RESUMO
Squamous papilloma is the most common benign oral epithelial lesion, and it is well known to be associated with human papilloma virus 6 and 11. Here, we report a case of squamous papilloma associated with human papilloma viruses (HPV)‑32 in a 4‑year‑old boy who presented with a verrucous lesion on the lower lip. HPV‑32 is often associated with a rare benign condition focal epithelial hyperplasia (FEH). A limited number of lesions and the absence of characteristic histology ruled out FEH in our patient. To the best of our knowledge, the association of oral squamous papilloma with HPV‑32 is hitherto unreported.
RESUMO
Common wart is the most frequent clinical lesion caused by human papillomaviruses (HPVs). Giant, chronic, isolated, and solitary lesion is uncommon. We reported a case of giant verruca vulgaris in a 66 year-old man on left dorsal pedis that slowly enlarged and hardened in 10 years. It was a solitary hyperkeratotic verruca vulgaris, grey brownish in color, circumscribe, round, and 3x2.4x0.4 cm in size. Histopathologic examination revealed compact hyperkeratosis/orthokeratosis, many koilocytes in the granular and upper spinous layer, acanthosis, and elongated rete ridges that were pointing radially toward the center of the lesion. Polymerase chain reaction (PCR) and in situ hybridization failed to identify HPV DNA. The patient was successfully treated with salicylic acid 40% ointment.
Assuntos
PapillomaviridaeRESUMO
Os autores apresentam os resultados do tratamento das neoplasias intra-epiteliais cervicais em 20 pacientes, através da conização eletrocirúrgica do colo uterino com bisturi de alta freqüência. A proposta foi avaliar a incidência de recidiva das lesões com este método terapêutico, seis meses após a intervenção. Ao final, 82,4 por cento das pacientes apresentaram exame citológico cervical normal. Assim, recomendam a eletrocirurgia com bisturi de alta freqüência, para o tratamento dessas lesões, uma vez que apresenta baixos índices de recidiva e vantagens em relação à cirurgia convencional, como facilidade técnica, possibilidade de execução em nível ambulatorial, sob anestesia loca, rapidez e baixo custo operacional, entre outros.
The authors present the recurrence rate of conization in the treatment of cervix intra-epitelial neoplasms by the high frequency electrosurgery technique. A 82.4% of normal citology were observed six months postoperatively. The method is recomended because it is associated with low rates of recurrence, besides being easily performed, under local anesthetics, saving time and costs, in an outpatient program.