Tomich C E
Department of Oral Surgery, Medicine, and Pathology, Indiana University School of Dentistry, Indianapolis, USA.
Semin Diagn Pathol. 1999 Nov;16(4):308-16.
As a group, the mixed odontogenic tumors histologically resemble various stages of tooth formation (odontogenesis). Because of this, confusion arises in diagnosis and nomenclature unless one is familiar with normal tooth development and its subsequent resemblance to the neoplasms and hamartomas which arise from the tooth-forming tissues of the jaws. This article reviews odontogenesis and relates it to the formation of the mixed odontogenic tumors-the ameloblastic fibroma, ameloblastic fibro-odontoma, and the odontomas. Correlation of clinical and radiographic features with the histologic features will generally result in correct diagnosis and proper treatment.
作为一个群体,混合性牙源性肿瘤在组织学上类似于牙齿形成(牙发生)的各个阶段。因此,除非熟悉正常牙齿发育及其与源自颌骨牙齿形成组织的肿瘤和错构瘤的相似之处,否则在诊断和命名上会出现混淆。本文回顾了牙发生,并将其与混合性牙源性肿瘤——成釉细胞纤维瘤、成釉细胞纤维牙瘤和牙瘤的形成相关联。临床和影像学特征与组织学特征的相关性通常会导致正确的诊断和适当的治疗。