Browsing by Author "Stander, Suzette"

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    Oral medicine case book 46: squamous cell carcinoma of the tongue
    (South African Dental Association (SADA), 2013) Stander, Suzette; Jeftha, Anthea; Dreyer, Wynand P.; Abdairahman, B.; Afrogheh, Amir
    A 38-year-old-female presented at the Oral Medicine Clinic complaining of pain under her tongue that became worse during chewing, and radiated to her right ear. The pain started two months earlier and gradually increased in intensity. The patient reported that she smoked about twelve cigarettes per day, a habit that she maintained for the last twenty years. She also admitted that she consumed alcohol as a social habit, mainly over the weekends. Her medical history revealed no other abnormalities and she was not using any chronic medication.
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    Oral medicine case book 47: oral neurofibroma
    (South African Dental Association (SADA), 2013) Stander, Suzette; Dreyer, Wynand P.; Holmes, Haly; Jeftha, Anthea; Afrogheh, Amir
    A 29-year-old male patient presented at the Oral Medicine Clinic with the complaint of slow-growing growths on his tongue, causing discomfort. Extra-oral examination revealed several painless soft tissue nodules on his face (Figure 1 and 2), trunk (Figure 3), back (Figure 4) and arms. The patient reported that the lesions had appeared during childhood and had since increased in size and number. He was unaware of any family history of the disease. Intra-oral examination showed two soft tissue nodules on the midline of the dorsal surface of the tongue, 3,5cm and 0,5 cm in diameter respectively (Figure 5).
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    Oral medicine case book 49: plasmablastic lymphoma
    (South African Dental Association (SADA), 2013) Stander, Suzette; Holmes, Haly; Dreyer, Wynand P.; Afrogheh, Amir; Mohamed, Nadja; Hille, Jos; Osman, Nuraan
    A 25-year-old male patient presented at the Oral Medicine Clinic with a painful bleeding lesion on the palate causing him discomfort during speech, mastication, and sleep. The lesion started approximately five months earlier as a small growth that gradually increased in size. The patient was rather vague about his medical history and habits but he did reveal that he smoked two cigarettes per day as well as using cocaine, a habit for which he was receiving therapy, for drug-induced hallucinations, at a local psychiatric hospital. He was not aware of any other medical conditions or allergies. The extraoral examination revealed nothing of note, however, on intraoral examination a large and firm pedunculated exophytic soft tissue mass was seen on the hard palate. It covered a large portion of the hard palate extending from the back of the upper incisors posteriorly onto the anterior part of the soft palate and into the right vestibule. It extended laterally to the gingival margins of all the teeth in the first quadrant, resulting in an appearance of gingival hyperplasia. The growth had an erythematous appearance with surface patches of necrosis and other areas that easily bled on touch (Figure 1).
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    Oral medicine case book 50: HIV associated Kaposi sacoma
    (South African Dental Association (SADA), 2013) Stander, Suzette; Mulder-Van Staden, Sune; Dreyer, Wynand P.
    A 33-year-old female of African descent was referred to the Oral Medicine Clinic from a neighbouring rural clinic. The patient presented with painful nodular lesions on her gingivae and hard palate, having noticed the enlarging lesions two months earlier when they started to impair her speech and mastication. She reported that she had been diagnosed with HIV infection two years earlier and had been on antiretroviral medication for the past eleven months. The patient had a recent history of pulmonary tuberculosis and cryptococcal meningitis. At the time of the initial examination, her CD4 count was 230/µl (normal levels in adults: ±1000 cells/µl) and the laboratory report indicated viral load failure, i.e. the patient was no longer responding satisfactorily to the HAART therapy.
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    Oral medicine case book 52: pleomorphic adenoma of the upper lip
    (South African Dental Association (SADA), 2013) Stander, Suzette; Mulder-Van Staden, Sune; Cheung, Tik; Dreyer, Wynand P.; Afrogheh, Amir; Mohamed, Nadja
    A 46-year old female presented at the Oral Medicine Clinic complaining of a large and painless swelling of her upper lip. The lesion had slowly enlarged over the past year and was causing an increasing aesthetic and speech impairment. Her medical history revealed nothing of note. Extra-orally, the patient presented with a swelling involving the right side of the upper lip and extending from the right alar of the nose, to the right commissure (Figure 1). The intra-oral examination revealed a firm and well circumscribed mass in the upper right labial mucosa, opposite the upper second incisor, canine and first premolar. The mass was approximately 2x3 cm in size and the overlying mucosa was of normal consistency and colour for the region (Figure 2). A fine needle aspiration biopsy (FNAB) of the mass was performed (Figure 3).