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牙龈浆细胞性肉芽肿极为少见,现将我们遇到的一例报告如下。患者女,53岁。1989年9月25日就诊。牙龈出血10余年。1年前始每早起床口腔粘膜干涩,牙龈出血加重。54颊侧牙龈变白增生、切除病检为牙龈过角化。近1月4321区牙龈变红,出血加重,来我院就诊。口腔检查:全口氟斑牙。56缺失。4321唇、颊侧牙龈有2×4cm红色区,呈鲜红色。嫩肉状。21牙龈有1×1cm增生物表面如绒毛状,质软,触之易出血。全身检查:血、尿常规正常,血压19.9/11.9kPa超声波检查:脂肪肝、胆囊炎。组织病理检查:镜下见上皮下结缔组织内大量成熟,不成熟的浆细胞及淋巴细胞呈弥漫性或结节状分布。个别处可见淋巴滤泡形成,同时伴有纤维细胞
Gingival crevicular granuloma is extremely rare, we now encounter a case report as follows. Female patient, 53 years old. September 25, 1989 visit. Gingival bleeding for more than 10 years. A year ago to get up early every morning oral mucosa dry, bleeding gums worse. Gingival whitening of the buccal side of the gingival disease, resection of the disease as the gingival hyperkeratosis. Nearly January 4321 District gums turn red, bleeding increased, to our hospital. Oral examination: dental fluorosis. 56 is missing. 4321 lip, buccal gingival area with 2 × 4cm red, bright red. Tender meat. 21 gums have 1 × 1cm proliferation of surface such as villous, soft, easy to touch the bleeding. Whole body examination: blood, urine routine normal, blood pressure 19.9 / 11.9kPa ultrasound: fatty liver, cholecystitis. Histopathological examination: See a large number of subepithelial connective tissue in the mature, immature plasma cells and lymphocytes showed diffuse or nodular distribution. Some can be seen in the formation of lymphoid follicles, accompanied by fibroblasts