中国实用口腔科杂志

• 口腔病理研究 • 上一篇    下一篇

舌溃疡性嗜酸性肉芽肿5 例临床病理报告

王兆元,钟 鸣,张成文,范 玉,薛庆蕊   

  1. 中国医科大学口腔医学院病理科
  • 收稿日期:2008-10-07 修回日期:2008-11-10 出版日期:2008-12-15 发布日期:2008-12-15

  • Received:2008-10-07 Revised:2008-11-10 Online:2008-12-15 Published:2008-12-15

摘要: 目的 探讨舌溃疡性嗜酸性肉芽肿(UEGT)的临床病理特点,提高对本病的认识,防止误诊,避免过治疗。方法 对2006年6月至2008年5月中国医科大学口腔医学院外科门诊收治的5例UEGT患者病变标本常规石蜡切片,HE染色,光镜下观察,结合临床表现和文献复习进行比较分析。结果 溃疡面积较小,边缘隆起,较硬。镜下可见以嗜酸细胞为主的多种炎症细胞浸润,常深达小涎腺和肌层。有时易误诊为鳞状细胞癌或恶性淋巴瘤。结论 UEGT为一种良性的自限性疾病,局部切取或切除病变组织送检病理即可。创伤可能是发病的重要因素,发病机制不清。

关键词: 口腔黏膜, 舌, 溃疡性嗜酸性肉芽肿

Abstract: Objective To study the clinicopathological features of the ulcerative eosinophilic granuloma of tongue(UEGT)and to know the disease deeply,prevent misdiagnosis,and to avoid excessive therapy. Methods The sections of five cases of UEGT were cut from paraffin-embedded blocks and stained with hematoxylin and eosin. Observe them under light microscope,and make analyses through combining with clinical manifestations and literature review. Results Clinically,this disease is characterized by the presence of small ulcerative lesions with elevated and indurated borders in the tongue. The tissue was infiltrated by many inflammatory cells,which were mainly eosinophils. The inflammatory cells could reach minor salivary glands and muscular layer. Sometimes,it might be mistaken for squamous cell carcinoma or malignant lymphoma. Conclusion This disease is a benign and self-limited disease. It can be cut partly or carried out local excision for biopsy. The trauma may be a very important factor for causes of the disease,and the pathogenesis is still unclear.

Key words: mouth mucosa, tongue, ulcerative eosinophilic granuloma