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伪装成恶性溃疡的舌嗜酸性粒细胞性溃疡:一种未被探索的独特病理学表现。

Eosinophilic ulcer of the tongue masquerading as malignant ulcer: An unexplored distinct pathology.

作者信息

Sah Kunal, Chandra Sunira, Singh Anil, Singh Shweta

机构信息

Department of Oral Pathology and Microbiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India.

Department of Oral Medicine and Radiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India.

出版信息

J Oral Maxillofac Pathol. 2017 May-Aug;21(2):321. doi: 10.4103/jomfp.JOMFP_93_16.

DOI:10.4103/jomfp.JOMFP_93_16
PMID:28932055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5596696/
Abstract

Eosinophilic ulcer (EU) is a rare self-limiting chronic benign ulcerative lesion of the oral mucosa often misdiagnosed as oral malignancy. Its etiopathogenesis is ambiguous, but trauma plays an important role in the development. Microscopically, it is characterized by a polymorphic inflammatory infiltrate with a prominent eosinophilic component and large mononuclear cells extending deep into the submucosa, underlying muscle and salivary glands. We discuss a case of EU in a 55-year-old male, which presented with a symptomatic nonhealing ulcer on the right lateral border of the tongue and was further clinically misdiagnosed as malignant ulcer.

摘要

嗜酸性溃疡(EU)是一种罕见的口腔黏膜自限性慢性良性溃疡性病变,常被误诊为口腔恶性肿瘤。其发病机制尚不明确,但创伤在其发展过程中起重要作用。在显微镜下,其特征是多形性炎症浸润,伴有突出的嗜酸性成分和大单核细胞,深入黏膜下层、下方肌肉和唾液腺。我们讨论一例55岁男性的嗜酸性溃疡病例,该患者舌右侧缘出现有症状的不愈合溃疡,临床上进一步被误诊为恶性溃疡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/95ab43389518/JOMFP-21-321b-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/98364408a29e/JOMFP-21-321b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/b858f5c726be/JOMFP-21-321b-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/4d7336577310/JOMFP-21-321b-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/95ab43389518/JOMFP-21-321b-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/98364408a29e/JOMFP-21-321b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/b858f5c726be/JOMFP-21-321b-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/4d7336577310/JOMFP-21-321b-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77e6/5596696/95ab43389518/JOMFP-21-321b-g004.jpg

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本文引用的文献

1
Traumatic ulcerative granuloma with stromal eosinophilia.创伤性溃疡性嗜酸性粒细胞肉芽肿。
Arch Iran Med. 2014 Jan;17(1):91-4.
2
Eosinophilic ulcer of the oral mucosa: a distinct entity or a non-specific reactive pattern?口腔黏膜嗜酸性溃疡:一种独特的实体还是一种非特异性反应模式?
Oral Dis. 2008 May;14(4):287-95. doi: 10.1111/j.1601-0825.2008.01444.x.
3
Eosinophilic ulcer of the tongue.舌嗜酸性溃疡
Australas J Dermatol. 2007 Nov;48(4):248-50. doi: 10.1111/j.1440-0960.2007.00396.x.
4
Traumatic ulcerative granuloma with stromal eosinophilia: a reactive lesion of the oral mucosa.伴有基质嗜酸性粒细胞增多的创伤性溃疡性肉芽肿:一种口腔黏膜反应性病变。
Am J Clin Pathol. 2006 Oct;126(4):522-9. doi: 10.1309/AFHA406GBT0N2Y64.
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Eosinophil-rich CD30+ lymphoproliferative disorder of the oral mucosa. A form of "traumatic eosinophilic granuloma".口腔黏膜富含嗜酸性粒细胞的CD30+淋巴增殖性疾病。一种“创伤性嗜酸性肉芽肿”形式。
Am J Clin Pathol. 2004 Jan;121(1):43-50. doi: 10.1309/JQFX-PND6-DBLF-6B9U.
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Eosinophilic ulcer of the oral mucosa: a clinicopathological analysis.口腔黏膜嗜酸性溃疡:临床病理分析
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Eosinophilic ulcer of the oral mucosa: report of a recurrent case on the tongue.口腔黏膜嗜酸性溃疡:一例舌部复发病例报告。
Clin Exp Dermatol. 1997 May;22(3):154-6.
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Lack of TGF-alpha and TGF-beta 1 synthesis by human eosinophils in chronic oral ulcers.慢性口腔溃疡中人类嗜酸性粒细胞缺乏转化生长因子-α和转化生长因子-β1的合成。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1996 Jun;81(6):672-81. doi: 10.1016/s1079-2104(96)80073-4.
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Eosinophilic ulcer of the oral mucosa. Report of 38 new cases with immunohistochemical observations.口腔黏膜嗜酸性溃疡。38例新病例报告及免疫组化观察
Oral Surg Oral Med Oral Pathol. 1993 Jun;75(6):716-22. doi: 10.1016/0030-4220(93)90429-8.
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Oral traumatic granuloma. Characterization of the cellular infiltrate.
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