Reddy Rekha, Davidova Liya, Bhattacharyya Indraneel, Cohen Donald M, Islam Mohammed N, Fitzpatrick Sarah G
Oral and Maxillofacial Pathology, University of Florida College of Dentistry, 1395 Center Drive, Room D8-6, Gainesville, FL, 32610, USA.
Head Neck Pathol. 2018 Dec;12(4):493-499. doi: 10.1007/s12105-018-0885-7. Epub 2018 Jan 16.
Skin lesions are often submitted to oral and maxillofacial pathology practices. The purpose of this study is to evaluate the frequency, distribution, variability, and composition of dermatologic lesions within a large oral and maxillofacial pathology biopsy service. An IRB-approved retrospective search of skin lesions diagnosed at University of Florida oral and maxillofacial pathology biopsy service between 1994 and 2015 was performed. 2487 cases were included in the study. Gender was reported in 2466 cases, of which 59% were male and 41% female. Age was provided in 2367 cases and ranged from 2 weeks to 96 years with an average of 55 years. Location was indicated in 2473 cases. Lips were the most common (41.7%), followed by face (25.3%), neck (7.4%), nose (6.5%), periorbital (5.3%), ear (4.1%), and scalp (3.8%). Of the 2487 cases, five diagnoses (actinic keratosis/cheilitis, intradermal nevus, epidermal inclusion cyst, seborrheic keratosis, and basal cell carcinoma) constituted 84.4% of the cases. 69 of 2487 cases (2.8%) resulted in dermatopathologic consultation prior to final reporting. Skin lesions accounted for ~ 1.0% of all lesions submitted to an oral and maxillofacial pathology biopsy service. This study found a large variation in the dermatologic lesions submitted to an oral pathology biopsy service. Although most were routine in complexity, dermatopathology consultation was an important tool in the diagnosis of the more challenging cases. This study may help pathologists gain a better understanding of the frequency and variability of dermatologic lesions submitted to an oral and maxillofacial pathology biopsy service and promote more interdisciplinary consultation within the field. This study evaluated the incidence and scope of dermatologic lesions submitted to a large oral and maxillofacial pathology biopsy service over a long time period. A wide scope of lesions was found, and dermatopathology consultation was important to quality assurance.
皮肤病变常被送至口腔颌面病理学科室。本研究的目的是评估在一个大型口腔颌面病理学活检服务中皮肤病变的频率、分布、变异性和组成。对1994年至2015年期间在佛罗里达大学口腔颌面病理学活检服务中诊断的皮肤病变进行了经机构审查委员会批准的回顾性检索。该研究纳入了2487例病例。2466例病例报告了性别，其中59%为男性，41%为女性。2367例病例提供了年龄，范围从2周至96岁，平均年龄为55岁。2473例病例标明了病变部位。唇部是最常见的部位（41.7%），其次是面部（25.3%）、颈部（7.4%）、鼻部（6.5%）、眶周（5.3%）、耳部（4.1%）和头皮（3.8%）。在2487例病例中，五种诊断（光化性角化病/唇炎、皮内痣、表皮样囊肿、脂溢性角化病和基底细胞癌）占病例的84.4%。2487例病例中有69例（2.8%）在最终报告前进行了皮肤病理学会诊。皮肤病变占所有送至口腔颌面病理学活检服务的病变的约1.0%。本研究发现送至口腔病理学活检服务的皮肤病变存在很大差异。尽管大多数病变在复杂性上是常规的，但皮肤病理学会诊是诊断更具挑战性病例的重要工具。本研究可能有助于病理学家更好地了解送至口腔颌面病理学活检服务的皮肤病变的频率和变异性，并促进该领域更多的跨学科会诊。本研究评估了在很长一段时间内送至一个大型口腔颌面病理学活检服务的皮肤病变的发病率和范围。发现了广泛的病变范围，并且皮肤病理学会诊对质量保证很重要。
