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The key in a Dictionary can be a primitive type, or it can be an instance of a userdefined type (an object). Objects used as keys for a Dictionary must implement the method GetHashCode( ) as well as Equals. This is how the Dictionary works behind the scenes there is actually a numeric index assigned to the value, but that index is associated with the key, so you never need to know what it is. GetHashCode( ) is so fundamental that it s actually implemented in Object, the root base class. In most cases, you don t need to worry about writing the GetHashCode( ) method; you can simply use the inherited implementation from Object. Dictionaries implement the IDictionary<TKey,TValue> interface (where TKey is the key type and TValue is the value type). IDictionary provides a public property, Item. The Item property retrieves a value with the specified key. The Item property is implemented with the index operator ([]). Thus, you access items in any Dictionary object using the same syntax as you would with an array. If you had a dictionary called addresses, which holds the addresses of various businesses, with the company name as the key, you d access the address for O Reilly like this:

Lee J et al Extranodal natural killer T-cell lymphoma, nasal-type: a prognostic model from a retrospective multicenter study J Clin Oncol 2006 Feb 1;24(4):612 8 [PMID: 16380410] Lloyd G et al Rhinologic changes in Wegener s granulomatosis J Laryngol Otol 2002 Jul;116(7):565 9 [PMID: 12238684] Mendenhall WM et al Lethal midline granuloma-nasal natural killer/T-cell lymphoma Am J Clin Oncol 2006 Apr;29(2): 202 6 [PMID: 16601443]

DISEASES OF THE ORAL CAVITY & PHARYNX LEUKOPLAKIA, ERYTHROPLAKIA, ORAL LICHEN PLANUS, & ORAL CANCER

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Leukoplakia A white lesion that, unlike oral candidiasis, cannot be removed by rubbing the mucosal surface Erythroplakia Similar to leukoplakia except that it has a definite erythematous component Oral Lichen Planus Most commonly presents as lacy leukoplakia but may be erosive; definitive diagnosis requires biopsy Oral Cancer Early lesions appear as leukoplakia or erythroplakia; more advanced lesions will be larger, with invasion into tongue such that a mass lesion is palpable Ulceration may be present Leukoplakic regions are usually small but may be several centimeters in diameter Histologically, they are often hyperkeratoses occurring in response to chronic irritation (eg, from dentures, tobacco, lichen planus); about 2 6%, however, represent either dysplasia or early invasive SCC Distinguishing between erythroplakia and leukoplakia is important because about 90% of cases of erythroplakia are either dysplasia or carcinoma SCC accounts for 90% of oral cancer Alcohol and tobacco use are the major epidemiologic risk factors The differential diagnosis may include oral candidiasis, necrotizing sialometaplasia, pseudoepitheliomatous hyperplasia, median rhomboid glossitis, and vesiculoerosive inflammatory disease such as erosive lichen planus This should not be confused with the brown-black gingival melanin pigmentation diffuse or speckled common in nonwhites, blue-black embedded fragments of dental amalgam, or other systemic disorders associated with general pigmentation (neurofibromatosis, familial polyposis, Addison s disease) Intraoral melanoma is extremely rare Oral lichen planus is a relatively common (05 2% of the population) chronic inflammatory autoimmune disease that may be difficult to diagnose clinically because of its numerous distinct phenotypic subtypes For example, the reticular pattern may mimic candidiasis or hyperkeratosis, while the

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