Halliday Holly, Gordon Sara, Bhola Monish
Department of Periodontology and Dental Hygiene, University of Detroit Mercy School of Dentistry, Detroit, Michigan, USA.
Gen Dent. 2007 May-Jun;55(3):232-5.
A 24-year-old woman had a red mass (2.4 x 1.4 cm) on her left maxillary gingiva (between teeth No. 11 and 12) that interfered with normal occlusion and speech. Although pyogenic granuloma was the clinical diagnosis, histopathologic examination revealed that the lesion was actually focal fibrous hyperplasia with focal mucinosis degeneration. This article illustrates the role of the oral and maxillofacial pathologist in establishing an accurate diagnosis of oral lesions and discusses the differential diagnosis of gingival enlargements.
一名24岁女性左侧上颌牙龈（11号和12号牙之间）有一红色肿物（2.4×1.4厘米），影响正常咬合和言语。尽管临床诊断为化脓性肉芽肿，但组织病理学检查显示该病变实际上是伴有局灶性黏蛋白变性的局灶性纤维增生。本文阐述了口腔颌面病理学家在准确诊断口腔病变中的作用，并讨论了牙龈肿大的鉴别诊断。
