Cheek Swelling Research Articles

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<h3>PATHOLOGIC QUIZ CASE 1</h3><h3>J. R. CHANDLER, MD, MIAMI, FLA</h3> For two months a 54-year-old man had noticed a lump growing larger on his right ear. Bleeding occurred with the slightest trauma and had become more troublesome during the past three weeks. Examination revealed a papilliferous and polypoid mass approximately 1½ cm in diameter occupying the concha of the left ear. It grew from a broad pedicle and was friable and bled easily on manipulation. The lesion was biopsied then completely excised (Fig 1). The microphotograph is from the excised specimen. <h3>PATHOLOGIC QUIZ CASE 2</h3><h3>J. R. CHANDLER, MD, MIAMI, FLA</h3> A 25-year-old white man was admitted to the hospital because of swelling of the right cheek and about the right eye of five days' duration. There was some pain and sensitivity in the region of the right upper teeth. A similar swelling responded to antibiotic treatment by a dentist

PAPILLOMA GROWING IN NASAL AND PARANASAL CAVITIES

Clinical and pathological studies of papilloma growing in nasal and paranasal cavities were made in 6 cases whicn have been treated surgically and radiologically for a period of about 15 years in the Oto-Rhino-Larngological Clinic, Hirosaki University School of Medicine.Age distribution of these 6 cases ranged from 43 to 64 years and all were male. The chief complaint of these was mostly nasal obustruction caused by papillary tumor persisting for 1 to 20 years prior to their first consultations. However, cheek swelling appeared initially in 1 case, of which papilloma was associated with malignant change.Papilloma developed in the left nasal and paranasal cavities in 5 cases and in the right in 1 case, and their x-ray films taken by nose-chin projection revealed predominate opacity limited in the nasal cavity and the ethmoidal region on the 1 side only.In all 6 cases, no metastasis was found, despite the long duration of their clinical courses. Not only polypous proliferation of the mucous membrane but also destruction of bony wall surrounding paranasal cavities were most characteristic findings of this growth.One case out of 5 treated with partial resection of maxilla (Denker's Method), followed by irradiation therapies died 2 months after the operation from local exacervation of transitional cell carcinoma which was probably considered to be malignant change of papilloma, but the remaining 4 cases had no recurrence during a period of 6 months' to 10 year's follow-up.The specimens of mucous membrane removed were characterized grossly, by edematous thickening and folding. Microscopically, they were characterized by vivid inward growth of superficial epithelial layer, which consisted of cylindrical, transitional or occasionally squamous epithelium, with underlying basement membrane.In this series, clinically, there was no malignant case, excepting the above-mentioned case with malignant transformation of papilloma, but histologically, polymorphism and irregularity of cells and hyperchromasia of nuclei suggested latent active signs of malignant change were detected in one other case with no clinical malignant evidences.

A Case Report of the Odontoblastoma in the Maxilla

A girl, aged 5, complained of the swelling of the left cheek and was clinically diagnosed as the dental follicular cyst in the maxilla. She was Operated by the Luc-Caldwell's methode. After operation from biopsy we pathologically diagnosed as the odontoblastoma. This tumor was uncommon, and only 4 Cases were reported in the past literature.

A MULTIPLE MYELOMA IN AN INFANT THAT STIMULATED PRENATAL MAXILLARY MALIGNANCY

Symptoms of swelling of the right cheek and exophthalmos of the right eye were complained of in an infant, aged 1 year and 6 months. With a diagnosis of maxillary sinusitis the infant was operated upon. Microscopic examination of the removed tissue was reported as undiffentiated cell cancer. The patient was treated with radiation therapy, but died about 6 months after the operation. Postmortem examination of the tissue proved the affection to be a multiple myeloma.We are grateful to be instruction and assistance of Prof. Toshikazu Nishihata, chief of the clinic of Oto-rhino-laryngology, Prof. Keizo Kageyama and Kenjiro Arakawa, M. D., at the department of Pathology.This article is released on Feb. 22 in 1959, at 359th Session of Oto-rhino-laryngology in Kanto District, and on June 21 in 1959 at the Societe d'oto-rhino-laryngologie de Bordeaux et du Sud-ouest (Saint-Sebastien).

Congenital Bilateral Hemangioma of the Cervico-Facial Area

A white female, seven weeks of age, presented with swelling of both cheeks, present since birth, and ulceration of the lower lip discovered two weeks after birth. The family history and past medical history were entirely negative. Examination revealed prominent swellings in both cheeks, the left larger than the right. The swelling on the left side extended from the zygomatic arch and malar bone to the lower border of the mandible, with some diffuse extension into the tissues of the neck. Postero-anteriorly, it extended from just anterior to the ear and the angle of the mandible to the commissure of the mouth. In the postero-anterior dimension the swelling appeared separated into two portions; the posterior overlying the masseteric fascia, the more distended anterior occupying the cheek region, from the masseter to the commissure of the mouth and the ala of the nose, limited above by the inferior border of the orbit. The appearance of the right side of the face corresponded in a general way to the left. Telangiectasis was pronounced in both cheeks and extended into the tissues of the neck. There was a small encrusted ulcer 0.5 cm. in diameter in the center of the anterior portion of the swelling of the left cheek. The general appearance of the swelling was that of extreme distension with dilatation and engorgement of superficial terminal vessels; the skin being tense and red. There were several areas, 1 cm. in diameter, that appeared purplish or bluish in color. Upon palpation the mass was soft and compressible and gave a distinct sense of

比較的稀有なる癩の數例

1. Two relative young children showed typical symptoms of leprosy.A boy in his 3 and a half of age showed leprous symptoms. There were found the maculae on his left cheek, arms and right leg. Besides, on his left cheek swelling of the skin nerves was noticed. Lepra bacilli were obtained with difficulty in his nasal secretion. From the hematological point of view, eosinophylia and lymphocitose were noticed. Histological examination of the maculae demonstrated an appearance of so-coiled Lepra tuberculoid. In another case, a little girl Korean, and 6 years and 2 months old. Leprous maculae, eagleclawed hands and swelling of a few cutaneous nerves were observed.2. The relation beteween tattooing and lepra bacilli. Aman, 52 years old, tattooed on his back, arms and thigh at the age of 18. At the age of 42, there appeared leprous maculae on his arms. In the present time suffered from serious nodular leprosy. At the site of tattooed skin with mercuric sulphide, there appeared leprous. There also were observed lepra bacilli and pigmentin a cell of leprous tissues.3. Two cases of macula, which appeared on the abdomen.A case, is a woman of 33, and another a woman of 51. Both of them are attacked with macular leprosy. On their abdomen, leprous macula spread from the loin to the mons Veneris.4. Two cases of the macula on the labium majus pudendi.Occationally on the penis and scrotum there is found leprous macula or nodulus. But on the labium majus pudendi the author has found no leprous change. Recently the author observed leprous macula on this part in 2 cases.A case was 23 years old, and another 19 years old. Both of them were attacked with macular leprosy. In the latter case leprous symptoms appeared at the age of 12. From this trouble her growth ceased and she seemed as an unmatured girl.5. A case of macula which was found close by the perineal region and the anus.A woman, at the age of 26, macular leprosy, had a leprous macula which spread from the buttocks to the near part of the anus through the perineum.6. A case of macula spreading to the axilla.In a girl of 17 years old a macula spread from the breast to the axilla.

SUCCESSFUL TREATMENT OF NOMA WITH FORMALDEHYDE

Authorities agree that the mortality from gangrenous stomatitis (noma) is extremely high—90 per cent and above. The treatments suggested consist of application of fuming nitric acid, actual cautery or wide excision without any consideration of the future cosmetic effect. The following two cases are reported because in one case the result was remarkable after the application of undiluted solution of formaldehyde (British Pharmacopeia). REPORT OF CASES Case1.—A native of Sierra Leone, a boy about 15 months old, was admitted to the hospital with swelling of the left cheek and a black circle several millimeters in diameter near the angle of the mouth. Examination of the inside of the mouth revealed a large foul-smelling ulcer filled with debris from tissue. Many of the teeth above and below on the left side were loose because the process had invaded the gums and periosteum. With the child under ether anesthesia the loose

A Case of Sarcoma of the Antrum, Complicated by Pregnancy, Treated by Irradiation

THE patient, a white female, 29 years of age, housewife, born in the United States, was admitted to the Cancer Clinic on May 5, 1933, complaining of pain in the left upper gum, swelling of the left cheek, and loss of weight (15 pounds in five months). Her present illness had started with pain in the left upper gum six months prior to her admission. She had consulted her dentist, who extracted several teeth from that area. Having had no relief, she went to another dentist, who extracted some more teeth. Because her condition did not improve following this treatment, the patient went to a city hospital for advice in April, 1933, at which time there had developed a small growth on her gum. A small piece of this growth was removed for diagnosis at this hospital. She was then referred to the Cancer Institute. The biopsy report was spindle-cell sarcoma. There was nothing in the past history relevant to the present condition. Examination on the day of admission, May 5, 1933, revealed a swelling of the left maxil...

DENTIGEROUS CYST OF THE UPPER JAW INVOLVING THE ANTRUM OF HIGHMORE

The following case is presented on account of the comparative rarity of this condition, and because there was an opportunity to study in detail the histologic appearance of the material removed at operation. REPORT OF CASE Miss D. L., aged 20, consulted me on July 21, 1926, for a swelling of the left cheek, tearing of the left eye and blocking of the left nostril. She was a well developed, well nourished girl, the oldest of a family of eight children, who were all living and well. The family and personal histories were irrelevant. Since the age of 12 years, the patient had had trouble with her left upper lateral incisor. One year previous to her present complaints, she was treated for about six months for an abscess of the root of this tooth; eventually a pivot tooth was inserted into the root. The patient was wearing this pivot tooth

Chronic Swelling of Cheek

Chronic Swelling of Cheek

Radiation in the Treatment of Bone Tumors

THE radiation therapy of bone tumor has not been prosecuted with any degree of enthusiasm, and statistical reports are so unconvincing that no one is justified in drawing conclusions from the scanty literature on the subject. The direct question confronts us: Has radiation therapy of bone tumor proven of sufficient value to be seriously considered as a promising therapeutic agent in this field of pathology? It may be asserted that radiation has at least accomplished as much in bone tumor as any other type of treatment heretofore considered and used, but such a claim would not be sufficient to stimulate further study in this direction. From personal experience, we feel that we can look upon radiation as holding out a distinct promise, though we are not as yet on thoroughly proven ground. The bone field for radiation therapy is sharply denned. Simple bone tumors, including exostoses, certain types of bone cysts and chondromas, are distinctly surgical problems. On the other hand, inflammatory tumors, sarcomas and carcinomas, are, in our opinion, preferably to be considered radiological problems. One year ago, one of us (W. E. C.) presented a report before this Society wherein three apparently clinical cures could be claimed in cases from our own service. These three cases have just been rechecked and found to be normal at this date. Since then, we have added another even more striking case that we had lost track of, but upon which complete data will be presented herewith. A brief résumé of this fourth case is as follows: Mrs. S. K., age 56, adamantinoma right lower jaw. Reported for treatment February 13, 1922. Patient first noticed some enlargement of the right jaw and cheek about twenty years ago, a condition which increased gradually. The growth interfered with eating and, about eight years ago, she consulted a physician. At that time some teeth were pulled, but her physician advised her that it would be unwise to attempt operation. After this, she consulted several other surgeons and was advised that nothing could be done. The X-ray diagnosis was adamantinoma. During the past year the tumor had been enlarging more rapidly than before. General health good. No pain, but considerable difficulty in eating on account of poor dental occlusion. Wassermann negative. Examination.—Marked swelling of right lower jaw and cheek by a rounded mass about 8 to 10 cm. thick in its widest diameter. Tissue is of stony hardness. Protrusion of mass into floor of mouth, with misplacement of gum and teeth. Treatment commenced March 31, 1922. Radium needles were buried into the mass from the inside of the mouth and heavily filtered high voltage X-ray was applied externally. The X-ray treatment was repeated several times during the following two years. Nearly two years have elapsed since the patient received the last X-ray treatment. The skin looks normal—tumor mass can scarcely be made out from inspection. Some enlargement still remains in lower ramus.