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bab 22 principle of diferential diagnosi dan biopsyEXAMINATION AND DIAGNOSTIC METHODS 422Health History 422History of the Specific Lesion 423Clinical Examination 424Light-Enhanced Adjuncts for Clinical Screening 429Radiographic Examination 429Laboratory Investigation 429Presumptive Clinical Differential Diagnosis 429Prebiopsy Monitoring 430Basic Tenets of Follow-Up and Referral 430Biopsy or Referral 431Informed Consent and Shared Risk 431Postbiopsy Monitoring 431GENERAL PRINCIPLES OF BIOPSY 431Oral Cytology-Based Procedures 431Technique of Oral Brush Cytologic Examination 432Incisional Biopsy 432Excisional Biopsy 434Aspiration Biopsy 434Soft Tissue Biopsy Techniques and SurgicalPrinciples 434Anesthesia 434Tissue Stabilization 436Hemostasis 436Incisions 436Wound Closure 436Handling of Tissues; Specimen Care 438Suture Tagging of Specimens; Margin Identification 439Submission of Specimens 439Biopsy Submission Data Form 440bab23surgical mnagement of oral pathologic lesionsBASIC SURGICAL GOALS 448Eradication of Pathologic Condition 448Functional Rehabilitation of Patient 449SURGICAL MANAGEMENT OF CYSTS AND CYSTLIKELESIONS OF THE JAWS 449Enucleation 450Indications 450Advantages 450Disadvantages 450Technique 450Marsupialization 454Indications 454Advantages 454Disadvantages 454Technique 454Enucleation after Marsupialization 457Indications 458Advantages 458Disadvantages 458Technique 458Enucleation with Curettage 458Indications 458Advantages 458Disadvantages 458Technique 458PRINCIPLES OF SURGICAL MANAGEMENT OFJAW TUMORS 458Aggressiveness of Lesion 460Anatomic Location of Lesion 460Maxilla versus Mandible 460Proximity to Adjacent Vital Structures 460Size of Tumor 460Intraosseous versus Extraosseous Location 460Duration of Lesion 460Reconstructive Efforts 460Jaw Tumors Treated with Enucleation, Curettage,or Both 460Technique 460Jaw Tumors Treated with Marginal or PartialResection 460Technique 460MALIGNANT TUMORS OF THE ORAL CAVITY 463Treatment Modalities for Malignancies 463Radiotherapy 463Chemotherapy 464Surgery 464SURGICAL MANAGEMENT OF BENIGN LESIONS IN ORALSOFT TISSUES 464RECONSTRUCTION OF JAW AFTER REMOVAL OF ORALTUMORS 465
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