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Cukurova Medical Journal Cukurova Med J 2016;41(1):198-199 ÇUKUROVA ÜNİVERSİTESİ TIP FAKÜLTESİ DERGİSİ DOI: 10.17826/cutf.179158 EDITÖRE MEKTUP/LETTER TO THE EDITOR A simplified working classification for the soft tissue swellings of oral cavity Oral kavitedeki yumuşak doku şişliklerinin çalışma amaçlı sadeleştirilmiş sınıflandırması Manas Bajpai1, Nilesh Pardhe1 1NIMS Dental college, Department of Oral and Maxillofacial Pathology, Jaipur, India Cukurova Medical Journal 2016;41(1):198-199. Dear Editor, well as the formation of granulomas in tissue5. Inside oral cavity these diseases are ranging from Soft tissue structures of the oral cavity comprise of Sarcoidosis to tuberculosis and crohn’s disease. upper lip, lower lip, buccal mucosa, gingiva, alveolar Miscellaneous diseases comprise of unclassifiable mucosa, floor of mouth, tongue and soft palate1. lesions ranging from traumatic swellings to Swellings of these structures are usually ignored by congenital malformations of veins and arteries. dentists unless patient complains of pain; however these swellings represent a variety of clinical entities, Diagnosis of soft tissue swellings require a proper ranging from developmental anomalies to case history, careful intra oral examination and in manifestations of different syndrome and malignant some cases biopsy, aspiration cytology and other neoplasm2. There is no approved simple type examinations. Greater coordination of dental working classification of soft tissue swellings of oral clinician and Oral pathologists is required in proper cavity in the literature. A simple working type detection and management of these lesions. This classification of soft tissue swellings of oral cavity is classification will be useful for the dental clinicians, proposed here (Table 1). oral pathologists and also for the undergraduate and post graduate dental students who deals with the This classification includes neoplasms, Soft tissue diseases of oral cavity. cysts, non neoplastic salivary gland diseases, granulomatous diseases and miscellaneous diseases. Table 1. Classification of soft tissue swellings of oral Neoplasms include tumors of epithelium origin, cavity mesenchymal origin, salivary gland origin and I. Neoplasm peripheral variants of odontogenic tumors3. Tumors 1. Epithelium origin Squamous papilloma of mesenchyme are further classified into common, Keratoacanthoma relatively rare and rare according to their frequency Squamous cell carcinoma of occurrence in oral cavity. Cysts of soft tissue can Melanoma be a result of trapped cells as a result of inclusion Nevus error4. These cysts are usually presented as small 2. Mesenchymal origin yellow – white submucosal lesions3. Non neoplastic a) Common salivary gland diseases ranging from salivary gland Fibroma cyst like mucocele to calcified masses like sialolith. Pyogenic granuloma Granulomatous diseases are the most commonly Peripheral giant cell granuloma Peripheral ossifying fibroma encountered immunodeficiencies involving the Traumatic neuroma phagocyte, and are characterized by repeated b) Relatively rare infections with bacterial and fungal pathogens, as Lipoma Yazışma Adresi/Address for Correspondence: Dr. Manas Bajpai, NIMS Dental College, Department of Oral and Maxillofacial Pathology, Jaipur. E-mail: dr.manasbajpai@gmail.com Geliş tarihi/Received: 19.01.2016 Kabul tarihi/Accepted: 22.02.2016 Bajpai and Pardhe Cukurova Medical Journal Neurofibroma IV. Granulomatous diseases Neurilemmoma Sarcoidosis Granular cell tumor Crohn’s disease Peripheral osteoma Tuberculosis Hemangioma V. Syndromes associated with intra oral swellings Leiomyoma Neurofibromatosis I (NF 1) Lymphangioma Tuberous sclerosis Melanotic neuroectodermal tumor of infancy Multiple endocrine neoplasia type 2B c) Rare Multiple hamartoma syndrome Rhabdomyoma VI. Miscellaneous Rhabdomyosarcoma Parulis Kaposi’s sarcoma Amyloidosis Neurofibrosarcoma Multifocal epithelial hyperplasia Angiosarcoma Congenital epulis Leiomyosarcoma Metastatic carcinoma Liposarcoma Palatal abscess Hemangiopericytoma Lingual thyroid nodule Hemangioendothelioma Epulis fissuratum Synovial sarcoma Pericoronitis Neurothakeoma Arteriovenous malformations 3. Salivary gland tumors Oral mucinosis Pleomorphic adenoma Canalicular adenoma REFERENCES Mucoepidermoid carcinoma Adenoid cystic carcinoma Polymorphous low grade adenocarcinoma 1. Michael W. Finkelstein, DDS, MS, “A guide to 4. Peripheral odontogenic tumors clinical differential diagnosis of oral mucosal Ameloblastoma lesions,” dentalcare.com. 2010. Odontogenic fibroma 2. Neville B, Damm DD, Allen CM, Bouquot J, editors. Adenomatoid odontogenic tumor Oral and maxillofacial pathology. Philadelphia, USA: Ameloblastic fibroma Elsevier. 2009. II. Cysts of soft tissue 3. Bajpai M, Pardhe N. Peripheral Ameloblastoma with Dermoid cyst Mixed Histological Patterns. Cukurova Med J. Epidermoid cyst 2015;40 151-5. Nasolabial cyst 4. Pryor SG, Lewis JE, Weaver AL, Orvidas LJ. Lymphoepithelial cyst Pediatric dermoid cysts of the head and neck. Nasopalatine duct cyst Otolaryngology: Head and Neck Surgery. III. Non neoplastic disorders of salivary glands 2005;132:938–42. Mucous retention cyst 5. Song E., Jaishankar, G. B., Saleh, H., Jithpratuck, W., Mucous extravasation cyst Sahni, R., Krishnaswamy, G. 2011. Chronic Necrotizing sialometaplasia granulomatous disease: a review of the infectious and Mikulicz’s disease inflammatory complications.Clinical and Molecular Adenomatous hyperplasia of minor salivary glands Allergy : CMA,9, 10. doi:10.1186/1476-7961-9-10. 199 .

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