Kuttenberger J, Hardt N, Gebbers J-O
Klinik für Mund-, Kiefer- und Gesichtschirurgie, Kantonsspital Luzern, Switzerland.
Mund Kiefer Gesichtschir. 2003 Jan;7(1):47-51. doi: 10.1007/s10006-002-0435-y. Epub 2002 Nov 13.
Fibro-osseous lesions of the jaws, including juvenile ossifying fibroma, pose diagnostic and therapeutic difficulties due to their clinical, radiological and histological variability.
The case of an 8-year-old girl with a juvenile ossifying fibroma of the mandible is presented. Extirpation of the tumor and filling of the defect with cancellous bone was performed. After 9 months, a recurrence occurred which made a second extirpation of the tumor necessary. This was done without osteoplasty. After a 2-year follow-up the patient is free of tumor.
Different classifications for fibro-osseous lesions of the jaws can be found in the literature. This makes a correct diagnosis and standardized treatment difficult. Based on the case presented here, the histological features of juvenile ossifying fibroma and the differentiation from osteosarcoma are discussed. At present, conservative surgical treatment seems to be adequate for these tumors.
颌骨的纤维骨性病变，包括青少年骨化性纤维瘤，因其临床、放射学和组织学的变异性而带来诊断和治疗上的困难。
介绍了一名8岁患有下颌骨青少年骨化性纤维瘤的女孩的病例。进行了肿瘤切除并用松质骨填充缺损。9个月后复发，这使得有必要再次切除肿瘤。此次切除未进行骨成形术。经过2年随访，患者无肿瘤。
文献中可找到颌骨纤维骨性病变的不同分类。这使得正确诊断和标准化治疗变得困难。基于此处呈现的病例，讨论了青少年骨化性纤维瘤的组织学特征以及与骨肉瘤的鉴别。目前，保守手术治疗似乎适用于这些肿瘤。
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