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Melanin‐associated pigmented lesions of the oral mucosa: presentation, differential diagnosis, and treatment

Identifieur interne : 001694 ( Main/Exploration ); précédent : 001693; suivant : 001695

Melanin‐associated pigmented lesions of the oral mucosa: presentation, differential diagnosis, and treatment

Auteurs : Susan Müller [États-Unis]

Source :

RBID : ISTEX:3ADA9AA5257BC14A493938FAC84DF0F1CCC93F5C

English descriptors

Abstract

Intraoral pigmentation is quite common and has numerous etiologies, ranging from exogenous to physiological to neoplastic. Many pigmented lesions of the oral cavity are associated with melanin pigment. The differential diagnosis of mucosal pigmented lesions includes hematomas, varices, and petechiae which may appear to be pigmented. Unlike cutaneous melanomas, oral melanomas are diagnosed late and have a poor prognosis regardless of depth of invasion. As such, the clinical presentation and treatment of intraoral melanoma will be discussed. Developing a differential diagnosis is imperative for a clinician faced with these lesions in order to appropriately treat the patient. This article will focus on the most common oral melanocytic lesions, along with mimics.

Url:
DOI: 10.1111/j.1529-8019.2010.01319.x


Affiliations:


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Le document en format XML

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<term>Amalgam</term>
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<term>Blue nevus</term>
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<term>Cutaneous</term>
<term>Differential diagnosis</term>
<term>Emory university</term>
<term>Epithelium</term>
<term>Gingiva</term>
<term>Hard palate</term>
<term>Incontinent melanin pigment</term>
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<term>Microscopic features</term>
<term>Mucosal</term>
<term>Mucosal melanoma</term>
<term>Nevus</term>
<term>Node</term>
<term>Oral cavity</term>
<term>Oral melanoacanthoma</term>
<term>Oral melanoma</term>
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<term>Oral melanotic macules</term>
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<term>Oral pathol</term>
<term>Oral pigmentation</term>
<term>Oral surg</term>
<term>Palate</term>
<term>Pathol</term>
<term>Physiological pigmentation</term>
<term>Pigmentation</term>
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<div type="abstract" xml:lang="en">Intraoral pigmentation is quite common and has numerous etiologies, ranging from exogenous to physiological to neoplastic. Many pigmented lesions of the oral cavity are associated with melanin pigment. The differential diagnosis of mucosal pigmented lesions includes hematomas, varices, and petechiae which may appear to be pigmented. Unlike cutaneous melanomas, oral melanomas are diagnosed late and have a poor prognosis regardless of depth of invasion. As such, the clinical presentation and treatment of intraoral melanoma will be discussed. Developing a differential diagnosis is imperative for a clinician faced with these lesions in order to appropriately treat the patient. This article will focus on the most common oral melanocytic lesions, along with mimics.</div>
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