[口腔白色海绵痣的治疗现状]。

Laurence Dufrasne, Michèle Magremanne, Dominique Parent, Laurence Evrard
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引用次数: 0

摘要

我们报告一个50岁男性患舌白色海绵痣的病例。口腔白色海绵痣是一种罕见的、良性的、显性的常染色体遗传性疾病,表现为口腔黏膜的白色、增生、疣状或海绵状病变。临床上鉴别诊断困难,多见于口腔白色病变。已经提出了各种治疗方法。全身抗生素或局部应用维甲酸提供有限的好处,但效果不佳。据我们所知,CO2激光从未尝试过治疗口腔白色海绵痣。我们用CO2激光完全切除病变,但完全复发。最终实现手术切除,证明是有效的。两年后,患者无复发。这篇文章提出了什么是已知的口腔黏膜白色海绵痣的文献综述。我们强调记忆,临床检查和病理结果之间的对抗的重要性,以导致这种罕见疾病的正确诊断。
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[Current therapeutic approach of the white sponge naevus of the oral cavity].

We report a case of White Sponge Naevus of the tongue in a 50 years-old man. White Sponge Naevus of the oral cavity is a rare, benign and dominant autosomic inherited disorder, which presents in the form of a white, hyperplasic and verrucous or spongious lesion of the oral mucosa. Differential diagnosis is clinically difficult with more common white lesions of the oral cavity. Various therapeutic approaches have been proposed. Systemic antibiotics or local applications of retinoic acid provide limited benefits but are poorly effective. To our knowledge, CO2 Laser has never been tried to treat a White Sponge Naevus of the oral cavity. We performed a complete removal of the lesion with CO2 Laser, but complete recurrence occurred. Finally, a surgical resection was realized, which proved to be effective. Two years later, the patient is free of recurrence. This article proposes a review of the literature on what is known on White Sponge Naevus of the oral mucosa. We stress the importance of confrontation between anamnesis, clinical examination and pathologic findings to lead to the proper diagnosis of this rare disease.

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