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http://dx.doi.org/10.5125/jkaoms.2010.36.3.217

Traumatic ulcerative granuloma misjudged as oral squamous cell carcinoma (SCC) on the buccal cheek: case report  

Kwon, Jin-Il (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
Kim, Hyun-Woo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
Cha, In-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
Kim, Hyung-Jun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
Publication Information
Journal of the Korean Association of Oral and Maxillofacial Surgeons / v.36, no.3, 2010 , pp. 217-220 More about this Journal
Abstract
Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is an ulcerative lesion on oral mucosa featuring as a benign mass of self-limiting growth. It can be easily misdiagnosed as squamous cell carcinoma (SCC) due to its long healing period and elevated or rolled-up margin. A 57-year old male patient who visited our department was diagnosed as SCC according to the clinical features, results of positron emission tomography (PET) and magnetic resonance imaging (MRI) of the oral lesion. However, after performing incisional biopsy, histopathologically, there were no atypical cells, but eosinophil and CD 30+ T-cells were clustered in subcutaneous and muscle tissue. It is very significant to consider this reactive lesion in the field of oral and maxillofacial surgery because of its possibility of mistaken as malignant disease. Here, we will report a couple of cases of TUGSE with references and limit of radiographic tools used for diagnosis of head and neck cancer.
Keywords
Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE);
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