Suzuki H, Ohne M, Satoh T, Sakai K, Mikami S, Ohsone H
Ou Daigaku Shigakushi. 1989 Nov;16(3):124-9.
We have experienced epithelial dysplasia and invasive carcinoma of oral cavity, showing punctation and mosaic like atypical vessels confirmed by usual photographing. Case 1: 42-year-old man. After resection of tongue leukoplakia, the punctation appeared in the distal region of resected wound. Pathological findings were epithelial dysplasia, and expansion of capillaries in the stromal papillae were close to the surface. Case 2: 55-year-old woman. Punctation and mosaic like atypical vessels were recognized in the buccal mucosa, extending from the gingival carcinoma. Pathological findings were epithelial dysplasia and carcinoma in situ in punctation, and early invasive carcinoma in mosaic. There were irregularly expanded capillaries in the stromal papillae being close to the surface at both mosaic and punctation area. Although punctation, atypical vessels and mosaic are the colposcopic findings of uterine cervical cancer, these findings may become diagnostic point of early oral cancer.
我们曾遇到口腔上皮发育异常和浸润性癌，通过常规摄影可发现点状和马赛克样的非典型血管。病例1：一名42岁男性。舌白斑切除术后，切除伤口远端出现点状表现。病理结果为上皮发育异常，基质乳头中的毛细血管扩张并靠近表面。病例2：一名55岁女性。在颊黏膜中发现点状和马赛克样非典型血管，由牙龈癌延伸而来。病理结果为点状区域上皮发育异常和原位癌，马赛克区域为早期浸润性癌。在马赛克和点状区域，靠近表面的基质乳头中均有不规则扩张的毛细血管。虽然点状、非典型血管和马赛克是宫颈癌的阴道镜表现，但这些表现可能成为早期口腔癌的诊断要点。
