Traumatic ulcerative granuloma with stromal eosinophilia: A clinical study

Dr. Shahid Farooq; Dr. Rizwan Hamid; Dr. Gurvinder Kour; Dr. Ajaz Shah

Traumatic ulcerative granuloma with stromal eosinophilia: A clinical study

AUTHOR(S): Dr. Shahid Farooq, Dr. Rizwan Hamid, Dr. Gurvinder Kour and Dr. Ajaz Shah

ABSTRACT:Background: Oral ulcers are a common symptom in clinical practice. Among different types of ulcers in oral cavity, traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) appears to be quite neglected by the clinicians due to the limited knowledge and awareness. Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) is a reactive benign and self-limiting lesion of the oral mucosa. It may mimic squamous cell carcinoma as well as other malignant lesion. The cause is unknown but a traumatic background has been suggested. Oral TUGSE shows regression after a conservative surgical treatment.

Objectives: To analyse the clinical features of 8 TUGSE lesions.

Materials and Methods: 8 cases of TUGSE were retrieved from the files of the Department of Oral medicine and radiology. Their clinical data and histopathological features were examined, collected, and analyzed.

Results: The reported cases included six males and two female patients. Age ranged from 9 to 81 years with mean age of 48 years. The most common site was the tongue followed by buccal mucosa. Clinically, the lesions showed chronic ulcers. The lesions were resolved after the biopsy. All patients were followed up for four months, no recurrence had been found.

Conclusion: Traumatic ulcerative granuloma with stromal eosinophilia (TUGSE) appears to be quite neglected by the clinicians due to the limited knowledge and awareness. It is important to recognise this mucosal entity as it has a close resemblance with malignancy of the oral cavity. Prognosis of TUGSE is normally favourable and aggressive surgical treatment is usually not required.

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Traumatic ulcerative granuloma with stromal eosinophilia: A clinical study

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