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Differential Diagnosis of Malignant Tumours of the Maxillofacial Region

Abstract

U postavljanju dijagnoze anamneza i klinička slika imaju najvažniju ulogu, a kasnije dijagnostičke metode tek nadopunjuju prve spoznaje o bolesti. Na žalost, u svakodnevnom radu maksilofacijalnoga kirurga maligni su tumori češći od benignih tumora i netumorskih promjena s kojima ih možemo zamijeniti. Zbog toga se, dva osnovna puta koja stoje pred kliničarem: dijagnostiku voditi prema najčešćoj dijagnozi ili prema najopasnijoj, kod tumora glave i vrata stapaju u jedno. U izlaganju će biti prikazani ilustrativni slučajevi dijagnostike malignih tumora i stanja s kojima ih možemo zamijeniti. Prikazat će se patologija usne šupljine, sinusa, čeljusti, kože i slinovnica. Navedeni primjeri trebali bi osvježiti ili upotpuniti znanje i oralnih kirurga.For correct diagnosis case history and clinical appearance have the most important role, and diagnostic methods later merely supplement initial knowledge of the disease. Unfortunately, in the daily practice of the maxillofacial surgeon malignant tumours are more frequent than benign tumours and nontumorous lesions, with which they can be confused. Consequently, the two basic alternatives which confront the clinician - to conduct diagnostics in accordance with the most frequent diagnosis or in accordance with the most dangerous - merge into one in the case of tumours of the head and neck. The presentation will illustratively show cases of diagnoses of malignant tumours and conditions with which they may be confused. The pathology of the oral cavity, sinuses, jaws, skin and salivary glands will be presented. The examples presented are meant to refresh or supplement the oral surgeon\u27s knowledge

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