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牙龈血管外皮细胞瘤——伪装性肿瘤的典型鉴别病例

Hemangiopericytoma of the gingiva - An exemplary differential of a masquerading tumor.

作者信息

Balagangadharan ManoVijay, Jacob Mathew, Bala Sekar, Periasamy Arulmani

机构信息

Department of Periodontology, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation, Salem, Tamil Nadu, India.

Department of Oral Pathology and Oral Microbiology, Vinayaka Mission's Sankarachariyar Dental College, Vinayaka Mission's Research Foundation, Salem, Tamil Nadu, India.

出版信息

J Indian Soc Periodontol. 2022 Jul-Aug;26(4):401-403. doi: 10.4103/jisp.jisp_368_21. Epub 2022 Jul 2.

Abstract

Periodontal diseases are unique as a small number lesions appearing as inflammatory in reality are neoplastic in nature, and it is imperative that an accurate diagnosis be rendered to provide the appropriate treatment and management. One of the most common clinical presentations of gingival lesions is pedunculated soft-tissue swellings. We report the case of a 63-year-old female who presented with a painless swelling on the interdental papilla of 23 and 24 with a history of recurrences. The lesion was excised by wide surgical excision. This article presents a unique case of a vascular tumor that had clinically mimicked a reactive lesion and with detailed history, thorough clinical examination had provided clues to a vascular entity namely hemangiopericytoma which was confirmed by histological diagnosis. Oral lesions, particularly occurring in gingiva, most often appear clinically benign or innocuous thus necessitating the need for careful examination with investigations to render a diagnosis.

摘要

牙周疾病很独特,因为实际上少数表现为炎症的病变本质上是肿瘤性的,必须做出准确诊断以提供适当的治疗和管理。牙龈病变最常见的临床表现之一是带蒂的软组织肿胀。我们报告了一例63岁女性病例,该患者23和24牙间乳头出现无痛性肿胀且有复发史。通过广泛手术切除对病变进行了切除。本文介绍了一例独特的血管肿瘤病例,该肿瘤在临床上曾被误诊为反应性病变,通过详细的病史、全面的临床检查提供了血管性病变的线索,即血管外皮细胞瘤,经组织学诊断得以证实。口腔病变,尤其是发生在牙龈的病变,临床上大多表现为良性或无害,因此需要仔细检查并进行相关检查以做出诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76b7/9362810/eec60791992e/JISP-26-401-g001.jpg

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