Fogorvosi szemle, 2007 (100. évfolyam, 1-6. szám)

2007-10-01 / 5. szám

240

FOGORVOSI SZEMLE

100. évf. 5. sz. 2007.

Fig. 7.

Clinical picture of removed tumor

Fig. 9.

The vascular spaces are lined by a single layer of regular endothelial cells.

Scarce lymphocytic infiltration can be seen in the dense connective tissue. (HE, 600 x).

ter the emergency Caesarean section. For differential-diagnostic reasons, histological examination of the removed epulis is compulsory [18, 20, 23]. It must be distinguished from gingival hyperplasia, fibrous epulis and peripheral giant cell granuloma [4, 6, 14, 18, 23], Overall, the results of our examinations and the data to be found in the literature indicate the following features:

• the incidence of pregnancy epulis is approximately 0.5%;

• most cases of epulis require conservative treatment; following childbirth, the epulis recedes;

• surgical intervention is necessary in about 20-30% of the cases in consequence of the unstoppable bleeding, the inability to eat, and aesthetic disadvantages;

• in approximately 10% of the cases, the epulis does

Vascular spaces of various shapes and sizes embedded in connective tissue also containing lymphocytic infiltration (HE, 300 x)

Fig. 10.

CD 34 positivity of the cells lining the vascular spaces,with normal epithelium on the surface (right)

(CD 34 immunoperoxidase, 150 x)

not recede following childbirth; in contrast it may develop in new localizations;

• its histology is typified by frequent bleeding among the tissues, due to ectatic vascular spaces, by lymphocyte, plasma cell and neutrophilic granulocyte infiltration and by ulceration.

References

1. Aboul-Dahab OM, El-Sherbiny MM, Abdel-Rahman R, Shoeb M: Identification of lymphocyte subsets in pregnancy gingivitis. Egypt Dent J 1994; 40: 653-656.

2. Abraham-Impijn L, Polsacheva OV, Raber-Durlacher JE: The significance of endocrine factors and microorganisms in the development of gingivitis in pregnant women. Stomatologia 1996; 75: 15-18.

3. Barak S, Oettinger-Barak O, Oettinger M et al: Common oral man