ABSTRACT
Introduction: In the present era, FNAC has proved to be anessential primary diagnostic procedure for soft tissue lesions.To correlate its efficacy and to further subtype,histopathological examination is done aided by IHC if required.The present study aimed to evaluate the epidemiologicaldistribution of soft tissue lesions with reference to age, sex andsite and to assess the utility of FNAC in terms of sensitivity,specificity, positive and negative predictive values, and overallhistological correlation percentage of cytology in diagnosingvarious types of soft tissue lesions.Materials and Methods: Prospective study was carried outduring the period of Sept 2017 to May 2019 for FNAexamination of soft tissue lesions. Cytopathological andhistopathological examination was carried out in all cases withimmunostaining done in few cases.Results: Of 463 soft tissue lesions that could be successfullyfollowed up, 347 were benign lesions and rest were malignant.Most common age group affected were 31-40 years with slightmale preponderance (M:F=1.37:1). Most common site beingLower extremities. Lipomas were the most common soft tissuelesions (169 cases) and spindle cell sarcomas were the mostcommon malignant lesions. The cytological andhistopathological diagnosis correlated well in almost all casesexcept discordance was seen in 5 cases. The sensitivity andspecificity of the procedure were 97.4% and 99.4%respectively.Conclusion: FNAC was found to be a highly specific andsensitive tool in diagnosing soft tissue lesions and can be fairlyimplemented as it is well tolerated and cost effective forpatients.
ABSTRACT
Introdução: na literatura existem poucos levantamentos sobre alterações bucais pediátricas, uma vez que estes apresentam prevalências em faixas etárias mais abrangentes, incluindo jovens ou adultos. Objetivo: apresentar a prevalência das alterações bucais em tecidos moles que mais acometem crianças entre 6 e 12 anos de idade. Método: estudo prospectivo de identificação de lesões bucais da população infantil atendida na Clínica de Odontopediatria, da Faculdade de Odontologia da Universidade do Sagrado Coração, no período de outubro de 2012 a julho de 2013. Neste período, foram atendidas 129 crianças, sendo que 13 (10%) apresentaram alguma manifestação bucal em tecidos envolvendo tecidos moles. Os dados foram registrados por um único examinador em planilha própria, constando identificação do paciente, estado geral, tamanho, aspecto e localização da alteração, sintomas, tempo de instalação, tempo de recuperação, provável diagnóstico e tratamentos odontológicos realizados. Resultados e Discussão: as alterações bucais registradas foram: fístula/abscesso no rebordo alveolar (46,1%); estomatite herpética primária (15,4%); úlcera aftosa (15,4%); herpes simples recorrente (7,7%); língua fissurada (7,7%) e alveólise (7,7%). A localização mais frequente das alterações bucais registradas foi a mucosa alveolar superior (38,5%), seguida da mucosa alveolar inferior (23,1%), lábio superior direito (15,4%), maxila anterior (7,7%), rebordo gengival alveolar superior (7,7%) e dorso da língua (7,7%). A prevalência encontrada neste estudo prospectivo corrobora com outros levantamentos realizados na população infantil. Conclusão: é importante que os profissionais da área da saúde, especialmente o cirurgião-dentista, tenham o conhecimento da prevalência das principais lesões bucais em crianças para que estejam mais preparados para diagnosticá-las e tratá-las.
Introduction: in the literature there are few surveys of pediatric oral lesions, since these have prevalence in wider age groups, including young people or adults. Objective: present the prevalence of oral manifestations in soft tissues that most affect children between 6 and 12 years old. Methods: prospective study of oral lesions identification of children attendances at the Clinic of Pediatric Dentistry, Faculty of Dentistry, University of the Sacred Heart, from October 2012 to July 2013. During this period, 129 children were treated, and 13 (10%) had some oral manifestation in tissues surrounding soft tissues. Data were recorded by a single examiner at a specific note, consisting of patient identification, general condition, size, appearance and location of the oral manifestation, symptoms, installation time, recovery time, possible diagnosis and conducted dental treatments. Results and Discussion: Oral diseases recorded were: fistula/abscess alveolar (46.1%); primary herpetic stomatitis (15.4%), aphthous ulcer (15.4%), recurrent herpes simplex (7.7%), fissured tongue (7.7%) and alveolisys (7.7%). The most frequent location of oral abnormalities recorded was the superior alveolar mucosa (38.5%), followed by the inferior alveolar mucosa (23.1%), right upper lip (15.4%), anterior maxilla (7.7%), gingival superior alveolar (7.7%) and dorsum of the tongue (7.7%). The prevalence found in this prospective study corroborates other surveys in children. Conclusion: It is important that health professionals, especially the dentist, have knowledge of the prevalence of oral lesions in children in order to be better prepared to diagnose and treat them.
Subject(s)
Humans , Male , Female , Child , Soft Tissue Injuries/epidemiology , Mouth/injuries , Cross-Sectional Studies/methodsABSTRACT
Background: An adequate reconstruction of foot soft tissue, specially in the sole, is crucial to restore functional capacity. Aim: To report the experience with reconstruction of sole soft tissues. Material and Methods: Retrospective analysis of 12 patients aged 19 to 72 years (seven males), subjected to reconstruction of soft tissue defects in the sole. Results: The lesions were secondary to excisions of malignant melanomas in seven patients, old traumatisms in two patients, a burn lesion in one patient and a diabetic ulcer in one patient. The reconstruction techniques used were skin grafts in one patient, local flaps in eight and free flaps in three patients. Five patients experienced complications and one of these required a new reconstructive surgery. Functional recovery was adequate in 11 patients. Conclusions: Reconstructive surgery of the sole can achieve an adequate functional recovery in most operated patients.
Se presenta una casuística de 12 pacientes que requirieron reconstrucción de la planta del pie en el Hospital de la Universidad Católica entre los años 2005 y 2008. La etiología principal fueron lesiones tumorales en 7 casos; las técnicas de reconstrucción fueron: injerto de piel (1 paciente), colgajos locales (8 pacientes) y colgajos libres (3 pacientes). Hubo complicaciones en 5 pacientes, uno de los cuales requirió una nueva cirugía reconstructiva. La recuperación funcional fue adecuada en 11 de los 12 pacientes.