Chen N, Peron J M
Service de chirurgie maxillo-faciale et stomatologie, Hôpital Charles Nicolle, Rouen.
Rev Stomatol Chir Maxillofac. 2000 Jan;101(1):33-5.
We report a case of eosinophilic granuloma falsely diagnosed as a radicular cyst in a 28-year-old patient. Between August 1996 and June 1997, successful extraction [correction of avulsion] of teeth 36 and 37 was followed by non-healing of the mucosa in the corresponding sockets. Three bone biopsies were needed to establish the diagnosis of histiocytosis X. In case of non-healing of the intraoral mucosa after tooth extraction [correction of avulsion], the first step is to rule out a malignant tumor. A clinical and radiographic work-up as well as biopsy are needed. Less common conditions such as tuberculosis or histiocytosis X requiring specific treatment can be diagnosed by pathology.
我们报告了一例28岁患者的嗜酸性肉芽肿，该病例最初被误诊为根端囊肿。1996年8月至1997年6月期间，36号和37号牙成功拔除（[纠正牙脱位]）后，相应牙槽窝的黏膜未愈合。需要进行三次骨活检才能确诊为朗格汉斯细胞组织细胞增多症X。拔牙（[纠正牙脱位]）后口腔黏膜不愈合时，首要步骤是排除恶性肿瘤。需要进行临床和影像学检查以及活检。病理检查可诊断出需要特殊治疗的不太常见的疾病，如结核病或朗格汉斯细胞组织细胞增多症X。
