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  1. Article ; Online: Acute Immune-Mediated Lesions of the Oral Cavity.

    Smith, Molly Housley / Mintline, Mark

    Oral and maxillofacial surgery clinics of North America

    2023  Volume 35, Issue 2, Page(s) 247–259

    Abstract: Although acute immune-mediated lesions of the oral cavity (AIML) can have an onset over several months, they often demonstrate rapid onset and can be self-limited. Despite the self-limiting nature of some disorders, patients with AIML can have ... ...

    Abstract Although acute immune-mediated lesions of the oral cavity (AIML) can have an onset over several months, they often demonstrate rapid onset and can be self-limited. Despite the self-limiting nature of some disorders, patients with AIML can have significant pain and multisystem involvement. It is vital for the oral health care provider to arrive at the proper diagnosis with distinction from overlapping conditions, as the oral manifestations may be harbingers of more serious systemic complications.
    MeSH term(s) Humans ; Stomatitis, Aphthous/diagnosis ; Stomatitis, Aphthous/etiology
    Language English
    Publishing date 2023-04-05
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1316546-x
    ISSN 1558-1365 ; 1042-3699
    ISSN (online) 1558-1365
    ISSN 1042-3699
    DOI 10.1016/j.coms.2022.10.007
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  2. Article ; Online: Ectomesenchymal chondromyxoid tumor of the oral cavity: a report of 5 new cases with comprehensive review of the literature and clinicohistopathologic features.

    Smith, Molly Housley / Moynihan, Jack

    Oral surgery, oral medicine, oral pathology and oral radiology

    2022  Volume 135, Issue 3, Page(s) 410–426

    Abstract: Objective: An ectomesenchymal chondromyxoid tumor (ECT) is an uncommon soft tissue tumor with an enigmatic histogenesis and striking predilection for the tongue. We present 5 new cases and review the literature.: Study design: We performed a ... ...

    Abstract Objective: An ectomesenchymal chondromyxoid tumor (ECT) is an uncommon soft tissue tumor with an enigmatic histogenesis and striking predilection for the tongue. We present 5 new cases and review the literature.
    Study design: We performed a retrospective search for ECTs within the University of Kentucky Oral Pathology Biopsy Service and the published literature.
    Results: Five new cases from the biopsy archives and 103 well-documented ECT cases from the literature were compiled and reviewed. Whereas 89.8% of ECT are found on the anterior/dorsal/lateral/unspecified tongue, 4.6% are on the posterior/base of tongue. Six extralingual cases are reported. The age ranges from 2.3 to 78 years with an average of 40. Most ECT react with GFAP (92.8%) and S-100 protein (91.3%). Whereas 21/23 cases demonstrated a RREB1-MKL2 fusion, EWSR1 gene mutations are identified in 4 cases.
    Conclusions: Most ECT are readily diagnosed on routine histopathology in combination with tumor site, immunohistochemical findings, and molecular findings; however, a subset share overlapping features with myoepithelioma of soft parts. As further molecular analysis is performed on this tumor, we may find that a subset of previously diagnosed ECT relate to or represent myoepithelioma or conversely fall under the spectrum of the pluripotent ECT.
    MeSH term(s) Humans ; Child, Preschool ; Child ; Adolescent ; Young Adult ; Adult ; Middle Aged ; Aged ; Myoepithelioma/surgery ; Myoepithelioma/pathology ; Tongue Neoplasms/surgery ; Tongue Neoplasms/genetics ; Retrospective Studies ; Soft Tissue Neoplasms ; Tongue
    Language English
    Publishing date 2022-12-21
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2650843-6
    ISSN 2212-4411 ; 2212-4403
    ISSN (online) 2212-4411
    ISSN 2212-4403
    DOI 10.1016/j.oooo.2022.12.004
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  3. Article ; Online: Multifocal pigmented lesions in the maxilla.

    Heifetz-Li, Jiean Joseph / Smith, Molly Housley / Roche, Ansley

    Oral surgery, oral medicine, oral pathology and oral radiology

    2023  Volume 137, Issue 3, Page(s) 205–208

    MeSH term(s) Humans ; Maxilla/diagnostic imaging ; Maxilla/surgery
    Language English
    Publishing date 2023-11-25
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2650843-6
    ISSN 2212-4411 ; 2212-4403
    ISSN (online) 2212-4411
    ISSN 2212-4403
    DOI 10.1016/j.oooo.2023.11.008
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  4. Article: Diagnostic Discussion.

    Smith, Molly Housley

    Today's FDA : official monthly journal of the Florida Dental Association

    2018  Volume 29, Issue 1, Page(s) 69–72

    Language English
    Publishing date 2018-12-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1316849-6
    ISSN 1048-5317 ; 0886-5094
    ISSN 1048-5317 ; 0886-5094
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  5. Article ; Online: Pediatric Odontogenic Tumors.

    Liu, Yingci / Smith, Molly Housley / Patel, Paras B / Bilodeau, Elizabeth Ann

    Pediatric and developmental pathology : the official journal of the Society for Pediatric Pathology and the Paediatric Pathology Society

    2023  Volume 26, Issue 6, Page(s) 583–595

    Abstract: Odontogenic tumors are rare tumors of the jaws that arise from remnants of the tooth forming apparatus. Some odontogenic tumors demonstrate strong predilection for pediatric patients including the unicystic ameloblastoma, adenomatoid odontogenic tumor, ... ...

    Abstract Odontogenic tumors are rare tumors of the jaws that arise from remnants of the tooth forming apparatus. Some odontogenic tumors demonstrate strong predilection for pediatric patients including the unicystic ameloblastoma, adenomatoid odontogenic tumor, ameloblastic fibroma, ameloblastic fibro-odontoma, odontoma, and primordial odontogenic tumor. In this review, we discuss the clinical, radiographic, histopathologic, and molecular characteristics of select odontogenic tumors that demonstrate pediatric predilection and review management.
    MeSH term(s) Humans ; Child ; Odontogenic Tumors/diagnosis ; Odontogenic Tumors/pathology ; Ameloblastoma/diagnosis ; Ameloblastoma/pathology ; Odontoma/diagnosis ; Odontoma/pathology
    Language English
    Publishing date 2023-11-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1463498-3
    ISSN 1615-5742 ; 1093-5266
    ISSN (online) 1615-5742
    ISSN 1093-5266
    DOI 10.1177/10935266231200115
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  6. Article ; Online: Reticular Myxoid Odontogenic Neoplasm with Novel STRN::ALK Fusion: Report of 2 Cases in 3-Year-Old Males.

    Rosebush, Molly S / Smith, Molly Housley / Cordell, Kitrina G / Callahan, Nicholas / Zaid, Waleed / Gagan, Jeffrey / Bishop, Justin A

    Head and neck pathology

    2024  Volume 18, Issue 1, Page(s) 26

    Abstract: Odontogenic tumors represent a collection of entities ranging from hamartomas to destructive benign and malignant neoplasms. Occasionally, pathologists encounter gnathic lesions which clearly exhibit an odontogenic origin but do not fit within the ... ...

    Abstract Odontogenic tumors represent a collection of entities ranging from hamartomas to destructive benign and malignant neoplasms. Occasionally, pathologists encounter gnathic lesions which clearly exhibit an odontogenic origin but do not fit within the confines of established diagnoses. Here, we describe two such odontogenic tumors, both affecting 3-year-old males. Each case presented as a destructive, radiolucent mandibular lesion composed of mesenchymal cells, some with unique multi-lobed nuclei, frequently arranged in a reticular pattern and supported by a myxoid stroma with focal laminations. Production of odontogenic hard tissues was also seen. Because of their unique microscopic features, both cases were investigated by next-generation sequencing and found to harbor the same STRN::ALK oncogene fusion. To our knowledge, these cases represent the first report of an odontogenic tumor with a STRN::ALK gene rearrangement. We propose the possibility that this neoplasm could be separate from other known odontogenic tumors. Both patients were treated with surgical resection and reconstruction. The prognosis of patients with this entity is currently uncertain but shall become more apparent over time as more cases are identified and followed.
    MeSH term(s) Male ; Humans ; Child, Preschool ; Odontogenic Tumors/pathology ; Oncogene Fusion ; Receptor Protein-Tyrosine Kinases/genetics ; Calmodulin-Binding Proteins/genetics ; Membrane Proteins ; Nerve Tissue Proteins/genetics
    Chemical Substances Receptor Protein-Tyrosine Kinases (EC 2.7.10.1) ; STRN protein, human ; Calmodulin-Binding Proteins ; Membrane Proteins ; Nerve Tissue Proteins
    Language English
    Publishing date 2024-03-25
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2407834-7
    ISSN 1936-0568 ; 1936-055X
    ISSN (online) 1936-0568
    ISSN 1936-055X
    DOI 10.1007/s12105-024-01633-6
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  7. Article ; Online: Pericoronal radiolucency surrounding an impacted mandibular molar.

    Laungani, Nashwin / Hengen, Steven / Nester, Christopher / Smith, Molly Housley

    Oral surgery, oral medicine, oral pathology and oral radiology

    2019  Volume 129, Issue 4, Page(s) 286–289

    MeSH term(s) Humans ; Mandible ; Molar ; Molar, Third ; Tooth, Impacted
    Language English
    Publishing date 2019-02-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2650843-6
    ISSN 2212-4411 ; 2212-4403
    ISSN (online) 2212-4411
    ISSN 2212-4403
    DOI 10.1016/j.oooo.2019.01.070
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  8. Article ; Online: Oral Manifestations of Syphilis: a Review of the Clinical and Histopathologic Characteristics of a Reemerging Entity with Report of 19 New Cases.

    Smith, Molly Housley / Vargo, Richard J / Bilodeau, Elizabeth Ann / Anderson, K Mark / Trzcinska, Anna / Canterbury, Carleigh R / Fantasia, John E / Rawal, Yeshwant B

    Head and neck pathology

    2021  Volume 15, Issue 3, Page(s) 787–795

    Abstract: Background: Syphilis is a sexually-transmitted infectious disease caused by Treponema pallidum. Cases of primary and secondary syphilis are on the rise in the United States, with a 14.4% increase in new cases noted from 2017 to 2018 and an escalation of ...

    Abstract Background: Syphilis is a sexually-transmitted infectious disease caused by Treponema pallidum. Cases of primary and secondary syphilis are on the rise in the United States, with a 14.4% increase in new cases noted from 2017 to 2018 and an escalation of 71% between the years 2014 and 2018. Fulfilling its nickname of "the great imitator," oral manifestations of syphilis may mimic a variety of infectious, neoplastic, or immune-mediated processes, both clinically and histopathologically. This large spectrum of appearances can create a diagnostic challenge to the clinician and/or pathologist, leading to delay in diagnosis or misdiagnosis.
    Methods: A database of oral syphilis cases was created from archives at the University of Kentucky, University of Pittsburgh, LIJMC, Columbia University MC, and University of Tennessee. The age, sex, race, location, duration, and clinical description were recorded. Cases without positive reaction upon immunohistochemistry or serologic tests were excluded.
    Results: We identified 19 new cases of oral syphilis (17 males, one female, and one case unknown sex) and described the clinical and histopathological features of this re-emerging and potentially fatal disease. All cases demonstrated dense lymphoplasmacytic inflammation, often with inflammatory exocytosis or ulceration at the surface, and perivascular inflammation.
    Conclusions: Early recognition of the histopathologic and clinical manifestations of oral syphilis is imperative for prompt diagnosis, improved patient outcomes, and disease prevention.
    MeSH term(s) Adult ; Diagnosis, Differential ; Female ; Humans ; Male ; Middle Aged ; Mouth Diseases/microbiology ; Mouth Diseases/pathology ; Syphilis/pathology
    Language English
    Publishing date 2021-01-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2407834-7
    ISSN 1936-0568 ; 1936-055X
    ISSN (online) 1936-0568
    ISSN 1936-055X
    DOI 10.1007/s12105-020-01283-4
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  9. Article ; Online: Glomus tumor: a comprehensive review of the clinical and histopathologic features with report of two intraoral cases.

    Smith, Molly Housley / Bhattacharyya, Indraneel / Cohen, Donald M / Hinze, Steven R / Islam, Mohammed N

    Oral surgery, oral medicine, oral pathology and oral radiology

    2018  Volume 127, Issue 1, Page(s) 62–70

    Abstract: Background: Glomus tumors are benign neoplasms that most commonly present in the subungual region. Their occurrence in the oral cavity is exceedingly rare. Here, we present 2 cases from the oral cavity, detail their clinical and histopathologic features, ...

    Abstract Background: Glomus tumors are benign neoplasms that most commonly present in the subungual region. Their occurrence in the oral cavity is exceedingly rare. Here, we present 2 cases from the oral cavity, detail their clinical and histopathologic features, and review the literature for solitary cases involving the oral regions.
    Study design: The English language literature was queried for cases of benign glomus tumors in/around the oral cavity. Additional citations were cross-referenced from the identified sources.
    Results: Thirty-one cases of solitary glomus tumor in the oral and paraoral regions have been described, including the present cases. Patient age ranged from 10 to 85 years, with an average age of 47 years. In 12 of the 31 cases, the tumors occurred in the lips, 5 in the palate, 4 in the tongue, 4 in the buccal mucosa, 3 in the gingiva, and 1 each in the parotid, pterygoid fossa, and oropharynx. Only 18 of these cases had accompanying immunohistochemical stains, with 14 expressing positivity for muscle cell markers.
    Conclusions: Although glomus tumors have distinct histopathologic features, diagnostic confusion may exist with regard to extradigital locations. Detailed documentation and discussion of the clinical and histopathologic features of rare tumors like these are vital to understanding them.
    MeSH term(s) Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; Glomus Tumor/diagnosis ; Glomus Tumor/therapy ; Humans ; Lip ; Middle Aged ; Mouth Mucosa ; Tongue ; Young Adult
    Language English
    Publishing date 2018-08-17
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2650843-6
    ISSN 2212-4411 ; 2212-4403
    ISSN (online) 2212-4411
    ISSN 2212-4403
    DOI 10.1016/j.oooo.2018.07.056
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  10. Article ; Online: Radiculomegaly: a case report of this rare dental finding with review of the associated oculo-facio-cardio-dental syndrome.

    Smith, Molly Housley / Cohen, Donald M / Bhattacharyya, Indraneel / Islam, Nadim M / Kashtwari, Deeba

    Oral surgery, oral medicine, oral pathology and oral radiology

    2018  Volume 126, Issue 4, Page(s) e220–e227

    Abstract: Background: Radiculomegaly, or root gigantism, is a rare dental abnormality with important clinical implications. It is highly specific for oculo-facio-cardio-dental (OFCD) syndrome, which places dentists at the forefront of diagnosis of this syndrome. ... ...

    Abstract Background: Radiculomegaly, or root gigantism, is a rare dental abnormality with important clinical implications. It is highly specific for oculo-facio-cardio-dental (OFCD) syndrome, which places dentists at the forefront of diagnosis of this syndrome. Only 1 case of nonsyndromic radiculomegaly has been reported in the literature since the description of OFCD syndrome in 1996. We present the second confirmed, nonsyndromic/nonfamilial case and review the literature for dental treatments in patients with this dental finding.
    Study design: A review of the English language literature was performed in PubMed for patients with radiculomegaly or OFCD syndrome. Teeth affected by radiculomegaly, gender, orodental findings, presence of OFCD syndrome, and dental treatment methods were recorded.
    Results: Sixty-seven cases of radiculomegaly and 92 cases of OFCD syndrome were found in the literature. Only 1 confirmed case of nonsyndromic/nonfamilial radiculomegaly had been reported previously. Ten reports described dental treatment or treatment plan details, and even fewer included specific methods.
    Conclusions: Because dental anomalies, especially radiculomegaly, are a primary feature of OFCD syndrome, dentists should be aware of the clinical and radiographic features. Radiculomegaly poses a distinct challenge to dentists, and reports of dental therapy provided to these patients are sparse. Early diagnosis of the syndrome may prevent dental challenges and improve prognosis.
    MeSH term(s) Cataract/congenital ; Cataract/diagnosis ; Diagnosis, Differential ; Female ; Heart Septal Defects/diagnosis ; Humans ; Microphthalmos/diagnosis ; Tooth Root/abnormalities ; Tooth Root/diagnostic imaging ; Young Adult
    Language English
    Publishing date 2018-02-28
    Publishing country United States
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 2650843-6
    ISSN 2212-4411 ; 2212-4403
    ISSN (online) 2212-4411
    ISSN 2212-4403
    DOI 10.1016/j.oooo.2018.02.011
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