Beeson Aesthetic Surgery Institute, Carmel, Indiana, USA.
Dermatol Ther. 2010 May-Jun;23(3):209-19. doi: 10.1111/j.1529-8019.2010.01318.x.
Performing an accurate oral examination is an integral part of a complete dermatological evaluation. As dermatologists, we are frequently asked to assess and treat numerous oral pathologies, which include, but are not limited to, normal variants, infections, ulcers, granulomas, lymphomas, as well as primary and metastatic tumors of the mouth and lips. The oral mucosa can be the window through which one can see and make numerous systemic diagnoses. Some clinicians are apprehensive about performing this evaluation, or feel that this examination is outside of their realm of expertise. These concerns may reflect limited exposure and education during training. Therefore, this article aimed to educate the readers on how to complete an oral examination, demonstrate normal variants, and highlight potential pitfalls and limitations of performing oral biopsies.
进行准确的口腔检查是完整皮肤科评估的一个组成部分。作为皮肤科医生,我们经常被要求评估和治疗许多口腔病理学,包括但不限于正常变异、感染、溃疡、肉芽肿、淋巴瘤,以及口腔和唇部的原发性和转移性肿瘤。口腔黏膜可以是观察和做出许多系统性诊断的窗口。一些临床医生对进行这种评估感到担忧,或者认为这种检查超出了他们的专业知识范围。这些担忧可能反映了在培训期间接触和教育的局限性。因此,本文旨在教育读者如何完成口腔检查,展示正常变异,并强调进行口腔活检的潜在陷阱和局限性。