Shepherd N, Cataldo E
J Oral Surg. 1976 Nov;34(11):1022-5.
A 3-year-old girl had a large, painless, radiolucent lesion that involved the right side of the mandible. The lesion extended from the canine region to the condyle and coronoid process. A microscopic diagnosis of ameloblastoma was made by the hospital pathologist. Because it is unusual to find an ameloblastoma in a 3-year-old child and because the extensive surgical procedure that would be necessary to remove an ameloblastoma of this size, further consultation was required. As a result, the lesion was diagnosed as an ameloblastic fibroma and a more conservative surgical procedure was performed. Sixteen months after surgery, radiographic evidence showed complete resolution of the bony surgical defect, with no evidence of recurrence. This case once again points out the necessity for exact diagnosis of similar histologic lesions that may require a different approach in treatment.
一名3岁女童右侧下颌骨出现一个较大的无痛性透射性病变。该病变从尖牙区延伸至髁突和冠突。医院病理学家做出了成釉细胞瘤的显微镜诊断。由于在3岁儿童中发现成釉细胞瘤并不常见，且要切除如此大小的成釉细胞瘤需要进行广泛的外科手术，因此需要进一步会诊。结果，该病变被诊断为成釉细胞纤维瘤，并实施了更为保守的外科手术。术后16个月，影像学证据显示骨手术缺损完全愈合，无复发迹象。该病例再次指出，对于可能需要不同治疗方法的类似组织学病变，进行准确诊断非常必要。
