Letter L

Lesion

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Pronounced 'lee-sion' with the emphasis on the 'lee,' a lesion can be almost any abnormality involving any tissue or organ due to any disease or any injury.

There are, not surprisingly, many types of lesions.

There are also a number of different ways of classifying and naming lesions.

Lesions can, for instance, be categorized according to whether or not they are caused by cancer.

A benign lesion is non-cancerous whereas a malignant lesion is cancerous.

For example, a biopsy of a skin lesion may prove it to be benign or malignant, or evolving into a malignant lesion (called a premalignant lesion).

Lesions can be defined according to the patterns they form.

For example, a bull's-eye or target lesion is one that looks like the bull's eye on a target.

(In an X-ray of the duodenum, a bull's-eye lesion can represent a tumor with an ulcer (crater) in the center.) A coin lesion is a round shadow resembling a coin on a chest X-ray.

It, too, is usually due to a tumor.

Lesions can be named for persons who first described them.

For instance, a Ghon lesion (or Ghon focus) is the scar-like 'signature' in the lungs of adults left by tuberculosis in childhood.

Lesions can also be categorized by their size.

A gross lesion is one that can be seen with the naked eye.

A microscopic or histologic lesion requires the magnification of a microscope to be seen.

The basis of sickle cell disease is a molecular lesion, one that is not even visible with a microscope but is only detectable on the molecular (protein or DNA) level.

Location is another basis for naming lesions.

In neurology, a central lesion involves the brain or spinal cord, i.e., the central nervous system.

A peripheral lesion involves the nerves away from the spinal cord and does not involve the central nervous system.

There is a virtually endless assortment of lesions in medicine: primary lesions, secondary lesions, impaction lesions, indiscriminate lesions, irritative lesions, etc.

Many are named for people including the Armanni-Ebstein lesion, a Bankart lesion, a Blumenthal lesion, and so on.

The word 'lesion' comes from the Latin noun 'laesio' meaning 'an attack or injury' which is related in Latin to the verb 'laedere' = 'to hurt, strike or wound.'

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