Bluish oral lesions on the neonatal alveolar ridge Literature review
Fotios BOUNTANIOTIS, Nadia THEOLOGIE-LYGIDAKIS
Department of Oral and Maxillofacial Surgery (Head: Prof. I. Iatrou), School of Dentistry, National and Kapodistrian University of Athens, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2016) 2, 77-87
SUMMARY: There are some oral lesions that may appear on the neonatal alveolar ridge presenting similar clinical features. Clinical differential diagnosis of bluish lesions in- cludes eruption cyst, melanotic neuroectodermal tumor, alveolar hemangioma and lymphagioma and oral melanoma. Each one of these lesions presents special clinical, radiographic and histopathological characteristics and different biological behavior, requiring different treatment approach. The aim of this literature review is to present and discuss these lesions so as pediatricians, pediatric dentists and maxillofacial surgeons, who will examine the neonate, to be informed in order to diagnose them early and treat them appropriately.
KEY WORDS: Melanotic neuroectodermal tumor, eruption cyst, hemangioma, lymphagioma, melanoma, neonatal oral tumors
REFERENCES
Aggelopoulou Ε, Alexandridis Κ, Katsikeris Ν, Αggelopoulos ΑP: Μela- notic neuroectodermal tumor of infancy. Case report. Paedodon- tia 16(3):147-152, 2002
Araujo PPC, Tincani AJ, Paiva VP, Neta ISL, Cardinalle IA, Pereira RDC, Brandalise SR: Melanotic neuroectodermal tumor of in- fancy (progonoma)-Clinical, radiological, pathological features and literature review. Int. J. Pediatr. Otorhinolaryngol 2:111-115, 2007
Bangi BB, Tejasvi MLA: Melanotic neuroectodermal tumour of infancy: A rare case report with differential diagnosis and review of the literature. Contemp Clin Dent 3(1):108-112, 2012
Barrett AW, Morgan M, Ramsay AD, Farthing PM, Newman L, Speight PM: A clinicopathologic and immunohistochemical analysis of melanotic neuroectodermal tumor of infancy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:688-698, 2002
Bonet-Coloma C, Mínguez-Martínez I, Palma-Carrio C, Galán-Gil S, Pe- narrocha-Diago M, Mínguez-Sanz JM: Clinical characteristics, treat- ment and outcome of 28 oral haemangiomas in pediatric patients. Med Oral Patol Oral Cir Bucal 16(1):19-22, 2011
Femiano F, Lanza A, Buonaiuto C, Gombos F, Di Spirito F, Cirillo N: Oral malignant melanoma: a review of the literature. J Oral Pathol Med 37:383-388, 2008
FitzGerald K, Barry S, Fleming P: Alveolar lymphangioma in infants: re- port of two cases. J Ir Dent Assoc 55(3):144-145, 2009
Gantidis N, Georgiadis A, Arapostathis NK, Patsourou GI: Eruption of premature teeth: Symptoms - Problems. Paedodontia 21(1): 31- 43, 2007
George A, Mani V, Noufal A: Update on the classification of heman- gioma. J Oral Maxillofac Pathol 18:117-120, 2014
Gill JS, Gill S, Bhardwaj A, Grover HS: Oral haemangioma. Case Rep Med. 2012; 2012:347939. doi: 10.1155/2012/347939. Epub 2012
Feb 6.
Gomez-Oliveira G, García-Rozado A, Luaces-Rey R: Intraosseous mandibular hemangioma. A case report and review of the litera- ture. Med Oral Patol Oral Cir Bucal 13(8):496-498, 2008
Goncalves CF, Costa NL, Oliveira-Neto HH, Jesus LA, Sant’Ana SS, Leles JL, Silva M, Mendonca EF, Batista AC: Melanotic Neuroec- todermal Tumor of Infancy. J Oral Maxillofac Surg 68:2341-2346, 2010
Gonzalez-Garcia R, Naval-Gias L, Martos PL, Nam-Cha SH, Rodriguez- Campo FJ, Munoz-Guerra MF, Sastre-Perez J: Melanoma of the oral mucosa. Clinical cases and review of the literature. Med Oral Patol Oral Cir Bucal 10:264-271, 2005
Handa H, Naidu GS, Dara BGB, Deshpande A, Raghavendra R: Diverse imaging characteristics of a mandibular intraosseous vascular le- sion. Imaging Sci Dent 44:67-73, 2014
Ιatrou Ι., Αdonopoulou Μ, Τzerbos F, Hatzigiannis Ν, Sklavounou Α: Melanotic neuroectodermal tumor of infancy. Report of a case with aggressive behaviour and review of the literature. Paedodon- tia 19(4):158-165, 2005
Kolay SK, Jha PK, Sinha RK, Kumar P: Oral Lymphangioma: A Review. J Clin Den Res Edu 1:42-46, 2012
Kruse-Losler B, Gaertner C, Burger H, Seper L, Joos U, Kleinheinz J: Melanotic neuroectodermal tumor of infancy: systematic review of the literature and presentation of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:204-216, 2006
Madrid C, Aziza J, Hlali A, Bouferrache K, Abarca M.: Melanotic neu- roectodermal tumour of infancy: A case report and review of the aetiopathogenic hypotheses. Med Oral Patol Oral Cir Bucal 15(5):739-742, 2010
Nagaveni NB, Umashankara KV, Radhika NB, Maj Satisha TS: Eruption cyst: A literature review and four case reports. Indian J Dent Res 22:148-151, 2011
Navas RMA, Mendoza MGM, Leonardo MR, da Silva RAB, Herrera HW, Herrera HP: Congenital Eruption Cyst: A Case Report. Braz Dent J 21(3):259-262, 2010
Nazir B, Gupta H, Chaturvedi AK, Rao SA, Jena A: Melanotic neuroec- todermal tumor of infancy: discussion of a case and a review of the imaging findings. Cancer Imaging 9:121-125, 2009
Nelson ZL, Newman L, Loukota RA, Williams DM: Melanotic neu- roectodermal tumour of infancy: an immunohistochemical and ul- trastructural study. Br J Oral Maxillo fac Surg 33(6):375-380, 1995 Neven J, Hulsbergen–van der Kaa C, Groot-Loonen J, de Wilde PCM, Merkx MAW: Recurrent melanotic neuroectodermal tumor of infancy: a proposal for treatment protocol with surgery and adju- vant chemotherapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:493-496, 2008
Oliveira MG, Thompson LDR, Chaves ACM, Rados PV, Lauxen I.S, Filho MS: Management of Melanotic Neuroectodermal Tumor of Infancy. Ann Diagn Pathol 8: 207-212, 2004
Owens JM, Gomez JA, Byers RM: Malignant melanoma in the palate of a 3-month-old child. Head Neck 24(1):91-4, 2002
Pattanayak (Mohanty) S, Ray JG, Richa, Mukherjee S, Mandal C, Chaud- huri K. Melanotic neuroectodermal tumour of infancy. BMJ Case Reports 2010; 10.1136/bcr.01.2010.2645.
Puchalski R, Shah UK, Carpentieri D, McLaughlin R, Handler SD: Melan- otic neuroectodermal tumor of infancy (MNTI) of the hard palate: presentation and management. Int J Pediatr Otorhinolaryngol 53:163-168, 2000
Rustagi A, Roychoudhury A, Karak AK: Melanotic Neuroectodermal Tumor of Infancy. J Oral Maxillofac Surg 69:1120-1124, 2011
Selim H, Shaheen, Barakat K, Selim: A Melanotic neuroectodermal tumor of infancy: Review of literature and case report. J Pediatr Surg. 43:25-29, 2008
Sunil S, Gopakumar D, Sreenivasan BS: Oral lymphangioma - Case re- ports and review of literature. Contemp Clin Dent 3(1):116-118, 2012
Theologie-Lygidakis N, Schoinohoriti OK, Tzerbos F, Iatrou I: Surgical management of head and neck vascular anomalies in children: a retrospective analysis of 42 patients. Oral Surg Oral Med Oral Pathol Oral Radiol 117: 22-31, 2014
Uratani AM, Perez DEC, Vargas PA, Jorge J, Lopes MA: Oral melanoma: review of the Literature. Braz J Oral Sci 3(9):428-432, 2004
Vasconcelos MG, Santos BC, Lemos LCP, Ribeiro BF, Iglesias DPP, Vas- concelos RG, Costa de Medeiros AM: Oral lymphangioma: Case report. RSBO 8:352-356, 2011
Werle AH, Kirse DJ, Nopper AJ, Toboada EM: Osseous hemangioma of the maxilla in an infant. Otolaryngol Head Neck Surg 128(6):906-909, 2003
Wilson S, Gould AR, Wolff C: Multiple lymphangiomas of the alve- olar ridge in a neonate: case study. Pediatr Dent 8(3):231-234, 1986
Yildirim G, Caliscan U, Akca CN, Dolanmaz D, Toy H: Melanotic neu- roectodermal tumor of infancy in the maxilla: A case report. Int J Pediatr Otorhinolaryngol 6:351-354, 2011
Zarakas M, Tsinidou K, Triantafyllou C, Megalogianni E, Tosios KI: Double eruption cyst in a newborn boy. Case report and review of the literature. Hellenic Arch Oral Maxillofac Surg 1:41-48, 2012
Zheng JW, Zhang L, Zhou Q, Mai HM, Wang YA, Fan XD, Qin ZP, Wang XK, Zhao YF: A practical guide to treatment of infantile hemangiomas of the head and neck. Int J Clin Exp Med 6(10):851- 860, 2013
Department of Oral and Maxillofacial Surgery (Head: Prof. I. Iatrou), School of Dentistry, National and Kapodistrian University of Athens, Greece
Hellenic Archives of Oral & Maxillofacial Surgery (2016) 2, 77-87
SUMMARY: There are some oral lesions that may appear on the neonatal alveolar ridge presenting similar clinical features. Clinical differential diagnosis of bluish lesions in- cludes eruption cyst, melanotic neuroectodermal tumor, alveolar hemangioma and lymphagioma and oral melanoma. Each one of these lesions presents special clinical, radiographic and histopathological characteristics and different biological behavior, requiring different treatment approach. The aim of this literature review is to present and discuss these lesions so as pediatricians, pediatric dentists and maxillofacial surgeons, who will examine the neonate, to be informed in order to diagnose them early and treat them appropriately.
KEY WORDS: Melanotic neuroectodermal tumor, eruption cyst, hemangioma, lymphagioma, melanoma, neonatal oral tumors
REFERENCES
Aggelopoulou Ε, Alexandridis Κ, Katsikeris Ν, Αggelopoulos ΑP: Μela- notic neuroectodermal tumor of infancy. Case report. Paedodon- tia 16(3):147-152, 2002
Araujo PPC, Tincani AJ, Paiva VP, Neta ISL, Cardinalle IA, Pereira RDC, Brandalise SR: Melanotic neuroectodermal tumor of in- fancy (progonoma)-Clinical, radiological, pathological features and literature review. Int. J. Pediatr. Otorhinolaryngol 2:111-115, 2007
Bangi BB, Tejasvi MLA: Melanotic neuroectodermal tumour of infancy: A rare case report with differential diagnosis and review of the literature. Contemp Clin Dent 3(1):108-112, 2012
Barrett AW, Morgan M, Ramsay AD, Farthing PM, Newman L, Speight PM: A clinicopathologic and immunohistochemical analysis of melanotic neuroectodermal tumor of infancy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 93:688-698, 2002
Bonet-Coloma C, Mínguez-Martínez I, Palma-Carrio C, Galán-Gil S, Pe- narrocha-Diago M, Mínguez-Sanz JM: Clinical characteristics, treat- ment and outcome of 28 oral haemangiomas in pediatric patients. Med Oral Patol Oral Cir Bucal 16(1):19-22, 2011
Femiano F, Lanza A, Buonaiuto C, Gombos F, Di Spirito F, Cirillo N: Oral malignant melanoma: a review of the literature. J Oral Pathol Med 37:383-388, 2008
FitzGerald K, Barry S, Fleming P: Alveolar lymphangioma in infants: re- port of two cases. J Ir Dent Assoc 55(3):144-145, 2009
Gantidis N, Georgiadis A, Arapostathis NK, Patsourou GI: Eruption of premature teeth: Symptoms - Problems. Paedodontia 21(1): 31- 43, 2007
George A, Mani V, Noufal A: Update on the classification of heman- gioma. J Oral Maxillofac Pathol 18:117-120, 2014
Gill JS, Gill S, Bhardwaj A, Grover HS: Oral haemangioma. Case Rep Med. 2012; 2012:347939. doi: 10.1155/2012/347939. Epub 2012
Feb 6.
Gomez-Oliveira G, García-Rozado A, Luaces-Rey R: Intraosseous mandibular hemangioma. A case report and review of the litera- ture. Med Oral Patol Oral Cir Bucal 13(8):496-498, 2008
Goncalves CF, Costa NL, Oliveira-Neto HH, Jesus LA, Sant’Ana SS, Leles JL, Silva M, Mendonca EF, Batista AC: Melanotic Neuroec- todermal Tumor of Infancy. J Oral Maxillofac Surg 68:2341-2346, 2010
Gonzalez-Garcia R, Naval-Gias L, Martos PL, Nam-Cha SH, Rodriguez- Campo FJ, Munoz-Guerra MF, Sastre-Perez J: Melanoma of the oral mucosa. Clinical cases and review of the literature. Med Oral Patol Oral Cir Bucal 10:264-271, 2005
Handa H, Naidu GS, Dara BGB, Deshpande A, Raghavendra R: Diverse imaging characteristics of a mandibular intraosseous vascular le- sion. Imaging Sci Dent 44:67-73, 2014
Ιatrou Ι., Αdonopoulou Μ, Τzerbos F, Hatzigiannis Ν, Sklavounou Α: Melanotic neuroectodermal tumor of infancy. Report of a case with aggressive behaviour and review of the literature. Paedodon- tia 19(4):158-165, 2005
Kolay SK, Jha PK, Sinha RK, Kumar P: Oral Lymphangioma: A Review. J Clin Den Res Edu 1:42-46, 2012
Kruse-Losler B, Gaertner C, Burger H, Seper L, Joos U, Kleinheinz J: Melanotic neuroectodermal tumor of infancy: systematic review of the literature and presentation of a case. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 102:204-216, 2006
Madrid C, Aziza J, Hlali A, Bouferrache K, Abarca M.: Melanotic neu- roectodermal tumour of infancy: A case report and review of the aetiopathogenic hypotheses. Med Oral Patol Oral Cir Bucal 15(5):739-742, 2010
Nagaveni NB, Umashankara KV, Radhika NB, Maj Satisha TS: Eruption cyst: A literature review and four case reports. Indian J Dent Res 22:148-151, 2011
Navas RMA, Mendoza MGM, Leonardo MR, da Silva RAB, Herrera HW, Herrera HP: Congenital Eruption Cyst: A Case Report. Braz Dent J 21(3):259-262, 2010
Nazir B, Gupta H, Chaturvedi AK, Rao SA, Jena A: Melanotic neuroec- todermal tumor of infancy: discussion of a case and a review of the imaging findings. Cancer Imaging 9:121-125, 2009
Nelson ZL, Newman L, Loukota RA, Williams DM: Melanotic neu- roectodermal tumour of infancy: an immunohistochemical and ul- trastructural study. Br J Oral Maxillo fac Surg 33(6):375-380, 1995 Neven J, Hulsbergen–van der Kaa C, Groot-Loonen J, de Wilde PCM, Merkx MAW: Recurrent melanotic neuroectodermal tumor of infancy: a proposal for treatment protocol with surgery and adju- vant chemotherapy. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 106:493-496, 2008
Oliveira MG, Thompson LDR, Chaves ACM, Rados PV, Lauxen I.S, Filho MS: Management of Melanotic Neuroectodermal Tumor of Infancy. Ann Diagn Pathol 8: 207-212, 2004
Owens JM, Gomez JA, Byers RM: Malignant melanoma in the palate of a 3-month-old child. Head Neck 24(1):91-4, 2002
Pattanayak (Mohanty) S, Ray JG, Richa, Mukherjee S, Mandal C, Chaud- huri K. Melanotic neuroectodermal tumour of infancy. BMJ Case Reports 2010; 10.1136/bcr.01.2010.2645.
Puchalski R, Shah UK, Carpentieri D, McLaughlin R, Handler SD: Melan- otic neuroectodermal tumor of infancy (MNTI) of the hard palate: presentation and management. Int J Pediatr Otorhinolaryngol 53:163-168, 2000
Rustagi A, Roychoudhury A, Karak AK: Melanotic Neuroectodermal Tumor of Infancy. J Oral Maxillofac Surg 69:1120-1124, 2011
Selim H, Shaheen, Barakat K, Selim: A Melanotic neuroectodermal tumor of infancy: Review of literature and case report. J Pediatr Surg. 43:25-29, 2008
Sunil S, Gopakumar D, Sreenivasan BS: Oral lymphangioma - Case re- ports and review of literature. Contemp Clin Dent 3(1):116-118, 2012
Theologie-Lygidakis N, Schoinohoriti OK, Tzerbos F, Iatrou I: Surgical management of head and neck vascular anomalies in children: a retrospective analysis of 42 patients. Oral Surg Oral Med Oral Pathol Oral Radiol 117: 22-31, 2014
Uratani AM, Perez DEC, Vargas PA, Jorge J, Lopes MA: Oral melanoma: review of the Literature. Braz J Oral Sci 3(9):428-432, 2004
Vasconcelos MG, Santos BC, Lemos LCP, Ribeiro BF, Iglesias DPP, Vas- concelos RG, Costa de Medeiros AM: Oral lymphangioma: Case report. RSBO 8:352-356, 2011
Werle AH, Kirse DJ, Nopper AJ, Toboada EM: Osseous hemangioma of the maxilla in an infant. Otolaryngol Head Neck Surg 128(6):906-909, 2003
Wilson S, Gould AR, Wolff C: Multiple lymphangiomas of the alve- olar ridge in a neonate: case study. Pediatr Dent 8(3):231-234, 1986
Yildirim G, Caliscan U, Akca CN, Dolanmaz D, Toy H: Melanotic neu- roectodermal tumor of infancy in the maxilla: A case report. Int J Pediatr Otorhinolaryngol 6:351-354, 2011
Zarakas M, Tsinidou K, Triantafyllou C, Megalogianni E, Tosios KI: Double eruption cyst in a newborn boy. Case report and review of the literature. Hellenic Arch Oral Maxillofac Surg 1:41-48, 2012
Zheng JW, Zhang L, Zhou Q, Mai HM, Wang YA, Fan XD, Qin ZP, Wang XK, Zhao YF: A practical guide to treatment of infantile hemangiomas of the head and neck. Int J Clin Exp Med 6(10):851- 860, 2013
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