Drebber U, Scheer M, Zöller J E, Dienes H P
Zentrum für Pathologie der Universität zu Köln, Cologne.
Pathologe. 2003 Mar;24(2):136-40. doi: 10.1007/s00292-002-0562-0. Epub 2002 Sep 24.
This case report deals with the case history of a 45-year-old male patient who presented with an unusual case of a central odontogenic fibroma which destroyed and replaced the bone mass of the right maxilla. After clinical examination a biopsy was performed and histopathology was consistent with a central odontogenic fibroma with destructive growth. The treatment plan consisted of a surgical resection of the right maxilla. The histopathological evaluation showed a subtotal destruction of the maxillary bone mass by the odontogenic fibroma. Obvious problems concerning the differential diagnosis of odontogenic fibromas as well as current concepts regarding their exact designation and classification are discussed.
本病例报告讲述了一名45岁男性患者的病史,该患者患有一例罕见的中央性牙源性纤维瘤,该肿瘤破坏并取代了右上颌骨的骨质。临床检查后进行了活检,组织病理学检查结果与具有侵袭性生长的中央性牙源性纤维瘤一致。治疗方案包括右上颌骨的手术切除。组织病理学评估显示牙源性纤维瘤对上颌骨骨质造成了部分破坏。文中讨论了牙源性纤维瘤鉴别诊断方面的明显问题以及关于其确切命名和分类的当前概念。