Proposed Clinico-Pathological Classification for Oral Exophytic Lesions

Santosh, Arvind Babu Rajendra; Boyd, D.; Laxminarayana, Kumaraswamy Kikeri

doi:10.7860/jcdr/2015/12662.6468

Cited by 10 publications

(7 citation statements)

References 52 publications

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“…Lesions in the oral cavity generally present as ulcerations, red-white lesions, pigmentations, and exophytic lesions. Clinical classification of oral lesions is of great importance in the diagnostic process [ 1 , 2 ]. The term oral exophytic lesions is described as pathologic growths projecting above the normal contours of the oral mucosa [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

“…Clinical classification of oral lesions is of great importance in the diagnostic process [ 1 , 2 ]. The term oral exophytic lesions is described as pathologic growths projecting above the normal contours of the oral mucosa [ 2 ]. There are several underlying mechanisms responsible for oral exophytic lesions such as hypertrophy, hyperplasia, neoplasia, and pooling of the fluid [ 1 ], which makes it difficult to approach such lesions clinically [ 3 , 4 ].…”

Section: Introductionmentioning

confidence: 99%

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Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

Mortazavi

Safi

Baharvand

et al. 2017

International Journal of Dentistry

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Diagnosis of peripheral oral exophytic lesions might be quite challenging. This review article aimed to introduce a decision tree for oral exophytic lesions according to their clinical features. General search engines and specialized databases including PubMed, PubMed Central, Medline Plus, EBSCO, Science Direct, Scopus, Embase, and authenticated textbooks were used to find relevant topics by means of keywords such as “oral soft tissue lesion,” “oral tumor like lesion,” “oral mucosal enlargement,” and “oral exophytic lesion.” Related English-language articles published since 1988 to 2016 in both medical and dental journals were appraised. Upon compilation of data, peripheral oral exophytic lesions were categorized into two major groups according to their surface texture: smooth (mesenchymal or nonsquamous epithelium-originated) and rough (squamous epithelium-originated). Lesions with smooth surface were also categorized into three subgroups according to their general frequency: reactive hyperplastic lesions/inflammatory hyperplasia, salivary gland lesions (nonneoplastic and neoplastic), and mesenchymal lesions (benign and malignant neoplasms). In addition, lesions with rough surface were summarized in six more common lesions. In total, 29 entities were organized in the form of a decision tree in order to help clinicians establish a logical diagnosis by a stepwise progression method.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

Mortazavi

Safi

Baharvand

et al. 2017

International Journal of Dentistry

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“…(Weir et al, 1987;Ha et al, 2014;Ameri et al, 2014;Bhaskar, 1968) Pathologies of the oral and maxillofacial region are classi ied by many authors based on feasibility of understanding and clinicopathological examination of the lesion. (Santosh et al, 2015;Biswas et al, 2019) This study has proven to show an increased frequency of cysts, tumors, infections, salivary gland pathologies and other pathologies pertaining to the region of oral and maxillofacial. (Ha et al, 2014;Biswas et al, 2019;Jaafari-Ashkavandi et al, 2013).…”

Section: Resultsmentioning

confidence: 96%

Oral and Maxillofacial Pathologies — An Institutional Study

Koshy

Marimuthu

SIVAKUMAR

2020

ijrps

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Oral and pathology infers all the diseases of the mouth and structures related to the mouth inclusive of salivary glands, joints (TMJ), facial muscles and skin. Management of oral and pathology remains one of the most universally performed procedures by oral and surgeons. Lesions of the oral and region are a group of heterogeneous diseases with a wide spectrum of characteristics. Predictability of lesions helps in rightly predicting, diagnosing, treating and eliminating that arise in the oral cavity. The aim of this study is to determine the frequency of oral and encountered in a single institution. This is a single retrospective study done from June 2019 – March 2020. Sixty-five patients who were diagnosed with a pathology pertaining to the oral and region were considered. Lesions were grouped as a cyst, tumors, infections, salivary gland and others for better understanding and interpretation. The parameters examined and processed with relevance to oral and pathology were type of lesion, age and gender of the patient. IBM SPSS Version 20 was used for statistical analysis. Out of a total of 65 patients considered with oral and pathological lesion requiring surgical management, the most common type of pathology was a cyst (40.0%) followed by tumors (21.5%). Gender predilection for oral and pathology was evident with greater incidence among males (63.1%) with p value = 0.049 < 0.05, by chi square test and in an age group of 21-30 years (30.8%) with p value = 0.044 < 0.05 by chi square test. This study concludes to establish the predominance of oral and that arise in the age group of 21-30 years with a gender preference to males over females. The most common pathology was cysts, followed by tumors with cyst (53.8%) and (35.7%) being most common in their respective pathological genre.

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“…The term oral exophytic lesion is defined as pathological growth that bulges above the normal contours of the oral mucosa [19]. There are many basic mechanisms responsible for oral exophytic lesions such as hypertrophy, hyperplasia, neoplasia, and pooling of fluid [20].…”

Section: Discussionmentioning

confidence: 99%

Dermoscopy of oral mucocele: three type of extravasation mucocele

et al. 2020

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Background/aim: Dermoscopy is a diagnostic tool that assists in imaging the epidermis and dermis. Although it has also started to be used to diagnose nonmelanocytic lesions recently, it has not been tested much on oral mucosal masses, such as oral mucoceles. This study aimed to investigate whether dermoscopy is a valuable tool in diagnosing oral mucoceles. Materials and methods: In this study, the clinical and dermoscopic features of 21 oral mucocele lesions of 21 patients (11 females, 10 males) aged between 6 and 38 years who were confirmed histopathologically were evaluated. Results: Of the lesions studied, 95.2% (20) were extravasation and 4.8% (1) were retention mucoceles. The nonvascular structures were determined as white areas (61.9%, 13), erythema (57.1%, 12), purplish-gray background (52.3%, 11), ulcer (30%, 8), yellowishorange areas (23.8%, 5), crust (14.2%, 3), starburst pattern (0.95%, 2), and bleeding (0.47%, 1). Dermoscopically, 40% of extravasation mucoceles were classified as type 1 (8 patients), 25% as type 2 (5 patients), and 35% as type 3 (7 patients). Conclusion: We concluded that there are 3 types of extravasation mucoceles dermoscopically and clinically, and these types may be stages of transition between each other.

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Proposed Clinico-Pathological Classification for Oral Exophytic Lesions

Cited by 10 publications

References 52 publications

Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

Peripheral Exophytic Oral Lesions: A Clinical Decision Tree

Oral and Maxillofacial Pathologies — An Institutional Study

Dermoscopy of oral mucocele: three type of extravasation mucocele

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