التقرانات ضمن جوف الفم
Abstract
التقران هو كل آفة بيضاء في المخاطية تالية لشذوذ في عملية تقرن الابتيليوم.
قد يكون التقران عبارة عن تظاهرة لمرض جلدي، أو ناتج عن تأثير عامل تخريشي خارجي.
شملت الدراسة المرضى الذين لديهم آفات بيضاء فموية بغض النظر إن كانت شكايتهم الرئيسية، أو وجدت خلال الفحص السريري، وأجريت خزعة نسيجية لتأكيد التشخيص عند معظم المرضى.
تضمنت الدراسة 48 مريضاً: 27 منهم من الذكور و 21 من الإناث.
كان عدد مرضى الحزاز المسطح 25 مريضا بنسبة 52.08%. وكانت النسبة أعلى عند الإناث منها عند الذكور حيث بلغ عدد الإناث 16 مريضة وبنسبة 64 %، وعدد الذكور 9 مرضى وبنسبة 36%.
وقد قسم مرضى الحزاز الفموي إلى حزاز فموي معزول، وحزاز جلدي مخاطي. ومن بين مرضى الحزاز المعزول، كان هناك 4 مرضى عرضيين من أصل 6 مرضى، بالمقابل كان هناك 13 مريضاً عرضياً من أصل 19 مريضاً بالحزاز الجلدي المخاطي.
وجدنا أن عدد المصابين بالسرطانة شائكة الخلايا، كان 9 مرضى أي بنسبة 18.75 % من العينة:
3 منهم ضمن جوف الفم، و 6 على باطن الشفة السفلية.
وكان عدد المصابين بالطلوان 8 مرضى أي بنسبة 16.66 %، وكان عدد المدخنين منهم 6 أي بنسبة 75 %.
واحتوت الدراسة على مريض مصاب بطلوان الفم المشعر (تم تحري إصابته بالايدز)، واحتوت أيضا على مريضة مصابة بالذأب الحمامي (إصابة فموية).
Keratosis is every white lesion in the mucosa, resulting from abnormality in keratinization process of the epithelium. It may be a manifestation of cutanous disease or resulting from the effect of external irritant factor.
This study included patients with oral white lesions, whether found during routine clinical examination or it was their major complaint. In most patients a biopsy was done to verify the diagnosis.
Our study included 48 patients: 27 males and 21 females. The number of patients with lichen planus was 25 (52.08%). Females were most affected and their number was 16 (64%), while the number of males was 9 (36%).
The age of the most affected category was between 40 and 50 years. In oral lichen planus oral symptoms were found in 4 patient.And we found 13 patients with oral symptoms in 19 patients with dermato - oral lichen planus. The number of patients with squamous cell carcinoma was 9 (18.75%), 3 were in the oral cavity, while 6 were in the interior part of the lower lip. The number of patients with leucoplakia was 8 (16.66%), 6 were smokers (75%). The study included one patient with oral hairy leucoplakia. He was sent to investigation for AIDS. The study includes one female patient with lupus erythematous (oral lesions).
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