Pillai Rejeev Sivasankar, Ongole Ravikiran, Ahsan Auswaf, Radhakrishnan Raghu Anekal, Pai Keerthilatha Muralidhar
Department of Oral Medicine and Radiology, College of Dental Surgery, Manipal, Karnataka, India.
J Can Dent Assoc. 2004 Feb;70(2):100-4.
A case of desmoplastic ameloblastoma recurring within 2 months of curettage is presented. This tumour appeared in the premolar region of the left maxilla with involvement of the antrum. The 24-year-old female patient was initially treated by curettage with wide surgical margins. Later, partial maxillectomy was carried out followed immediately by iliac bone graft. The case was followed with periodic plain radiography and computed tomography. The presence of a pulpally infected premolar and the atypical radiographic appearance obscured the disease. The biologic profile of this tumour is not fully understood because of the limited number of reported cases, coupled with inadequate long-term follow-up. A review of the lesion with emphasis on the pathogenesis of recurrence is discussed.
本文报告1例刮治术后2个月内复发的促结缔组织增生性成釉细胞瘤。该肿瘤发生于左上颌前磨牙区并累及上颌窦。这位24岁的女性患者最初接受了具有广泛手术切缘的刮治术治疗。后来进行了部分上颌骨切除术，随后立即进行了髂骨移植。对该病例进行了定期的X线平片和计算机断层扫描随访。牙髓感染的前磨牙的存在以及不典型的影像学表现掩盖了病情。由于报告的病例数量有限，加上长期随访不足，该肿瘤的生物学特性尚未完全明了。本文对该病变进行了综述，重点讨论了复发的发病机制。
