Daley Tom, Darling Mark
Department of Pathology, University of Western Ontario, London, Ontario, Canada.
J Can Dent Assoc. 2003 Oct;69(9):577-82.
Many malignant tumours other than squamous cell carcinoma may present in the oral cavity. Melanomas of the oral cavity are usually pigmented, aggressive tumours associated with a poor prognosis. Neoplasms of the minor salivary glands have a greater tendency to be malignant than those of the major glands, and some exhibit a predilection for occurring in the mouth. Many types of connective tissue malignant tumours (sarcomas) may arise in the mouth, including soft-tissue cancers and lesions of hematologic cells such as lymphoma, whereas osteosarcoma is the most common malignancy of the hard tissues found in the mouth. Cancers from distant organs such as breast, lung and prostate may metastasize to the oral cavity. This paper presents a brief overview of nonsquamous cell oral cancers, with emphasis on those most likely to be encountered by the practising dentist.
除鳞状细胞癌外,许多恶性肿瘤也可能出现在口腔中。口腔黑色素瘤通常有色素沉着,是侵袭性肿瘤,预后较差。小唾液腺肿瘤比大唾液腺肿瘤更易发生恶变,有些小唾液腺肿瘤更倾向于发生在口腔。许多类型的结缔组织恶性肿瘤(肉瘤)可能发生于口腔,包括软组织癌以及血液细胞病变如淋巴瘤,而骨肉瘤是口腔硬组织中最常见的恶性肿瘤。来自远处器官如乳腺、肺和前列腺的癌症可能转移至口腔。本文简要概述非鳞状细胞口腔癌,重点介绍执业牙医最可能遇到的那些癌症。