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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