华西口腔医学杂志

• 病例报告 • 上一篇    

增殖性疣状白斑癌变1例

葛林1, 周红梅1, 曾昕1, 吴兰雁2, 林梅1   

  1. 1.四川大学华西口腔医院黏膜科; 2.病理科, 四川成都610041
  • 收稿日期:2007-06-25 修回日期:2007-06-25 出版日期:2007-06-20 发布日期:2007-06-20
  • 通讯作者: 林梅,Tel:028- 85503480
  • 作者简介:葛林(1983-),女,重庆人,硕士

A Case Repor t on Cancer ation of Prolifer ative Ver rucous Leukoplakia

GE Lin1, ZHOU Hong- mei1, ZENG Xin1, WU Lan- yan2, LIN Mei1   

  1. 1. Dept. of Oral Medicine, West China College of Stomatology, Sichuan University, Chengdu 610041, China; 2. Dept. of Oral Pathology, West China College of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2007-06-25 Revised:2007-06-25 Online:2007-06-20 Published:2007-06-20
  • Contact: LIN Mei,Tel:028- 85503480

摘要:

增殖性疣状白斑(PVL)是一种病因不明、以慢性增殖性、多发性、顽固性为主要临床特点的白斑病,中老年女性多见,好发于颊、腭、龈、舌,癌变率高。本文报道1例增殖性疣状白斑癌变病例,并对相关文献复习,讨论PVL可能的致病机制、诊断、治疗、预后以及与其他类型口腔白斑的区别。

关键词: 增殖性疣状白斑, 癌变, 口腔白斑

Abstract:

Proliferative verrucous leukoplakia(PVL) is a particular form of oral leukoplakia clinically characterized by chronic proliferation, multiple occurrence, and intractability. It is seen mostly among elderly women and often involves bucca, palate, gingiva and tongue. Its canceration rate is very high. This article reports a case of a middleaged woman with progressive PVL which became focally malignant who complained about buccal and palatal exophytic white patches, and discusses the possible pathogenic mechanism, diagnosis, treatment, prognosis of PVL and differentiation between PVL and other types of oral leukoplakia by way of reviewing relevant literature.

Key words: proliferative verrucous leukoplakia, canceration, oral leukoplakia