PDF(Pubmed)
Abstract：
This study aimed to perform an integrative review of solitary angiokeratomas cases in the oral cavity and to report a new case in a 39-year-old man. A modified PECOS strategy was used using PubMed, Embase, Scopus, Web of Science databases, and the reference lists of the selected articles. Case reports of oral solitary angiokeratoma published in English, Portuguese, and Spanish languages with histopathological diagnosis without the presence of systemic disorders were included. Of the 51 articles identified, 18 met the eligibility criteria. Solitary angiokeratomas have a slight male predilection, with a peak incidence in the fourth decade of life. The tongue was the most common localization (77.7%), followed by buccal mucosa (11.1%), labial mucosa (5.6%), and tonsillar pillar (5.6%). The granulomatous appearance was the most frequent clinical aspect. Surgical excision was implemented in 94.4% of the cases. The lesion presented a good prognosis, with no recurrence in 3 to 24 months. In summary, solitary angiokeratoma is a rare lesion in the oral cavity. The professional making the oral diagnosis should be familiar with the clinical manifestation of angiokeratoma and be prepared to consider it in the differential diagnosis of pigmented lesions since these lesions may be part of systemic disorders.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-024-04631-w.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s12070-024-04631-w.
摘要：
这项研究旨在对口腔中的孤立性血管角化瘤病例进行综合审查，并报告一名39岁男性的新病例。使用PubMed使用了改进的PECOS策略，Embase,Scopus,WebofScience数据库,以及所选文章的参考列表。以英文发表的口腔孤立性血管角化瘤的病例报告，葡萄牙语,包括经组织病理学诊断但不存在系统性疾病的西班牙语语言。在确定的51篇文章中，18符合资格标准。孤立性血管角膜瘤有轻微的男性好发，发病率在生命的第四个十年达到高峰。舌头是最常见的定位（77.7％），其次是颊粘膜（11.1％），唇粘膜（5.6％），和扁桃体支柱(5.6%)。肉芽肿的外观是最常见的临床方面。94.4%的病例实施了手术切除。病灶预后良好,3~24个月无复发。总之,孤立性血管角化瘤是一种罕见的口腔病变。进行口腔诊断的专业人员应熟悉血管角化瘤的临床表现，并准备在色素性病变的鉴别诊断中考虑它，因为这些病变可能是全身性疾病的一部分。
■在线版本包含补充材料，可在10.1007/s12070-024-04631-w获得。
■在线版本包含补充材料，可在10.1007/s12070-024-04631-w获得。
