Campbell D, Jeffrey R R, Wallis F, Hulks G, Kerr K M
Department of Orthopaedic Surgery, Ninewells Hospital, Dundee, UK.
Br J Oral Maxillofac Surg. 2003 Jun;41(3):194-6. doi: 10.1016/s0266-4356(03)00046-9.
We present a patient who had a large metastatic pulmonary ameloblastoma resected 25 years after removal of an apparently benign primary ameloblastoma of the jaw. It highlights three areas: problems with the histopathological diagnosis of pulmonary metastases using fine needle aspiration; a noted radiological improvement after a 5-year course of oral cyclophosphamide, in keeping with occasional patients who have responded to chemotherapy; and the technical difficulties of resection of a large pulmonary metastasis, particularly when it is adherent to the mediastinum.
我们报告了一名患者，其在颌骨原发性成釉细胞瘤看似良性切除25年后出现了肺部转移性成釉细胞瘤并接受了切除。这凸显了三个方面：使用细针穿刺进行肺部转移瘤组织病理学诊断的问题；口服环磷酰胺5年后影像学上有明显改善，这与偶尔对化疗有反应的患者情况相符；以及切除较大肺部转移瘤的技术难题，尤其是当它与纵隔粘连时。
