Kumar Ashwini, Shankar Y Uday, Prakash Sathya, Radhika B, Fatima Nikhat
Professor and HOD, Department of Oral Medicine and Radiology, MNR Dental College and Hospital , Narsapur Road, Sangareddy, Telangana, India .
Reader, Department of Oral Medicine and Radiology, MNR Dental College and Hospital , Narsapur Road, Sangareddy, Telangana, India .
J Clin Diagn Res. 2014 Oct;8(10):ZE25-8. doi: 10.7860/JCDR/2014/10234.5038. Epub 2014 Oct 20.
The incidence of premalignant lesions and oral cancers is steadily increasing globally. In spite of advancement in early detection, there is increased mortality and morbidity related to oral cancers. The diagnosis of a dysplastic premalignant lesion of the oral mucosa cannot be based solely on clinical findings. Therefore histologic evaluation of a representative biopsy specimen is necessary. Therefore, the selection for a biopsy site is highly significant. In this article, we present a current review of the colposcope and oral application of the colposcopy technique and its use as an adjunct in the early diagnosis of premalignant and malignant lesions of the oral mucosa. We stress upon the fact that colposcopy (direct oral microscopy) of oral mucosal lesions helps in selecting more representative sites for biopsy than routine clinical examination alone. Because of its precision, versatility, ease of use, and being a non-invasive technique, colposcopy might prove to be a useful step toward continuing to learn and improve the care for our patients.
全球范围内,癌前病变和口腔癌的发病率正在稳步上升。尽管早期检测技术有所进步,但口腔癌相关的死亡率和发病率仍在增加。口腔黏膜发育异常的癌前病变不能仅基于临床检查结果进行诊断。因此,对具有代表性的活检标本进行组织学评估是必要的。所以,活检部位的选择非常重要。在本文中,我们对阴道镜及阴道镜技术在口腔中的应用以及其作为口腔黏膜癌前和恶性病变早期诊断辅助手段的应用进行了综述。我们强调这样一个事实,即对口腔黏膜病变进行阴道镜检查(直接口腔显微镜检查)比单纯的常规临床检查更有助于选择更具代表性的活检部位。由于其精确性、多功能性、易用性以及非侵入性技术的特点,阴道镜检查可能会成为持续学习和改善患者护理的有用步骤。