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黄色口腔黏膜病变指南:病因与病理学

A Guide to Yellow Oral Mucosal Entities: Etiology and Pathology.

作者信息

Schafer Duane R, Glass Sarah H

机构信息

University of Tennessee Health Sciences Center College of Dentistry, Memphis, TN, USA.

Virginia Commonwealth University School of Dentistry, Richmond, VA, USA.

出版信息

Head Neck Pathol. 2019 Mar;13(1):33-46. doi: 10.1007/s12105-018-0977-4. Epub 2019 Jan 31.

Abstract

When faced with an uncertain clinical pathosis in the oral cavity, identifying the color of the mucosal lesion helps to narrow down a differential diagnosis. Although less common than red and white lesions, yellow lesions encompass a small group of distinct mucosal pathologic entities. Adipose tissue, lymphoid tissue, and sebaceous glands are naturally occurring yellow constituents of the oral cavity and become apparent with associated developmental or neoplastic lesions. Reactive and inflammatory lesions can create a yellow hue due to purulence, necrosis, and calcification. Some systemic diseases are known to deposit yellow bi-products such as amyloid or bilirubin into the oral mucosa of an affected person, and while not always yellow, unusual entities like verruciform xanthoma and granular cell tumor fall under the umbrella of yellow lesions given their occasional propensity to demonstration the color. This chapter aims to explore the unique group that is yellow lesions presenting in the oral mucosa.

摘要

当面对口腔中不确定的临床病变时,识别黏膜病变的颜色有助于缩小鉴别诊断范围。尽管黄色病变不如红色和白色病变常见,但它涵盖了一小群不同的黏膜病理实体。脂肪组织、淋巴组织和皮脂腺是口腔中天然存在的黄色成分,并在相关的发育或肿瘤性病变中显现出来。反应性和炎性病变可因化脓、坏死和钙化而产生黄色色调。已知一些全身性疾病会将黄色副产品如淀粉样蛋白或胆红素沉积到患者的口腔黏膜中,而疣状黄瘤和颗粒细胞瘤等不常见的实体虽然并非总是黄色,但因其偶尔呈现这种颜色的倾向,也属于黄色病变范畴。本章旨在探讨口腔黏膜中呈现的独特的黄色病变群体。

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