从口腔扁平苔藓到口腔苔藓样病变：演变还是变革。
Oral lichen planus to oral lichenoid lesions: Evolution or revolution.
作者信息
Dudhia Bhavin B, Dudhia Sonal B, Patel Purv S, Jani Yesha V
机构信息
Department of Oral Medicine and Radiology, Ahmedabad Dental College and Hospital, Ahmedabad, Gujarat, India.
Department of Oral Medicine and Radiology, College of Dental Sciences and Research Centre, Ahmedabad, Gujarat, India.
出版信息
J Oral Maxillofac Pathol. 2015 Sep-Dec;19(3):364-70. doi: 10.4103/0973-029X.174632.
Abstract
The diagnosis between different diseases may be impaired by clinical and histopathologic similarities, as observed in the oral lichen planus (OLP) and oral lichenoid lesion (OLL). Inspite of similar clinicopathological features; etiology, diagnosis and prognosis differ which mandates separation of OLL from OLP. Hence, it is essential for the oral physician and oral pathologist to be familiarized with the individual variations among clinicopathological features of OLP and OLL as well as to obtain a thorough history and perform a complete mucocutaneous examination in addition to specific diagnostic testing. The difficulties faced to establish the diagnosis between these two pathologies are widely investigated in the literature with a lack of definite conclusion. This review is an attempt to throw some light on these clinicopathologic entities with the aim to resolve the diagnostic dilemma.
摘要
正如在口腔扁平苔藓（OLP）和口腔苔藓样病变（OLL）中所观察到的那样，不同疾病之间的诊断可能会因临床和组织病理学上的相似性而受到影响。尽管它们具有相似的临床病理特征，但病因、诊断和预后有所不同，这就要求将OLL与OLP区分开来。因此，口腔医生和口腔病理学家必须熟悉OLP和OLL临床病理特征的个体差异，除了进行特定的诊断测试外，还需获取详尽的病史并进行全面的黏膜皮肤检查。关于在这两种病理之间进行诊断所面临的困难，文献中已有广泛研究，但尚无明确结论。本综述旨在对这些临床病理实体进行阐释，以解决诊断难题。
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