Jazyk patrí k najcitlivejším orgánom v dutine ústnej. Zaisťuje množstvo funkcií ako prehĺtanie, prežúvanie, rozprávanie a dýchanie. Nakoľko sa nachádza na dobre vyšetriteľnom mieste, môžeme na ňom jednoducho pozorovať rôzne morfologické jednotky. Jednou z týchto jednotiek je lingua geografica (alebo synonymom: mapovitý jazyk, erythema migrans, benígna migrujúca glositida). Ide o benígnu rekurentnú léziu neznámej etiológie. Má charakteristický klinický obraz. Prejavuje sa ako multifokálne okrúhle nepravidelné škvrny, v strede červené, po okrajoch biele, s mierne navalitými okrajmi. Pacient môže byť bez potiaží, alebo sa môže sťažovať na pálenie jazyka, resp. diskomfort. Aj keď je táto lézia úplne benígna a nevyžaduje terapiu, u pacienta alebo praktického lekára môže vzniknúť podozrenie z onkologického ochorenia. Tento článok podáva základne informácie a súčasný pohľad na túto morfologickú jednotku.
The tongue is one of the most sensitive organs in the oral cavity. It participates in many of its functions, such as swallowing, chewing, speaking and breathing. As it is well accessible and easy to examine, it facilitates the easy recognition of multiple morphological units. One of these is the geographic tongue (also known as lingua geographica, erythema migrans, benign migratory glossitis), a benign recurrent lesion of unknown aetiology with a characteristic clinical picture. It manifests as multifocal round irregular lesions that are red in the middle with white slightly raised edges. The patient may be free of any complaints but may also complain of burning of the tongue or other discomfort. Although the lesion is benign and requires no treatment, the patient himself/herself or the general practitioner might suspect the presence of carcinoma. This paper presents the basic information and the current perspective of this morphological unit.
- MeSH
- diferenciální diagnóza MeSH
- lidé MeSH
- mapovitý jazyk * diagnóza etiologie terapie MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
- přehledy MeSH
BACKGROUND: Unlike leukoplakia, the smokers' lesion - a type of oral white lesion spontaneously regressing following cessation of smoking - is generally considered a non-serious condition and there is no recommendation for subsequent follow-up of such patients. CASE REPORT: Here, however, we present the case of a patient (female, 56, smoker) in whom we detected a smoker's lesion which regressed completely, without any signs of abnormality or malignity. The only shadow of a doubt that led us to inviting her for another examination was an additional examination using a VELscope® autofluorescence device that revealed autofluorescence suppression on the site of the former lesion. Another examination one month later revealed a patch of epithelium with a normal color but a negligibly different light reflection in the center of the former lesion; VELscope® indicated the questionable area to still be suspect. Following excision using margins indicated by VELscope® (+2-3 mm), histopathology revealed a squamous cell carcinoma. The secondary excision was carcinoma free and even after 5 years, the carcinoma has not recurred. CONCLUSION: We would like to point out that apparent spontaneous regressions of oral white lesions following smoking cessation still need attention and close follow-up to make sure that a developing squamous cell carcinoma cannot pass undetected.
- MeSH
- lidé MeSH
- lokální recidiva nádoru * MeSH
- spinocelulární karcinom * MeSH
- Check Tag
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
