Desquamative gingivitis (DG) is a clinical condition in which the gingiva appears reddish, glazed, and friable with loss of superficial epithelium. DG is considered a clinical manifestation of many gingival diseases and hence not identified as a diagnosis itself. Mucous membrane pemphigoid (MMP) is an autoimmune vesiculobullous disorder of mucous membrane characterized by subepithelial bullae formation. MMP can affect the mucous membranes of oral cavity, conjunctiva, nasopharynx, larynx, esophagus, genitourinary tract, and anus and vary in its severity. The most commonly affected sites are oral cavity and conjunctiva. Since DG may be the early sign or only presenting sign of these conditions, most of the times, dental surgeon plays a key role in the diagnosis and prevention of the systemic complications of these diseases. We report a case of a 41-year-old male patient presented with DG. Histopathological examination revealed subepithelial clefting suggestive of MMP. The patient was treated with topical application of triamcinolone acetonide 0.1% 3–4 times a day for 1 month.
Background: The ovarian tumors manifest a wide spectrum of clinical, morphological and histological features. The aim of the study was to study the histopathological patterns of 597 ovarian tumors received in Government Medical College, Thiruvananthapuram, Kerala for a period of 2 years and to correlate with variousclinical parameters like age, nature of presentation, laterality of tumors.Methods: This is a retrospective study of 597 ovarian tumors at Government Medical College, Thiruvananthapuram for a period of 2 years. The clinical data of the patients was obtained from their respective files.Results: Study included 597 cases removed from 570 patients. Total 543 cases were unilateral and 27 cases were bilateral. The predominant age group of ovarian tumors was 4th to 5th decade. The most common clinical presentation was pain abdomen followed by mass abdomen. In the present study, 85% cases were benign tumors, 3.34% were borderline and 11.6% were malignant. Surface epithelial tumors were the most common ovarian neoplasm (79%), followed by germ cell tumor (25%), sex cord stromal tumors (4.2%) and metastasis (0.34%). The most common benign tumor was serous cystadenoma and the most common malignant tumor was serous carcinoma. Mucinous borderline tumor was the most common borderline tumor in this study.Conclusions: Majority of ovarian tumors in this study were benign. Surface epithelial tumor was the most common ovarian tumor in the present study. Most common age group was 40-49 years.
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