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例1刘××,女,31岁,职工。半年前发现右下牙龈长一黑色斑,无何不适,发展缓慢,近来在治疗牙病过程中偶然被医生发现。查:5|龋齿,充填物已脱落,其颊侧龈颊移行部粘膜可见0.6×0.4cm大椭园形黑色素斑,周界清、略突出粘膜表面。相对牙齿无轻动,区域淋巴结无肿大。x光牙片及下颌骨侧位片:局部牙槽骨无破坏。印象诊断:“不能除外牙龈黑色素瘤”。局麻下行765|牙齿拔除术,病变及部分牙槽骨切除术。术后病理:色素沉着。
Example 1 Liu X, female, 31 years old, employee. Six months ago, the right lower gum was found to have a black spot, no discomfort, and it developed slowly. It was discovered by doctors during the treatment of dental problems recently. Check: 5 | caries, filling has fallen off, the buccal cheek migration Department of the mucous membrane visible 0.6 × 0.4cm large oval garden melanin spots, the perimeter clear, slightly protruding mucosal surface. There was no light movement relative to the teeth and there was no swelling of the regional lymph nodes. X-ray denture and lateral view of mandible: Local alveolar bone without damage. Impression diagnosis: “Can not exclude gingival melanoma.” Local anesthesia 765 | tooth extraction, lesions and partial alveolar bone resection. Postoperative pathology: pigmentation.