Dunlap C L, Barker B F
University of Missouri, School of Dentistry, Department of Oral Pathology, Kansas City 64108.
Semin Diagn Pathol. 1985 Feb;2(1):16-30.
Diagnostic problems within the oral cavity may be associated with lesions of the odontogenic apparatus, salivary glands, bone, mucosa, and connective tissue. Some lesions are unique to the oral cavity, others have a systemic distribution. Several unique and controversial lesions have been selected for discussion, including (1) necrotizing sialometaplasia, a benign salivary gland disease easily mistaken for malignancy; (2) verrucous lesions including verrucous carcinoma, verrucous hyperplasia, and papillary carcinoma; (3) spindle-cell carcinoma, which is often confused with sarcoma; (4) named and unnamed embryonic rests, which may resemble metastatic carcinomas; (5) dental pulp mistaken for odontogenic myxoma; and (6) granular cell tumor with associated pseudoepitheliomatous hyperplasia.
口腔内的诊断问题可能与牙源性器官、唾液腺、骨骼、黏膜及结缔组织的病变有关。有些病变是口腔所特有的，其他的则呈全身性分布。现选取了几种独特且有争议的病变进行讨论，包括：（1）坏死性涎腺化生，一种易被误诊为恶性肿瘤的良性唾液腺疾病；（2）疣状病变，包括疣状癌、疣状增生及乳头状癌；（3）梭形细胞癌，常与肉瘤相混淆；（4）有命名和未命名的胚胎残余，可能类似转移性癌；（5）被误诊为牙源性黏液瘤的牙髓；以及（6）伴有假上皮瘤样增生的颗粒细胞瘤。
