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一例牙龈口腔局灶性黏液瘤病:伪装的病变。

A case of oral focal mucinosis of gingiva: Lesion in disguise.

作者信息

Joshi Chaitanya Pradeep, Dani Nitin Hemchandra, Mahale Swapna Arunkumar, Patel Nikita Rajendrakumar

机构信息

Department of Periodontics, MGV's KBH Dental College and Hospital, Nashik, Maharashtra, India.

Department of Oral Pathology, MGV's KBH Dental College and Hospital, Nashik, Maharashtra, India.

出版信息

J Indian Soc Periodontol. 2015 Sep-Oct;19(5):586-8. doi: 10.4103/0972-124X.157874.

Abstract

Oral focal mucinosis (OFM) is a rare soft tissue lesion of unknown aetiology. Clinically, it is most commonly found on the gingiva and presents as a painless, sessile or pedunculated mass. Histologically, it is characterized by focal myxoid degeneration of underlying connective tissue. Fifty-three-year-old patient reported with a painless, firm and fibrous gingival overgrowth present from 7 to 8 months. Clinical examination and patient's history pointed towards "irritation fibroma". An excisional biopsy was performed. The histopathologic diagnosis was established as OFM, an uncommon and poorly characterized type of lesion. This case report stresses on the fact that prediagnosis of OFM is almost impossible. Thus though rare, OFM must be considered in the differential diagnosis of soft tissue overgrowths in oral cavity.

摘要

口腔局灶性黏液瘤(OFM)是一种病因不明的罕见软组织病变。临床上,它最常见于牙龈,表现为无痛的、有蒂或无蒂的肿块。组织学上,其特征是下方结缔组织的局灶性黏液样变性。一名53岁患者报告称,牙龈出现无痛、坚硬且呈纤维状的增生,已持续7至8个月。临床检查和患者病史提示为“刺激性纤维瘤”。遂进行了切除活检。组织病理学诊断为OFM,这是一种罕见且特征不明确的病变类型。本病例报告强调了OFM几乎无法进行预诊断这一事实。因此,尽管OFM罕见,但在口腔软组织增生的鉴别诊断中必须考虑到它。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51fc/4645549/b0bbe2c8ebba/JISP-19-586-g001.jpg

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