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比较阴道镜检查与肉眼检查在确定潜在癌前口腔上皮病变活检部位的有效性。

Comparative study of effectiveness of colposcopic examination versus visual examination for determining the biopsy site of potentially premalignant oral epithelial lesions.

机构信息

Department of Oral Medicine, Diagnosis and Radiology, Faculty of Dental Sciences, Ramaiah University of Applied Sciences, MSRIT Post, New BEL Road, Bangalore, Karnataka, India.

出版信息

J Stomatol Oral Maxillofac Surg. 2022 Oct;123(5):e380-e384. doi: 10.1016/j.jormas.2022.03.002. Epub 2022 Mar 4.

DOI:10.1016/j.jormas.2022.03.002
PMID:35257930
Abstract

Diagnosis of oral malignant and potentially premalignant oral epithelial lesions (PPOELs) cannot be based solely on clinical findings. Tissue biopsy with histopathologic examination remains the gold standard in diagnosis. Selection of a representative biopsy site becomes essential to arrive at an early and precise diagnosis which substantially reduces the incidence of morbidity and mortality from oral cancer. The site for biopsy, however, is always a subjective choice that sometimes raises doubts about its representativeness. Among various techniques developed to complement clinical examination and facilitate early diagnosis, colposcopy can be a simple, reliable diagnostic method available for the selection of the most appropriate biopsy site based on the vascular patterns. Hence, this study has been planned to assess the role of colposcopic examination in the selection of the most representative specimen for histopathologic examination from the oral lesions.

摘要

口腔恶性和潜在癌前上皮病变(PPOEL)的诊断不能仅基于临床发现。组织活检和组织病理学检查仍然是诊断的金标准。选择有代表性的活检部位对于早期和准确的诊断至关重要,这可以大大降低口腔癌的发病率和死亡率。然而,活检部位始终是一个主观选择,有时会对其代表性产生怀疑。为了补充临床检查并促进早期诊断,已经开发了各种技术,阴道镜检查就是一种简单、可靠的诊断方法,可以根据血管模式选择最合适的活检部位。因此,本研究旨在评估阴道镜检查在选择口腔病变进行组织病理学检查最具代表性标本方面的作用。

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