Frequency of BRAF V600E immunoexpression in ameloblastomas: a multi-institutional analysis of 86 cases in Latin America and comprehensive review of the literature

• Felipe Martins Silveira ^[5] ; Lauren Frenzel Schuch ^[5] ; Vanesa Pereira-Prado ^[5] ; Estefania Sicco ^[5] ; Oscar Almeda-Ojeda ^[1] ; Nelly Molina-Frechero ^[6] ; María Luisa Paparella ^[2] ; Mariana Villarroel-Dorrego ^[3] ; Marcela Hernadez ^[4] ; Ronell Bologna-Molina ^[7]
  1. [1] Universidad Juárez del Estado de Durango

     Universidad Juárez del Estado de Durango

     México

     
  2. [2] Universidad de Buenos Aires

     Universidad de Buenos Aires

     Argentina

     
  3. [3] Universidad Central de Venezuela

     Universidad Central de Venezuela

     Venezuela

     
  4. [4] Universidad de Chile

     Universidad de Chile

     Santiago, Chile

     
  5. [5] Department of Diagnostics in Pathology and Oral Medicine, Molecular Pathology area, School of Dentistry, University of the Repub, Uruguay
  6. [6] Health Care Department, Autonomous Metropolitan University-Xochimilco, Mexico
  7. [7] Department of Diagnostics in Pathology and Oral Medicine, Molecular Pathology area, School of Dentistry, University of the Repub, Uruguay; Clinic of Oral Pathology, School of Dentistry, Juárez University of the State of Durango, México

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• Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 29, Nº. 4 (July), 2024
• Idioma: inglés
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• Resumen

  • Paracoccidioidomycosis (PCM) is the leading cause of death among systemic mycoses in Brazil. On the other hand, oral squamous cell carcinoma (OSCC) is the most prevalent malignant neoplasm of the mouth. Both lesions rarely affect the tongue dorsum and may share similar clinical characteristics. This study aimed to retrieve cases of single oral ulcers diagnosed as PCM or OSCC.

    A cross-sectional retrospective study was conducted. All patients who had a single ulcer on dorsum of the tongue and confirmed diagnosis of PCM or OSCC were evaluated.

    A total of 9 patients (5 women and 4 men) were evaluated, 5 patients had OSCCs (mean age = 69,8 years old), and 4 patients PCM (mean age = 51 years old). Most of the lesions were infiltrated and indurated in the palpation exam. Duration ranged from 1 to 12 months (mean time of 5.2 months and 4.7 months for OSCC and PCM, respectively). OSCC was the main clinical diagnosis hypothesis.

    Although uncommon, PCM and OSCC should be considered as a differential diagnosis hypothesis in infiltrated ulcers on the tongue dorsum. Incisional biopsy is mandatory to confirm the diagnosis and indicate the appropriate treatment.