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Previous issue date: 2014-02-10 / Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico / Vascular anomalies constitute a distinct group of lesions, but they may present similar clinical and histopatological characteristics, which can lead to diagnostic mistakes. This study aimed by histopathology and immunohistochemical expression of human glucose transporter protein (GLUT-1), correctly identify and classify oral vascular anomalies, besides analyzing the immunoexpression of markers proliferation and apoptosis (Ki-67 and Bcl-2). All cases diagnosed as "oral hemangiomas" belonging to the archives of the Service of Pathological Anatomy from the subject of Oral Pathology of the Department of Dentistry (DOD), of the Federal University of Rio Grande do Norte (UFRN) were reviewed, totalizing 77 cases. Immunohistochemical analysis for GLUT-1 showed that only 26 (33.8%) of the specimens were true infantile hemangiomas (IHs). The 51 (66.2%%) GLUT-1 negative specimens were then reclassified as pyogenic granulomas (PGs) and vascular malformations (VMs) from their histopathologic characteristics,totalizing 26 (33.8%) cases of IHs, 20 (26.0%) of PGs and 31 (40.2) cases of oral VMs. The cases analyzed by the marker Ki-67 showed different median IH (13,85), PG (33,70) and VM (4.55) with statistically significant differences between them (p <0.001). In relation to the protein Bcl-2, the groups also showed different median of the established scores IH (1.00), PG (1.50), VMs (0.0) demonstrating statistically significant differences between them (p<0,001). No statistically significant correlation between the indexes of positivity for Ki-67 and the scores of immunoexpression of Bcl-2 were observed in any group. Thus, we can conclude that it is necessary a careful and parameterized review of cases of vascular anomalies making use of auxiliary tools such as GLUT-1, since the histopathological findings alone, sometimes, are not sufficient to differentiate some anomalies. Furthermore, analysis of the expressions of markers involved in the levels of proliferation of lesions is important for a better understanding of its biological behavior aspect / As anomalias vasculares constituem um grupo de les?es distintas, mas que podem apresentar caracter?sticas cl?nicas e histopatol?gicas semelhantes, que podem levar a equ?vocos diagn?sticos.Este estudo objetivou por meio da histopatologia e da express?o imuno-histoqu?mica daprote?na humana transportadora de glicose (GLUT-1), identificar e classificar corretamente as anomalias vasculares orais, al?m de analisar a imunoexpress?o de marcadores de prolifera??o e apoptose (Ki-67 e Bcl-2).Todos os casos diagnosticados como hemangiomas orais pertencentes aos arquivos do Servi?o de Anatomia Patol?gica da disciplina de Patologia Oral do Departamento de Odontologia (DOD) da Universidade Federal do Rio Grande do Norte (UFRN) foram revisados, totalizando 77 casos. A an?lise imuno-histoqu?mica para GLUT-1 revelou que apenas 26 (33,8%) dos esp?cimes tratavam-se de hemangiomas da inf?ncia (HIs) verdadeiros. Os 51 (66,2%%)esp?cimes GLUT-1 negativos foram ent?o reclassificados em granulomas piog?nicos (GPs) e malforma??es vasculares (MVs) a partir de suas caracter?sticas histopatol?gicas, totalizando 26 (33,8%) casos de HIs, 20 (26,0%) de GPs e 31 (40,2) casos de MVs orais. Os casos submetidos ? an?lise do marcador Ki-67 apresentaram medianas diferentes HI (13,85), GP (33,70) e MV (4,55) com diferen?as estatisticamente significantes entre elas (p<0,001). Em rela??o ? prote?na Bcl-2, os grupos tamb?m apresentaram diferentes medianas dos escores estabelecidos HI (1,00), GP (1,50), MVs (0,0), demonstrando diferen?as estatisticamente significantes entre elas (p<0,001). N?o foi observada correla??o estatisticamente significante entre os ?ndices de positividade para o Ki-67 e os escores de imunoexpress?o de Bcl-2 em nenhum grupo.Dessa maneira, podemos concluir que se faz necess?rio uma revis?o criteriosa e parametrizada dos casos de anomalias vasculares utilizando ferramentas auxiliares, como a GLUT-1, uma vez que os achados histopatol?gicos sozinhos, ?s vezes, n?o s?o suficientes para diferenciar algumas anomalias. Al?m disso, a an?lise das express?es de marcadores envolvidos nos n?veis de prolifera??o das les?es ? um aspecto importante para o melhor entendimento do seu comportamento biol?gico
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/17131 |
| Date | 10 February 2014 |
| Creators | Silva Filho, Tiago Jo?o da |
| Contributors | CPF:59539224420, http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4793681A0&dataRevisao=null, Silveira, Ericka Janine Dantas da, CPF:02869049420, http://lattes.cnpq.br/2186658404241838, Vasconcelos, Marcelo Gadelha, CPF:03444871481, Queiroz, L?lia Maria Guedes |
| Publisher | Universidade Federal do Rio Grande do Norte, Programa de P?s-Gradua??o em Patologia Oral, UFRN, BR, Odontologia |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Format | application/pdf |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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