University of Kentucky College of Dentistry, 770 Rose Street, Lexington, KY 40536, USA.
University of Kentucky College of Dentistry, 770 Rose Street, Lexington, KY 40536, USA.
Oral Maxillofac Surg Clin North Am. 2023 May;35(2):153-158. doi: 10.1016/j.coms.2022.10.008.
Pigmented lesions are a common finding in the oral cavity. Oral pigmented lesions may range from solitary to multiple, pinpoint to diffuse, and have a variety of clinical implications. Nearly all solitary pigmented lesions require a biopsy to rule out mucosal melanoma. Oral mucosal melanoma has a grim prognosis and early discovery is of utmost importance. Multiple pigmented lesions in the oral cavity may indicate a systemic condition about which the patient may not be aware. The presentation and management of these various lesions is the focus of this article.
口腔内的色素性病变较为常见。口腔色素性病变的表现可以是单发或多发、针尖样或弥漫性,其临床意义也多种多样。几乎所有的单发色素性病变都需要进行活检以排除黏膜黑色素瘤。口腔黏膜黑色素瘤的预后较差,因此早期发现至关重要。口腔内的多发性色素性病变可能提示患者存在某种尚未察觉的系统性疾病。本文主要介绍这些不同病变的临床表现和处理方法。