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At least 127 records · Page 7Linked to original sources

Recognition of worrisome facial conditions by the dentist.

We can see that there are a number of conditions that commonly occur on the skin of the face, and that these may be of little or great consequence to our patients. Dentists enjoy an ideal situation for the detection and management or referral of the more worrisome lesions. By paying close attention to the faces of dental patients, asking appropriate questions about the lesions discovered, and following up on the results of advise given to patients, dentists can play an important role as health care advisors concerning dermatologic conditions of the face.

Dentists↗

[Facial hemiatrophy, homolateral cervical linear scleroderma and thyroid disease].

A case of facial hemiatrophy and homolateral cervical band of scleroderma, complicated by hypothyroidism is reported. This case raises two problems: one is the problem of distinction between Romberg's disease and facial hemiatrophy due to a genuine localized scleroderma; the other concerns the relationship between localized scleroderma and dysthyroidism. The generalized scleroderma-dysthyroidism association has now been recognized, but the coexistence of thyroid disease and localized scleroderma has not yet been reported. Several pathogenetic hypotheses on this association are discussed.

Facial Dermatoses↗

Cryosurgery of lentigo maligna.

Lentigo maligna denotes flat, pigmented lesions predominantly in areas of actinic damage that have the propensity to become malignant. More than 10 years may pass before lentigo maligna evolves into an invasive neoplasma. As an invasive process, it is termed lentigo maligna melanoma (LMM), and it has the potential for both lymphatic and hematogenic metastases. Because of the size and location of the lesions, cosmetically unsatisfactory scars may result from conventional surgery. Therefore, alternative means of treatment, including cryosurgery, have been employed. We report on 12 patients suffering from lentigo maligna who had been treated successfully by cryosurgery between 1984 and 1990. The average follow-up period was 51.4 months, and the recurrence rate was 8.3 percent. Knowing that microinvasive components can be demonstrated in 15 percent of lentigo maligna lesions, we retrospectively reassessed our patients by immunohistochemical procedures with S-100 protein. Although intradermal microinvasion could be confirmed in one patient, no recurrence had been observed within 61 months of follow-up. Provided that patients are selected properly and extension of cryonecrosis is monitored, cryosurgery may prove an efficient alternative to conventional surgery in the treatment of lentigo maligna.

Aged↗

Melanocytic lesions of the face: diagnostic pitfalls.

The pathologist often has a difficult task in evaluating melanocytic lesions. For lesions involving the face the consequences of misdiagnosis are compounded for both cosmetic and therapeutic reasons. In this article, the pathological features of common and uncommon benign and malignant melanocytic lesions are reviewed and pitfalls in their diagnosis are highlighted. Benign lesions resembling melanomas include regenerating naevus, "irritated" naevus, combined naevus, "ancient naevus", Spitz naevus, dysplastic naevus, halo naevus, variants of blue naevi, balloon and clear cell naevi, neurotised naevus and desmoplastic naevus. Melanomas that can easily be missed on presentation include desmoplastic, naevoid, regressed, myxoid and metastatic types as well as so-called malignant blue naevi. Pathological clues to benign lesions include good symmetry, V-shaped silhouette, absent epidermal invasion, uniform cellularity, deep maturation, absent or rare dermal mitoses and clustered Kamino bodies. Features more commonly present in melanomas include asymmetry, peripheral epidermal invasion, heavy or "dusty" pigmentation, deep and abnormal dermal mitoses, HMB45 positivity in deep dermal melanocytes, vascular invasion, neurotropism and satellites. Familiarity with the spectrum of melanocytic lesions and knowledge of the important distinguishing features should assist in interpretation. Occasionally, the use of ancillary studies may also provide additional useful information. Application of standard criteria for diagnosing such lesions should enable the correct diagnosis to be established in most cases.

Diagnosis, Differential↗

Fifteen inches from cancer: early recognition of facial lesions by the dentist.

Skin cancer is an increasing malignancy worldwide, and dentists are in a good position to observe their patients' faces for worrisome lesions. Most skin cancers are caused by actinic damage. The dentist must appreciate the characteristics of sun damage and be familiar with the clinical signs and symptoms of the more common premalignant and malignant facial lesions to appropriately evaluate the face. We review the features of freckles and moles, as well as those of seborrheic keratosis. Sun damage is discussed to aid in understanding the etiological role of ultraviolet exposure in the development of actinic keratosis and cheilitis, basal cell carcinoma, squamous cell carcinoma, and melanoma. The signs and symptoms of each condition are discussed, paying particular attention to their diagnostic features, as well as the clinical hallmarks that enable the practitioner to differentiate among the various lesions. In addition, considerations in referring a patient with a worrisome lesion to the appropriate health care practitioner are provided.

Carcinoma↗

[Repair of facial skin defect with a skin flap of SMAS pedicle].

OBJECTIVE: To report a method of repair facial skin defects with a skin flap of SMAS pedicle. METHODS: According to the size of defect of skin, design a skin flap with SMAS pedicle for repair of defect. RESULTS: The method has been successfully applied for skin defects of eyelid and lip in 14 cases with satisfied results. The area of the largest flap was 5 cm x 3 cm. CONCLUSION: Repairing facial defects such as eyelid skin defect or lip skin defect with skin flap of SMAS pedicle is a very good method. The flap has a good blood supporting and satisfactory color and flexibility.

Adolescent↗

Dermatologic conditions of the eyelids and face.

As public concern increases about the effects of light radiation and skin cancer of all types, the primary care optometrist becomes increasingly involved in screening for dermatologic changes of the face, eyelids, and periorbital area. Often faced with a lesion of unknown identity, the optometrist is concerned with both identifying that lesion and assessing its potential for malignancy, particularly in the increasingly litigious environment surrounding health care. Compounding the difficulties of recognition are multiple variations in morphologic features, which contribute to frequent misdiagnoses. The main purposes of this paper are to: (1) expand the optometrist's knowledge of characteristic features of dermatologic lesions, (2) present the differential diagnoses of similar or mimicking lesions, (3) improve the recognition of characteristics that suggest malignancy or malignant transformation of precursor lesions, and (4) enhance awareness of individual risk factors for the development of skin cancer.

Diagnosis, Differential↗

The many faces of adult leukemia.

This article describes the facial complications of adult leukemia, as derived from a study of more than 3,000 patients treated at the University of Texas M.D. Anderson Hospital during the past 25 years. Facial leukemia cutis, leukemia-associated facial hemorrhages, leukemia-induced cranial nerve facial palsies, and leukemia-provoked pure and mixed facial infections are discussed.

Adult↗

Angiofibromata mimicking viral warts.

A case is presented of an otherwise healthy woman with a relatively normal childhood and adult life and no evidence of any congenital anomaly, who at the age of twenty-seven, suddenly, almost explosively, had development of verruca-like lesions of the face. It is well to remember that the clinically obvious is not always the obvious, things are not always what they seem, and verrucae are not always viral warts.

Adult↗

[Rare benign tumors in otorhinolaryngology: plasma cell granuloma and histiocytoma].

Two benign tumors in the face are reported. Plasma cell granuloma is a rare benign tumor that affects people at all ages and most frequently involves the lung. It is dominated by mature plasma cell proliferation. The AA. report a case appearing as a painless nontender mass in the right cheek, with purplish discoloration of the overlying skin. Differential diagnosis with Plasmocytoma was considered. Histiocytoma are most common seen on the lower extremities of young adults. Reporting a case localized on the skin of the root of the nose. Differential diagnosis with osteoma is made.

Aged↗