原发口腔外周T细胞淋巴瘤非特指型的特点分析
黄润语, 张春叶, 张颖, 赵峥岩, 杨扬, 吴岚

Features of oral peripheral T-cell lymphoma, not otherwise specified
HUANG Runyu, ZHANG Chunye, ZHANG Ying, ZHAO Zhengyan, YANG Yang, WU Lan
表2 口腔黏膜溃疡性疾病的鉴别诊断
Tab 2 Differential diagnosis of oral mucosal ulcerative diseases
ItemOral squamous cell carcinomaMajor recurrent aphthous ulcerTraumatic ulcerationTuberculous ulcerPTCL-NOSENKTL-NT
PopulationMiddle-aged and elderly peopleAdultTeenagers and elderly people/Middle-aged peopleMiddle-aged people
Oral clinical manifestationsPersistent ulceration with raised margins and necrotic base; indurated on palpationOval or round ulcers with a white or yellow pseudomembrane and a surrounding erythematous halo; 1 cm or more in diameterFrank ulceration is surrounded by a white hyperkeratotic lesion. The location and the shape of the ulcer correspond to the stimulating factorDeep ulcer with undermined edges and red granular base covered by septic secretionUlceration, mass, or necrosisNecrotic ulceration
Location of lesionsThe margin of the tongue, and the belly of the tongueThe non-keratinized and keratinized oral mucosaIn a trauma-prone siteLabial mucosa, vestibule, and tongueTongue, palate, and buccal mucosaMedian mucosa of the palate
Systemic signsLymph node swelling, pain, or weight loss//Cough, anorexia, fatigue, low-grade fever and weight lossLymph node swelling, extra-nodal involvement of the gastrointestinal tract and skin, anemia, eosinophilia, or hypergammaglobulinaemiaNasal mucosal symptoms or B symptoms
Clinical coursePersistentSelf-limiting, recurrent, and periodicSelf-limitingInfectionAggressiveAggressive

Complementary

examinations

Biopsy//Chest X-ray, tuberculin skin test, bacterial culturingBiopsy, blood test, bone marrow biopsyBiopsy, blood test, bone marrow biopsy, EBER-ISH