Overview

This book offers a clear and demanding guide to the evaluation of melanic pigmentations of the oral mucosa, linking clinical and histopathological aspects to therapeutic decisions. Organized into single versus multiple lesions and intrinsic (physiological, pathological, syndromic) versus extrinsic (drug-induced, iatrogenic, metal, toxic) origins, it provides concrete guidelines for triage, monitoring and biopsy indications. The key entities (nevi, melanic macule, melano-acanthoma, oral melanoma) are described, with their locations, warning signs (polychromia, irregular margins, ulceration, palatal/gingival extension) and histological correlates. Decision trees help to distinguish benign pigmentation from oncological emergencies, and to exclude vascular lesions from the outset. The approach emphasizes reassuring but precise communication, targeted history-taking (medications, restorations, exposures), and proportionate management ranging from monitored abstention to curative excision.

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9786209301407

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