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牙买加颌骨的良性纤维-骨病变:32例分析。

Benign fibro-osseous lesions of the jaw bones in Jamaica: analysis of 32 cases.

作者信息

Ogunsalu C O, Lewis A, Doonquah L

机构信息

Cornwall Dental Centre, Montego Bay, Jamaica, WI.

出版信息

Oral Dis. 2001 May;7(3):155-62.

PMID:11495191
Abstract

OBJECTIVE

It is intended to analyse all the cases of benign fibro-osseous lesions seen at the two major public hospitals in Jamaica over a 15-year period and to compare our result with what has been previously documented by other authors. No such analysis has been carried out in Jamaica or elsewhere in the English-speaking Caribbean.

MATERIALS AND METHODS

The case files of patients histologically diagnosed to have a fibro-osseous lesion at both the Kingston Public Hospital and the Cornwall Regional Hospital in Jamaica from 1980 to 1995 were retrieved and information about these lesions was documented. The WHO classification for benign fibro-osseous lesions was used.

RESULTS

A total of 32 cases of benign fibro-osseous lesions were recorded over the 15-year period. Of these, 15 were histologically reported as fibrous dysplasia, 10 as ossifying fibroma, three as gigantiform cementoma, one each as periapical cemental dysplasia and cementoblastoma, and two cases of recurrent fibrous dysplasia. With the exception of gigantiform cementoma the age at presentation for these lesions is not consistent and this can be particularly noted for ossifying fibroma and fibrous dysplasia, both of which occurred between the age of 10 and 68 years.

CONCLUSION

These lesions are more common in females, furthermore it is suggested that the inconsistent age at presentation for some of these lesions may be peculiar to Jamaica, and may be due to delay in reporting a lesion by the patient, as routine dental examination is not a common practice.

摘要

目的

旨在分析牙买加两家主要公立医院在15年期间所见到的所有良性纤维-骨病变病例,并将我们的结果与其他作者先前记录的结果进行比较。牙买加或英语加勒比地区的其他地方均未进行过此类分析。

材料与方法

检索了1980年至1995年期间在牙买加金斯敦公立医院和康沃尔地区医院经组织学诊断患有纤维-骨病变的患者的病历档案,并记录了有关这些病变的信息。使用了世界卫生组织对良性纤维-骨病变的分类。

结果

在这15年期间共记录了32例良性纤维-骨病变。其中,15例经组织学报告为纤维结构不良,10例为骨化性纤维瘤,3例为巨大型牙骨质瘤,1例为根尖周牙骨质发育异常,1例为成牙骨质细胞瘤,还有2例复发性纤维结构不良。除巨大型牙骨质瘤外,这些病变的就诊年龄不一致,这在骨化性纤维瘤和纤维结构不良中尤为明显,这两种病变均发生在10岁至68岁之间。

结论

这些病变在女性中更为常见,此外,有人认为其中一些病变就诊年龄不一致可能是牙买加特有的现象,可能是由于患者报告病变延迟,因为常规牙科检查并不常见。

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