Hamartoma: Diagnostic Procedure of Unspecific Clinical Appearance in the Oral Cavity

Ahmad Ronal,Febrina Rahmayanti

doi:10.14693/jdi.v17i3.38

Abstract

Hamartoma is a benign tumor-like lesion composed of overgrowth of mature cells and tissues. Along with its unspecific appearance, it may occur in the oral cavity and bear resemblance to the other lesions. In this report we describes the clini-cal appearance of hamartoma as well as the diagnosis method in the case of a 37-year-old-man. The patient explained that he already has redness plaque lesion on his skin left cheek region since he was born. The lesion was sensed to grow and discomfort at the age of 22. A surgical therapy had been performed to reduce the size of lesion one year after, but the red-ness plaque still existed. Thirteen years following the operation, white lesion appeared on the inner left cheek 10 x 8.5 x 6 cm of size and extended onto lower lips within half a year. Diagnostic procedure was carried out such as biopsy, CT-scan and radiography with neuroma as an initial conclusion. New histopathological examination confirmed the diagnosis of hamartoma. It is concluded that adequate and appropriate biopsy procedure along with sufficient clinical information are needed to develop a proper diagnosis to distinguish hamartoma from other oral lesions. DOI: 10.14693/jdi.v17i3.38

Highlights

Hamartoma: Prosedur diagnosis pada kasus dengan tampilan klinis yang tidak spesifik
In this report we describes the clinical appearance of hamartoma as well as the diagnosis method in the case of a 37-year-old-man
Leimyomatous hamartoma of the anterior tongue: report of a case and review of the literature

Summary

LAPORAN KASUS

Usia 37 tahun datang ke Poli Penyakit Mulut, Departemen Gigi dan Mulut RS Dr.Cipto Mangunkusumo (RSCM) berdasarkan konsul dari Poli Telinga Hidung dan Tenggorokan (THT) dengan diagnosa kerja curiga kanker pipi dengan permohonan evaluasi dan tatalaksana di bidang gigi dan mulut. Terlihat massa di sisi bukal kiri meluas hingga bibir bawah, konsistensinya kenyal cenderung keras dengan bagian dalam pipi lebih keras. Kepada pasien diinstruksikan untuk tetap menyikat gigi dua kali per hari pada pagi hari setelah sarapan dan malam sebelum tidur, serta menyeka lesi dengan kasa yang dibasahi. Pembersihan karang gigi serta tindakan pada 2.4 dan 3.8 ditunda sampai ada hasil pemeriksaan histopatologi yang dirujuk dari bagian THT. Pasien datang kembali membawa hasil pemeriksaan histopatologi dari Departemen Patologi Anatomi (PA) atas biopsi yang dilakukan di Poli THT. Pemeriksaan penunjang lainnya yang telah dilakukan ialah pemeriksaan laboratorium hematologi, radiografi toraks, dan CT scan maksila. Berdasarkan informasi yang didapat dari hasil pemeriksaan histopatologi yang didukung oleh pemeriksaan laboratorium hematologi, radiografi toraks, dan CT scan maksila, maka disimpulkan bahwa pembesaran massa tersebut merupakan neuroma bukal.

THT Onkologi dan divisi Plastik Rekontruksi

DAFTAR PUSTAKA