Tamiolakis P, Chatzopoulou E, Frakouli F, Tosios K-I, Sklavounou-Andrikopoulou A
41 Amyclon Str, 11142 Lamprini, Athens, Greece,
Med Oral Patol Oral Cir Bucal. 2018 May 1;23(3):e320-e325. doi: 10.4317/medoral.22263.
To describe the incidence, demographic and clinical features of 1187 localized gingival enlargements.
1187 cases of localized gingival enlargements diagnosed during a 20-year period were retrospectively collected. The patients' gender and age, as well as the main clinical features of the tumors were retrieved from the biopsy report forms.
The 1187 localized gingival enlargements represented 6.23% of 19.044 biopsies performed during the study period. 756 females and 427 males were affected with a mean age of 41.92±19.68 years. The lesions appeared as smooth (52.4%), granular (17.9%) or rough (13.16%) tumors, elastic (50.73%) or soft (29.56%) in consistency and red (60.8%), normal (28.58%) or white (8.17%) in color. The majority of the lesions (85.17%) were reactive in origin with pyogenic granuloma being the most common. In 1.1% of the cases a diagnosis of malignant lesion was rendered.
All localized gingival enlargements should be submitted for microscopic examination because in approximately 1% of cases they are malignant.
描述1187例局限性牙龈肿大的发病率、人口统计学和临床特征。
回顾性收集20年间诊断的1187例局限性牙龈肿大病例。从活检报告表格中获取患者的性别、年龄以及肿瘤的主要临床特征。
1187例局限性牙龈肿大占研究期间所做19044例活检的6.23%。756例女性和427例男性患病，平均年龄为41.92±19.68岁。病变表现为光滑型（52.4%）、颗粒型（17.9%）或粗糙型（13.16%）肿瘤，质地为弹性（50.73%）或柔软（29.56%），颜色为红色（60.8%）、正常（28.58%）或白色（8.17%）。大多数病变（85.17%）起源于反应性病变，化脓性肉芽肿最为常见。1.1%的病例诊断为恶性病变。
所有局限性牙龈肿大均应进行显微镜检查，因为约1%的病例为恶性。
