Sialometaplasia necrotizante. A propósito de un caso

[EN] Introduction: Necrotizing sialometaplasia (NSM) is a benign lesion affecting the salivary glands mainly in the hard palate. It presents as an ulcer with irregular borders, slightly elevated and necrotic The differential diagnosis should include malignant neoplasms. Case Report: A 26-year-old wo...

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Autores: Navazo Eguía, Ana Isabel, García Vicario, Fernando, Suárez Muñíz, Enrique, Gutiérrez Ortega, María Cruz
Formato: artículo
Fecha de publicación:2010
País:España
Recursos:Universidad de Salamanca (USAL)
Repositorio:GREDOS. Repositorio Institucional de la Universidad de Salamanca
OAI Identifier:oai:gredos.usal.es:10366/124375
Acesso em linha:http://hdl.handle.net/10366/124375
Access Level:acceso abierto
Palavra-chave:Otorrinolaringología
Sialometaplasia
Úlcera bucal
Necrotizing sialometaplasia
Oral ulcer
32 Ciencias médicas
id ES_b02742e8b3ecf0b33ef3d6bc25afd4d2
oai_identifier_str oai:gredos.usal.es:10366/124375
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Sialometaplasia necrotizante. A propósito de un caso
title Sialometaplasia necrotizante. A propósito de un caso
spellingShingle Sialometaplasia necrotizante. A propósito de un caso
Navazo Eguía, Ana Isabel
Otorrinolaringología
Sialometaplasia
Úlcera bucal
Necrotizing sialometaplasia
Oral ulcer
32 Ciencias médicas
title_short Sialometaplasia necrotizante. A propósito de un caso
title_full Sialometaplasia necrotizante. A propósito de un caso
title_fullStr Sialometaplasia necrotizante. A propósito de un caso
title_full_unstemmed Sialometaplasia necrotizante. A propósito de un caso
title_sort Sialometaplasia necrotizante. A propósito de un caso
dc.creator.none.fl_str_mv Navazo Eguía, Ana Isabel
García Vicario, Fernando
Suárez Muñíz, Enrique
Gutiérrez Ortega, María Cruz
author Navazo Eguía, Ana Isabel
author_facet Navazo Eguía, Ana Isabel
García Vicario, Fernando
Suárez Muñíz, Enrique
Gutiérrez Ortega, María Cruz
author_role author
author2 García Vicario, Fernando
Suárez Muñíz, Enrique
Gutiérrez Ortega, María Cruz
author2_role author
author
author
dc.subject.none.fl_str_mv Otorrinolaringología
Sialometaplasia
Úlcera bucal
Necrotizing sialometaplasia
Oral ulcer
32 Ciencias médicas
topic Otorrinolaringología
Sialometaplasia
Úlcera bucal
Necrotizing sialometaplasia
Oral ulcer
32 Ciencias médicas
description [EN] Introduction: Necrotizing sialometaplasia (NSM) is a benign lesion affecting the salivary glands mainly in the hard palate. It presents as an ulcer with irregular borders, slightly elevated and necrotic The differential diagnosis should include malignant neoplasms. Case Report: A 26-year-old woman sought medical advice for a painful 2 cm ulceration of the hard palate. She is carrying pierced tongue. The patient had a history of cigarette smoking, chronic anxiety disorder and bulimia,. Analytical normal (including HIV and syphilis serology). Histopathology: accessory gland with squamous metaplasia, pseudoepitheliomatous hyperplasia and conservation lobular architecture. She had an important improvement with total resolution of the lesion in 4 months Discussion: The NSM is a necrotizing inflammatory process. It presents as an ulcer located in the posterior hard palate or the junction between the hard and soft palate. This situation has been associated with local ischemia as surgical trauma, thromboangiitis obliterans, dentures, alcohol, snuff, cocaine, and certain malignancies such as lymphomas, rhabdomyosarcoma or Warthin tumor. Currently associated with bulimia, it being necessary suspected in young women. It is important to rule out neoplasms and infectious processes (tuberculosis or syphilis). Also consider subacute necrotizing sialadenitis, nonspecific acute inflammatory process of unknown cause, with focal necrosis without hyperplasia or ductal metaplasia pseudoepitheliomatous. Treatment is symptomatic and usually resolves in 2-3 months. Conclusion: The NSM is a benign lesion which may mimic neoplasia. The trend is toward resolution. It must be recognized to avoid unnecessary surgery.
publishDate 2010
dc.date.none.fl_str_mv 2010
2014
2014
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10366/124375
url http://hdl.handle.net/10366/124375
dc.language.none.fl_str_mv Español
language_invalid_str_mv Español
dc.rights.none.fl_str_mv Attribution-NonCommercial-NoDerivs 3.0 Unported
https://creativecommons.org/licenses/by-nc-nd/3.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Attribution-NonCommercial-NoDerivs 3.0 Unported
https://creativecommons.org/licenses/by-nc-nd/3.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja
publisher.none.fl_str_mv Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja
dc.source.none.fl_str_mv reponame:GREDOS. Repositorio Institucional de la Universidad de Salamanca
instname:Universidad de Salamanca (USAL)
instname_str Universidad de Salamanca (USAL)
reponame_str GREDOS. Repositorio Institucional de la Universidad de Salamanca
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spelling Sialometaplasia necrotizante. A propósito de un casoNavazo Eguía, Ana IsabelGarcía Vicario, FernandoSuárez Muñíz, EnriqueGutiérrez Ortega, María CruzOtorrinolaringologíaSialometaplasiaÚlcera bucalNecrotizing sialometaplasiaOral ulcer32 Ciencias médicas[EN] Introduction: Necrotizing sialometaplasia (NSM) is a benign lesion affecting the salivary glands mainly in the hard palate. It presents as an ulcer with irregular borders, slightly elevated and necrotic The differential diagnosis should include malignant neoplasms. Case Report: A 26-year-old woman sought medical advice for a painful 2 cm ulceration of the hard palate. She is carrying pierced tongue. The patient had a history of cigarette smoking, chronic anxiety disorder and bulimia,. Analytical normal (including HIV and syphilis serology). Histopathology: accessory gland with squamous metaplasia, pseudoepitheliomatous hyperplasia and conservation lobular architecture. She had an important improvement with total resolution of the lesion in 4 months Discussion: The NSM is a necrotizing inflammatory process. It presents as an ulcer located in the posterior hard palate or the junction between the hard and soft palate. This situation has been associated with local ischemia as surgical trauma, thromboangiitis obliterans, dentures, alcohol, snuff, cocaine, and certain malignancies such as lymphomas, rhabdomyosarcoma or Warthin tumor. Currently associated with bulimia, it being necessary suspected in young women. It is important to rule out neoplasms and infectious processes (tuberculosis or syphilis). Also consider subacute necrotizing sialadenitis, nonspecific acute inflammatory process of unknown cause, with focal necrosis without hyperplasia or ductal metaplasia pseudoepitheliomatous. Treatment is symptomatic and usually resolves in 2-3 months. Conclusion: The NSM is a benign lesion which may mimic neoplasia. The trend is toward resolution. It must be recognized to avoid unnecessary surgery.[ES] INTRODUCIÓN: La sialometaplasia necrotizante (SMN), es una lesión benigna que afecta a las glándulas salivares fundamentalmente en el paladar duro. Se presenta como una úlcera de bordes irregulares, ligeramente elevados y lecho necrótico El diagnóstico diferencial debe incluir neoplasias malignas. CASO CLÍNICO: Mujer de 26 años de edad portadora de piercing en la lengua, fumadora con antecedentes de bulimia nerviosa. Presenta úlcera de 2 cm en región posterior del paladar duro de 2 meses de evolución. Estudio analítico normal (incluida serología VIH y sífilis). Estudio histopatológico: glándula accesoria con metaplasia escamosa ductal, hiperplasia seudoepiteliomatosa y conservación de la arquitectura lobular. Se resolvió espontáneamente en 4 meses. DISCUSIÓN: La SMN es un proceso inflamatorio necrotizante. Se presenta generalmente como una úlcera localizada en la porción posterior del paladar duro o la unión entre el paladar blando y duro. Se ha asociado a situaciones de isquemia local como traumatismos quirúrgicos, tromboangeitis obliterante, prótesis dentales, alcohol, tabaco, consumo de cocaína, y ciertas neoplasias como linfomas, rabdomiosarcomas o tumor de Warthin. Actualmente se relaciona con la bulimia, debiéndose sospechar en mujeres jóvenes. Es importante descartar neoplasias y procesos infecciosos (tuberculosis o sífilis). También se debe considerar la sialoadenitis necrótica subaguda, proceso inflamatorio agudo inespecífico de causa desconocida, con necrosis focal, sin metaplasia ductal ni hiperplasia seudoepiteliomatosa. El tratamiento es sintomático y generalmente se resuelve en 2- 3 meses. CONCLUSION: La SMN es una lesión benigna que puede simular una neoplasia. La evolución es hacia la resolución. Debe reconocerse para evitar cirugías innecesarias.Sociedad Otorrinolaringológica de Castilla y León, Cantabria y La Rioja201420142010info:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10366/124375reponame:GREDOS. Repositorio Institucional de la Universidad de Salamancainstname:Universidad de Salamanca (USAL)EspañolAttribution-NonCommercial-NoDerivs 3.0 Unportedhttps://creativecommons.org/licenses/by-nc-nd/3.0/info:eu-repo/semantics/openAccessoai:gredos.usal.es:10366/1243752026-06-07T06:28:51Z
score 15.228081

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