Piattelli A, Favia G F, Di Alberti L
Dental School, University of Chieti, Italy.
Oral Oncol. 1998 Sep;34(5):427-30. doi: 10.1016/s1368-8375(98)00041-4.
Oral lesions seem to be rather infrequent in sarcoidosis, and only 43 cases have been described in the English literature. Clinically most oral lesions appear as non-tender well-circumscribed swellings or submucosal nodules. Superficial ulceration is unusual. The authors present two cases in which the first presenting symptom of an unknown sarcoidosis was the presence of an oral ulcerated lesion with indurated margins that could easily have been misdiagnosed for a squamous cell carcinoma. It must be stressed that in all ulcerated lesions of the oral cavity, squamous cell carcinoma must always be considered in the differential diagnosis.
口腔病变在结节病中似乎相当少见，英文文献中仅描述了43例。临床上，大多数口腔病变表现为无压痛、边界清晰的肿胀或黏膜下结节。浅表溃疡并不常见。作者介绍了两例病例，其中未知结节病的首发症状是出现边缘硬结的口腔溃疡性病变，很容易被误诊为鳞状细胞癌。必须强调的是，在口腔所有溃疡性病变的鉴别诊断中，必须始终考虑鳞状细胞癌。
