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Related Concept Videos

Assessment of the Mouth01:26

Assessment of the Mouth

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A thorough mouth assessment, including inspection and palpation of the lips, gums, tongue, tonsils, uvula, and pharynx, is crucial in detecting potential health issues. Diseases ranging from oral cancer to systemic conditions like diabetes could be identified early through careful oral examination. This article provides a detailed guide on conducting a comprehensive mouth assessment.
Mouth Inspection
The inspection begins with visually examining the mouth for symmetry, color, and size.
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Collision Lesions: Genuine Collision (Conflict) or not?

Leo Čabrijan1, Ana Cvečić, Jasna Lipozenčić

  • 1Leo Čabrijan MD, PhD, Department of Dermatovenereology, , Clinical Hospital Center Rijeka, Krešimirova 42, 51000 Rijeka, Croatia , leo.cabrijan@ri.t-com.hr.

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Collision skin lesions (CSLs) involve multiple tumors in one skin location, posing diagnostic challenges. Accurate diagnosis often requires surgical removal and pathological examination for definitive identification.

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Area of Science:

  • Dermatology
  • Oncology
  • Pathology

Background:

  • Collision lesions are defined as two or more tumors in the same anatomic site.
  • Collision skin lesions (CSLs) specifically occur when multiple tumors coincide at the same skin location.
  • CSLs present a significant diagnostic challenge in clinical practice due to their rarity and complex presentation.

Purpose of the Study:

  • To elucidate the clinical problem of collision skin lesions (CSLs).
  • To classify CSLs based on positional dependence, tumor histogenesis, etiology, and lesion combinations.
  • To evaluate diagnostic possibilities and challenges associated with CSLs.

Main Methods:

  • Review and analysis of clinical cases presenting with collision skin lesions.
  • Classification of CSLs according to established dermatological and oncological parameters.
  • Assessment of diagnostic accuracy based on clinical evaluation versus histopathological findings.

Main Results:

  • Accurate clinical diagnosis of CSLs is rarely achieved.
  • Tumors in CSLs can be partially or completely superimposed, or nested, complicating detection.
  • Lesion excision followed by pathohistological confirmation is often necessary for definitive diagnosis.

Conclusions:

  • Collision skin lesions are diagnostically challenging due to overlapping or nested tumor presentations.
  • Clinicians must be aware of CSLs to consider this possibility in differential diagnoses.
  • Histopathological confirmation after surgical excision remains the gold standard for diagnosing CSLs.