Primary Oral Malignancy Imitating Peri-Implantitis
Purpose To describe new cases of primary malignancy arising around dental implants. Materials and Methods Three patients presented with asymptomatic lesions around longstanding dental implants that resembled peri-implantitis. One case was primary large B-cell lymphoma and the remaining cases were pr...
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| Veröffentlicht in: | Journal of oral and maxillofacial surgery 2016-07, Vol.74 (7), p.1383-1390 |
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| container_title | Journal of oral and maxillofacial surgery |
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| creator | Raiser, Vadim, DMD Abu-El Naaj, Immad, DMD Shlomi, Benjamin, DMD Fliss, Dan M., PhD Kaplan, Ilana, PhD |
| description | Purpose To describe new cases of primary malignancy arising around dental implants. Materials and Methods Three patients presented with asymptomatic lesions around longstanding dental implants that resembled peri-implantitis. One case was primary large B-cell lymphoma and the remaining cases were primary squamous cell carcinoma in patients with oral lichen planus. The literature was reviewed for cases mimicking peri-implantitis. Results Of 42 implant-associated malignancies reported from 2000 through 2014, 85.7% were squamous cell carcinoma (69% primary and 9.4% metastatic). Most patients presented with pre-existing risk factors for oral cancer. Lymphoma was not associated with dental implants. Conclusions Primary and metastatic malignancies can occur in peri-implant mucosa, often with clinical and radiographic features resembling peri-implantitis. Clinicians should have a high index of suspicion for changes in peri-implant mucosa in patients with existing risk factors; however, rare cases such as lymphoma might present outside this risk population. Histopathologic analysis should be included in the management of selected peri-implant lesions to avoid delayed diagnosis of malignancy. |
| doi_str_mv | 10.1016/j.joms.2016.02.008 |
| format | Article |
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Materials and Methods Three patients presented with asymptomatic lesions around longstanding dental implants that resembled peri-implantitis. One case was primary large B-cell lymphoma and the remaining cases were primary squamous cell carcinoma in patients with oral lichen planus. The literature was reviewed for cases mimicking peri-implantitis. Results Of 42 implant-associated malignancies reported from 2000 through 2014, 85.7% were squamous cell carcinoma (69% primary and 9.4% metastatic). Most patients presented with pre-existing risk factors for oral cancer. Lymphoma was not associated with dental implants. Conclusions Primary and metastatic malignancies can occur in peri-implant mucosa, often with clinical and radiographic features resembling peri-implantitis. Clinicians should have a high index of suspicion for changes in peri-implant mucosa in patients with existing risk factors; however, rare cases such as lymphoma might present outside this risk population. Histopathologic analysis should be included in the management of selected peri-implant lesions to avoid delayed diagnosis of malignancy.</description><identifier>ISSN: 0278-2391</identifier><identifier>EISSN: 1531-5053</identifier><identifier>DOI: 10.1016/j.joms.2016.02.008</identifier><identifier>PMID: 26973225</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Aged ; Biopsy ; Carcinoma, Squamous Cell - diagnosis ; Carcinoma, Squamous Cell - pathology ; Carcinoma, Squamous Cell - surgery ; Dentistry ; Diagnosis, Differential ; Female ; Humans ; Jaw Neoplasms - diagnosis ; Jaw Neoplasms - pathology ; Jaw Neoplasms - surgery ; Lymphoma, B-Cell - diagnosis ; Lymphoma, B-Cell - pathology ; Lymphoma, B-Cell - surgery ; Male ; Middle Aged ; Mouth Neoplasms - diagnosis ; Mouth Neoplasms - pathology ; Mouth Neoplasms - surgery ; Peri-Implantitis - diagnosis ; Risk Factors ; Surgery</subject><ispartof>Journal of oral and maxillofacial surgery, 2016-07, Vol.74 (7), p.1383-1390</ispartof><rights>American Association of Oral and Maxillofacial Surgeons</rights><rights>2016 American Association of Oral and Maxillofacial Surgeons</rights><rights>Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c411t-177197b08e92485f6736e24bba0ab8fd3c4acb438d0235ea287fd01b398e1d683</citedby><cites>FETCH-LOGICAL-c411t-177197b08e92485f6736e24bba0ab8fd3c4acb438d0235ea287fd01b398e1d683</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.joms.2016.02.008$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26973225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raiser, Vadim, DMD</creatorcontrib><creatorcontrib>Abu-El Naaj, Immad, DMD</creatorcontrib><creatorcontrib>Shlomi, Benjamin, DMD</creatorcontrib><creatorcontrib>Fliss, Dan M., PhD</creatorcontrib><creatorcontrib>Kaplan, Ilana, PhD</creatorcontrib><title>Primary Oral Malignancy Imitating Peri-Implantitis</title><title>Journal of oral and maxillofacial surgery</title><addtitle>J Oral Maxillofac Surg</addtitle><description>Purpose To describe new cases of primary malignancy arising around dental implants. Materials and Methods Three patients presented with asymptomatic lesions around longstanding dental implants that resembled peri-implantitis. One case was primary large B-cell lymphoma and the remaining cases were primary squamous cell carcinoma in patients with oral lichen planus. The literature was reviewed for cases mimicking peri-implantitis. Results Of 42 implant-associated malignancies reported from 2000 through 2014, 85.7% were squamous cell carcinoma (69% primary and 9.4% metastatic). Most patients presented with pre-existing risk factors for oral cancer. Lymphoma was not associated with dental implants. Conclusions Primary and metastatic malignancies can occur in peri-implant mucosa, often with clinical and radiographic features resembling peri-implantitis. Clinicians should have a high index of suspicion for changes in peri-implant mucosa in patients with existing risk factors; however, rare cases such as lymphoma might present outside this risk population. Histopathologic analysis should be included in the management of selected peri-implant lesions to avoid delayed diagnosis of malignancy.</description><subject>Aged</subject><subject>Biopsy</subject><subject>Carcinoma, Squamous Cell - diagnosis</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>Carcinoma, Squamous Cell - surgery</subject><subject>Dentistry</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Jaw Neoplasms - diagnosis</subject><subject>Jaw Neoplasms - pathology</subject><subject>Jaw Neoplasms - surgery</subject><subject>Lymphoma, B-Cell - diagnosis</subject><subject>Lymphoma, B-Cell - pathology</subject><subject>Lymphoma, B-Cell - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mouth Neoplasms - diagnosis</subject><subject>Mouth Neoplasms - pathology</subject><subject>Mouth Neoplasms - surgery</subject><subject>Peri-Implantitis - diagnosis</subject><subject>Risk Factors</subject><subject>Surgery</subject><issn>0278-2391</issn><issn>1531-5053</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kc1LxDAQxYMouq7-Ax5kj15aM0nbpCCCLH4srCio55CmU0ntx5p0hf3vTdnVgwdPM4f3HvN-Q8gZ0BgoZJd1XPetj1nYY8piSuUemUDKIUppyvfJhDIhI8ZzOCLH3teUAqQiOyRHLMsFZyydEPbsbKvdZvbkdDN71I1973RnNrNFawc92O599ozORot21ehusIP1J-Sg0o3H092ckre729f5Q7R8ul_Mb5aRSQCGCISAXBRUYs4SmVaZ4BmypCg01YWsSm4SbYqEy5IynqJmUlQlhYLnEqHMJJ-Si23uyvWfa_SDaq032IQ7sF97BTIU4lSyLEjZVmpc773DSq22tRRQNbJStRpZqZGVokwFVsF0vstfFy2Wv5YfOEFwtRVgaPll0SlvLHYGS-vQDKrs7f_513_sprGdNbr5wA36ul-7LvBToHwwqJfxW-OzIAu9hEj4N3OOjhM</recordid><startdate>20160701</startdate><enddate>20160701</enddate><creator>Raiser, Vadim, DMD</creator><creator>Abu-El Naaj, Immad, DMD</creator><creator>Shlomi, Benjamin, DMD</creator><creator>Fliss, Dan M., PhD</creator><creator>Kaplan, Ilana, PhD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20160701</creationdate><title>Primary Oral Malignancy Imitating Peri-Implantitis</title><author>Raiser, Vadim, DMD ; Abu-El Naaj, Immad, DMD ; Shlomi, Benjamin, DMD ; Fliss, Dan M., PhD ; Kaplan, Ilana, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c411t-177197b08e92485f6736e24bba0ab8fd3c4acb438d0235ea287fd01b398e1d683</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Biopsy</topic><topic>Carcinoma, Squamous Cell - diagnosis</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>Carcinoma, Squamous Cell - surgery</topic><topic>Dentistry</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Jaw Neoplasms - diagnosis</topic><topic>Jaw Neoplasms - pathology</topic><topic>Jaw Neoplasms - surgery</topic><topic>Lymphoma, B-Cell - diagnosis</topic><topic>Lymphoma, B-Cell - pathology</topic><topic>Lymphoma, B-Cell - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mouth Neoplasms - diagnosis</topic><topic>Mouth Neoplasms - pathology</topic><topic>Mouth Neoplasms - surgery</topic><topic>Peri-Implantitis - diagnosis</topic><topic>Risk Factors</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raiser, Vadim, DMD</creatorcontrib><creatorcontrib>Abu-El Naaj, Immad, DMD</creatorcontrib><creatorcontrib>Shlomi, Benjamin, DMD</creatorcontrib><creatorcontrib>Fliss, Dan M., PhD</creatorcontrib><creatorcontrib>Kaplan, Ilana, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral and maxillofacial surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raiser, Vadim, DMD</au><au>Abu-El Naaj, Immad, DMD</au><au>Shlomi, Benjamin, DMD</au><au>Fliss, Dan M., PhD</au><au>Kaplan, Ilana, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Primary Oral Malignancy Imitating Peri-Implantitis</atitle><jtitle>Journal of oral and maxillofacial surgery</jtitle><addtitle>J Oral Maxillofac Surg</addtitle><date>2016-07-01</date><risdate>2016</risdate><volume>74</volume><issue>7</issue><spage>1383</spage><epage>1390</epage><pages>1383-1390</pages><issn>0278-2391</issn><eissn>1531-5053</eissn><abstract>Purpose To describe new cases of primary malignancy arising around dental implants. Materials and Methods Three patients presented with asymptomatic lesions around longstanding dental implants that resembled peri-implantitis. One case was primary large B-cell lymphoma and the remaining cases were primary squamous cell carcinoma in patients with oral lichen planus. The literature was reviewed for cases mimicking peri-implantitis. Results Of 42 implant-associated malignancies reported from 2000 through 2014, 85.7% were squamous cell carcinoma (69% primary and 9.4% metastatic). Most patients presented with pre-existing risk factors for oral cancer. Lymphoma was not associated with dental implants. Conclusions Primary and metastatic malignancies can occur in peri-implant mucosa, often with clinical and radiographic features resembling peri-implantitis. Clinicians should have a high index of suspicion for changes in peri-implant mucosa in patients with existing risk factors; however, rare cases such as lymphoma might present outside this risk population. Histopathologic analysis should be included in the management of selected peri-implant lesions to avoid delayed diagnosis of malignancy.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26973225</pmid><doi>10.1016/j.joms.2016.02.008</doi><tpages>8</tpages></addata></record> |
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| subjects | Aged Biopsy Carcinoma, Squamous Cell - diagnosis Carcinoma, Squamous Cell - pathology Carcinoma, Squamous Cell - surgery Dentistry Diagnosis, Differential Female Humans Jaw Neoplasms - diagnosis Jaw Neoplasms - pathology Jaw Neoplasms - surgery Lymphoma, B-Cell - diagnosis Lymphoma, B-Cell - pathology Lymphoma, B-Cell - surgery Male Middle Aged Mouth Neoplasms - diagnosis Mouth Neoplasms - pathology Mouth Neoplasms - surgery Peri-Implantitis - diagnosis Risk Factors Surgery |
| title | Primary Oral Malignancy Imitating Peri-Implantitis |
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