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The oral melanotic macule.

L R Page, R L Corio, B E Crawford

    Oral Surgery, Oral Medicine, and Oral Pathology
    |August 1, 1977
    PubMed
    Summary
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    Eighty oral melanotic lesions, often on the gingiva, were studied. These benign lesions, termed oral melanotic macules, showed no atypia or malignant potential, though removal for confirmation is advised.

    Area of Science:

    • Oral Pathology
    • Dermatology

    Background:

    • Oral melanotic lesions encompass a range of conditions.
    • Some lesions do not fit established diagnostic categories.
    • Understanding these unique lesions is crucial for accurate diagnosis and management.

    Purpose of the Study:

    • To conduct a clinical and histologic analysis of eighty oral melanotic lesions.
    • To characterize lesions that do not fit recognized categories.
    • To propose a classification and management strategy for these findings.

    Main Methods:

    • Clinical examination of eighty oral lesions.
    • Histologic evaluation of biopsy specimens.
    • Long-term follow-up in select cases.

    Main Results:

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    • Lesions typically occur in the fifth decade, most frequently on the gingiva.
    • Lesions are usually solitary, under 1 cm, with no sex predilection.
    • Histology revealed no atypia; melanin was primarily in the basal cell layer and lamina propria.
    • No recurrence or malignant transformation was observed.

    Conclusions:

    • The term "oral melanotic macule" is suggested for these lesions when etiology is unconfirmed.
    • These lesions are not considered premalignant.
    • Excisional biopsy for histologic confirmation is recommended for clinical certainty.