增殖性/多聚焦性白血病: 更新和文献综述 "病例报告"
Abdullah Alsoghier1, Hamad AlBagieh1, Lujain AlSahman1
1Oral Medicine and Diagnostic Sciences Department, College of Dentistry, King Saud University Riyadh, Riyadh, Saudi Arabia.
Medicine
|May 26, 2023
概括
增殖性性白血病 (PVL) 是一种侵略性的口腔病变,需要早期检测和彻底手术切除. 及时诊断和治疗对于预防恶性转变和改善患者结果至关重要.
科学领域:
- 口腔病理学 口腔病理学
- 皮肤病学 皮肤病学
- 在瘤学瘤学.
背景情况:
- 增殖性性白血病 (PVL) 是一种罕见的,激进的口腔病变,具有转化为口腔状细胞癌的高风险.
- PVL呈现为多焦点,缓慢演变的白色斑块,由于缺乏临床医生的意识,往往被误诊.
- 早期诊断和完整切除对于管理PVL至关重要,因为它对其他治疗方法有抗性.
研究的目的:
- 呈现PVL的典型临床和组织学特征.
- 让临床医生意识到早期PVL检测和管理的重要性.
- 为了突出PVL完全外科切除的有效性.
主要方法:
- 评估了一例61岁的女性,舌头上出现了反复出现的白斑.
- 患者符合PVL的诊断标准.
- 进行了切除活检,并通过 sutures 实现了血液静止.
主要成果:
- 根据临床和组织学发现,该患者被诊断为PVL.
- 在切除活检后的1年随访期间没有观察到复发.
- 实现了完全切除,没有自由的外科边缘.
结论:
- 早期检测和及时的手术干预对于成功治疗PVL至关重要.
- 由于复发和恶性转变的可能性,终身跟踪至关重要.
- 提高临床医生的意识和患者对口腔病变的教育对于及时诊断和改善生活质量至关重要.
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