IMT of gingiva in a patient with constitutional growth delay: Case report
Journal name: Journal of Indian Society of Periodontology
Original article title: Inflammatory myofibroblastic tumor of gingiva in a patient with constitutional growth delay: A rare case report
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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CP Dhivakar, Bharath Rajivkumar Govindasamy, Divya Shree Pandian, R Arvinth Vishnu
Journal of Indian Society of Periodontology:
(A bimonthly open-access journal)
Full text available for: Inflammatory myofibroblastic tumor of gingiva in a patient with constitutional growth delay: A rare case report
Year: 2021 | Doi: 10.4103/jisp.jisp_279
Copyright (license): CC BY-NC-SA
Summary of article contents:
Introduction
Constitutional growth delay (CGD) is a developmental disorder affecting approximately 15% of children, characterized by short stature and delayed puberty, while the affected individuals eventually experience normal growth patterns as they reach adulthood. Inflammatory myofibroblastic tumor (IMT), although rare, is a type of soft-tissue neoplasm that typically arises in the lungs, liver, or gastrointestinal tract, but can occur in atypical locations such as the oral cavity. This report presents an unusual case of a 22-year-old male with CGD who also presented with an IMT in the mandibular region, highlighting the intersection of these rare conditions.
Unusual Presentation of IMT in CGD
The case involved a clinical examination that revealed gingival overgrowth in the lingual aspect of the mandibular left canine. The patient, who appeared significantly younger than his biological age, underwent excision of the growth, which was performed using laser therapy for enhanced precision and patient comfort. Histopathological analysis of the excised tissue confirmed the diagnosis of IMT, showcasing a dense infiltrate of inflammatory cells and myofibroblastic spindle cells. The occurrence of IMT in conjunction with CGD in a single patient is exceedingly rare, leading to unique implications for understanding the pathophysiology of both conditions and their interactions.
Conclusion
This case not only underscores the rarity of IMT but also emphasizes the unusual presentation of these two conditions in a single individual. With the patient diagnosed with CGD, the findings suggest a possible link between developmental delays and the occurrence of rare tumors, although the precise etiology remains unclear. The successful management of the IMT through laser excision provides a reproducible clinical approach while contributing valuable insight into the ongoing research in both pediatric growth disorders and soft-tissue tumors. Further studies are warranted to explore the relationship between CGD and the development of tumors like IMT.
FAQ section (important questions/answers):
What is constitutional growth delay (CGD) in children?
Constitutional growth delay (CGD) is a condition affecting about 15% of children, where they appear shorter and younger than their peers. Typically, they grow normally until puberty, but puberty occurs later, and they usually catch up in height and development as adults.
What is an inflammatory myofibroblastic tumor (IMT)?
An inflammatory myofibroblastic tumor (IMT) is a rare soft-tissue tumor characterized by myofibroblastic spindle cells and inflammatory cells. Commonly found in areas like the lungs and gastrointestinal tract, its occurrence in the oral cavity, such as the gingiva, is exceedingly rare.
How was the IMT treated in the reported case?
In the reported case, the gingival overgrowth due to IMT was excised using soft-tissue diode laser therapy. This method minimizes bleeding and enhances patient comfort, with the excised tissue then sent for histopathological examination to confirm the diagnosis.
What were the findings of the histopathologic examination?
The histopathologic examination revealed dense inflammatory cell infiltrate, including plasma cells and myofibroblasts. This led to a final diagnosis of inflammatory myofibroblastic tumor (IMT) of the gingiva, confirming the nature of the soft-tissue overgrowth.
Is CGD associated with other health issues?
While CGD primarily affects growth and development, it doesn't directly cause other health issues. However, it may resemble conditions like delayed puberty or hormonal disorders, and those with CGD typically experience normal health otherwise.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “IMT of gingiva in a patient with constitutional growth delay: Case report”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Table:
In the context of medical literature, 'Table' refers to a structured representation of data or findings, often used to summarize key information clearly and concisely. Tables help present complex data, making it understandable for readers. In this case, tables might compare clinical findings in various disorders or treatment outcomes.
2) Male:
'Male' denotes one of the two primary biological sexes. In this document, it highlights the subject of the case report, emphasizing his age and physical characteristics. Understanding the physiological differences between sexes aids in tailoring medical assessments and treatments specific to male individuals, particularly in growth-related disorders.
3) Sign:
'Sign' refers to a physical indication or manifestation of a condition. In clinical settings, signs can be observed by healthcare professionals during examinations, providing crucial insights for diagnosis. In the case report, signs related to constitutional growth delay and inflammatory myofibroblastic tumor assist in understanding the patient's health status.
4) Hair:
'Hair' signifies a distinctive external feature, particularly relevant in understanding developmental stages and conditions. In this report, the absence of hair growth in the male patient may suggest underlying hormonal or developmental issues typically associated with constitutional growth delay, providing additional insight into his overall health and maturity.
5) Inflammation:
'Inflammation' is a biological response indicating tissue injury or infection. It plays a crucial role in diagnosing inflammatory myofibroblastic tumor, as the tumor consists of numerous inflammatory cells. Recognizing inflammation is vital in distinguishing between various tumors and helps in formulating appropriate treatment strategies.
6) Discussion:
'Discussion' refers to the section where findings and interpretations of the case are analyzed. It integrates the reported clinical observations with existing literature, allowing for a deeper understanding of the observed conditions and their implications. This section is essential for proposing further research or clinical practices.
7) Bleeding:
'Bleeding' in medical terms highlights the loss of blood, which can indicate various health issues. Its presence in the case might affect treatment plans, surgical considerations, and patient management. Understanding bleeding patterns aids in assessing the severity of conditions and planning safe medical procedures effectively.
8) Coffin:
'Coffin' refers to a key figure in the study of tumors, especially inflammatory myofibroblastic tumors. Mentioning Coffin connects current findings to established research, enhancing credibility. It reinforces the importance of historical studies in understanding the etiology and behavior of rare tumors, thereby guiding present clinical approaches.
9) Arrow:
'Arrow' symbolizes direction or identification, particularly in medical imaging or pathology. In histopathology, arrows might indicate specific cells or findings. Using arrows in research literature assists readers in understanding diagnostic visuals, highlighting areas of significance that require attention during examinations or further investigations.
10) Blood:
'Blood' is essential for transporting nutrients and oxygen throughout the body. In the context of the case report, examining blood components or flow can offer insights into inflammatory responses or systemic conditions. Analyzing blood can assist in diagnosing disorders and evaluating the overall health of the individual.
11) Catching (Catch, Catched):
'Catch' refers to the idea of identifying or recognizing symptoms or conditions. In clinical practice, detecting growth abnormalities or tumors early can lead to timely interventions. The ability to 'catch' unusual clinical presentations fosters better patient outcomes and advances understanding of various complex health disorders.
12) Pur:
'Poor' describes a condition or state that is severely lacking or inferior. In this text, it pertains to the economic condition of the patient, which affects the ability to undergo advanced diagnostic tests. Understanding the implications of poverty in healthcare is crucial for equitable treatment access and planning.
13) Life:
'Life' encompasses the biological existence of an organism. In medical terms, focusing on 'life' emphasizes health, growth, and well-being. The case discusses life stages affected by disorders, highlighting the experiences of individuals living with conditions like constitutional growth delay and their impacts on normal life activities.
Other Health Sciences Concepts:
Discover the significance of concepts within the article: ‘IMT of gingiva in a patient with constitutional growth delay: Case report’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:
Short stature, Differential diagnosis, Clinical examination, Etiological factor, Oral cavity, Histopathological examination, Developmental milestone, Inflamed tissue, Gingival overgrowth, Pseudotumor, Biopsy specimen.