolakis, Paris
Theofilou, Vasileios I.
Tosios, Konstantinos I.
Sklavounou-Andrikopoulou, Alexandra
Oral verruciform xanthoma: Report of 13 new cases and review of the literature
title Oral verruciform xanthoma: Report of 13 new cases and review of the literature
title_full Oral verruciform xanthoma: Report of 13 new cases and review of the literature
title_fullStr Oral verruciform xanthoma: Report of 13 new cases and review of the literature
title_full_unstemmed Oral verruciform xanthoma: Report of 13 new cases and review of the literature
title_short Oral verruciform xanthoma: Report of 13 new cases and review of the literature
title_sort oral verruciform xanthoma: report of 13 new cases and review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051686/
https://www.ncbi.nlm.nih.gov/pubmed/29924759
http://dx.doi.org/10.4317/medoral.22342
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