Zhao Y P
School of Stomatology, Beijing Medical University.
Zhonghua Kou Qiang Yi Xue Za Zhi. 1992 Jan;27(1):3-5, 61.
Records of 36 cases of central carcinoma of the jaws were collected, including 25 cases of squamous cell carcinoma; 9 cases of salivary gland carcinoma; one case of undifferentiated carcinoma and one case of basal cell carcinoma. The correlation between roentgenographic appearance and the histopathologic types are: (1) most lesions of osteolytic destruction are primary intraosseous carcinoma of the jaws (14/16); (2) most lesions of multilocular destruction are salivary gland carcinoma (8/11); (3) most lesions of unilocular destruction are malignant change of odontogenic cysts (7/9). Among 25 cases of squamous cell carcinoma, 7 cases are malignant change of typical keratocyst; 3 cases are similar to dentigerous cysts; 7 cases though show diffuse osseous destruction, they partly have characters of keratocyst in light microscope. So, the authors suggest that perhaps more central carcinomas of the jaws are arising from odontogenic keratocysts.
收集了36例颌骨中心性癌的病例记录，其中包括25例鳞状细胞癌；9例涎腺癌；1例未分化癌和1例基底细胞癌。X线表现与组织病理学类型之间的相关性如下：（1）大多数溶骨性破坏病变是颌骨原发性骨内癌（14/16）；（2）大多数多房性破坏病变是涎腺癌（8/11）；（3）大多数单房性破坏病变是牙源性囊肿的恶变（7/9）。在25例鳞状细胞癌中，7例是典型角化囊肿的恶变；3例类似于含牙囊肿；7例虽表现为弥漫性骨质破坏，但在光镜下部分具有角化囊肿的特征。因此，作者认为也许更多的颌骨中心性癌起源于牙源性角化囊肿。
