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Clinical features and histological description of tongue lesions in a large Northern Italian population

BACKGROUND: Only few studies on tongue lesions considered sizable populations, and contemporary literature does not provide a valid report regarding the epidemiology of tongue lesions within the Italian population. In this report, the histopathological and clinical appearance of 1.106 tongue lesions...

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Autores principales: Gambino, Alessio, Carbone, Mario, Arduino, Paolo-Giacomo, Carrozzo, Marco, Conrotto, Davide, Tanteri, Carlotta, Carbone, Lucio, Elia, Alessandra, Maragon, Zaira, Broccoletti, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medicina Oral S.L. 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598924/
https://www.ncbi.nlm.nih.gov/pubmed/26241456
http://dx.doi.org/10.4317/medoral.20556
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author Gambino, Alessio
Carbone, Mario
Arduino, Paolo-Giacomo
Carrozzo, Marco
Conrotto, Davide
Tanteri, Carlotta
Carbone, Lucio
Elia, Alessandra
Maragon, Zaira
Broccoletti, Roberto
author_facet Gambino, Alessio
Carbone, Mario
Arduino, Paolo-Giacomo
Carrozzo, Marco
Conrotto, Davide
Tanteri, Carlotta
Carbone, Lucio
Elia, Alessandra
Maragon, Zaira
Broccoletti, Roberto
author_sort Gambino, Alessio
collection PubMed
description BACKGROUND: Only few studies on tongue lesions considered sizable populations, and contemporary literature does not provide a valid report regarding the epidemiology of tongue lesions within the Italian population. In this report, the histopathological and clinical appearance of 1.106 tongue lesions from northern Italians are described and discussed. MATERIAL AND METHODS: The case records of patients referred for the diagnosis and management of tongue lesions, from October 1993 to October 2013, were reviewed. Histological data were also obtained and blindly reexamined. RESULTS: For instance, a biopsy performed on a lingual ulcer has a strong predicting association with a carcinoma, whereas a biopsy on a white lesion predicts for a leukoplakia or oral lichen planus. Moreover, a biopsy of erosion is representative of bullous diseases, whereas a biopsy on a verrucous-papillary lesion is significant for fibroma. Furthermore, carcinomas occur in the majority of cases on the lingual edge or pelvis, oral lichen planus is mainly seen on the edge, and fibromas mostly on the lingual tip. CONCLUSIONS: The high frequency of tongue involvement of such different diseases emphasizes the importance of histological characterization and that some diseases occur more frequently than others, with a peculiar clinical aspect and a more common area. In fact our survey can help the clinician in advancing diagnostic hypothesis, on the basis of the elementary lesion and its site of involvement. Key words:Tongue lesions, clinical appearance, histological description.
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spelling pubmed-45989242015-10-15 Clinical features and histological description of tongue lesions in a large Northern Italian population Gambino, Alessio Carbone, Mario Arduino, Paolo-Giacomo Carrozzo, Marco Conrotto, Davide Tanteri, Carlotta Carbone, Lucio Elia, Alessandra Maragon, Zaira Broccoletti, Roberto Med Oral Patol Oral Cir Bucal Research BACKGROUND: Only few studies on tongue lesions considered sizable populations, and contemporary literature does not provide a valid report regarding the epidemiology of tongue lesions within the Italian population. In this report, the histopathological and clinical appearance of 1.106 tongue lesions from northern Italians are described and discussed. MATERIAL AND METHODS: The case records of patients referred for the diagnosis and management of tongue lesions, from October 1993 to October 2013, were reviewed. Histological data were also obtained and blindly reexamined. RESULTS: For instance, a biopsy performed on a lingual ulcer has a strong predicting association with a carcinoma, whereas a biopsy on a white lesion predicts for a leukoplakia or oral lichen planus. Moreover, a biopsy of erosion is representative of bullous diseases, whereas a biopsy on a verrucous-papillary lesion is significant for fibroma. Furthermore, carcinomas occur in the majority of cases on the lingual edge or pelvis, oral lichen planus is mainly seen on the edge, and fibromas mostly on the lingual tip. CONCLUSIONS: The high frequency of tongue involvement of such different diseases emphasizes the importance of histological characterization and that some diseases occur more frequently than others, with a peculiar clinical aspect and a more common area. In fact our survey can help the clinician in advancing diagnostic hypothesis, on the basis of the elementary lesion and its site of involvement. Key words:Tongue lesions, clinical appearance, histological description. Medicina Oral S.L. 2015-09 2015-08-04 /pmc/articles/PMC4598924/ /pubmed/26241456 http://dx.doi.org/10.4317/medoral.20556 Text en Copyright: © 2015 Medicina Oral S.L. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Gambino, Alessio
Carbone, Mario
Arduino, Paolo-Giacomo
Carrozzo, Marco
Conrotto, Davide
Tanteri, Carlotta
Carbone, Lucio
Elia, Alessandra
Maragon, Zaira
Broccoletti, Roberto
Clinical features and histological description of tongue lesions in a large Northern Italian population
title Clinical features and histological description of tongue lesions in a large Northern Italian population
title_full Clinical features and histological description of tongue lesions in a large Northern Italian population
title_fullStr Clinical features and histological description of tongue lesions in a large Northern Italian population
title_full_unstemmed Clinical features and histological description of tongue lesions in a large Northern Italian population
title_short Clinical features and histological description of tongue lesions in a large Northern Italian population
title_sort clinical features and histological description of tongue lesions in a large northern italian population
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598924/
https://www.ncbi.nlm.nih.gov/pubmed/26241456
http://dx.doi.org/10.4317/medoral.20556
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