Liu H-H, Chen T-W, Chang H-S
National Yang-Ming University, School of Dentistry, Taipei, Taiwan.
Int J Paediatr Dent. 2004 Sep;14(5):371-5. doi: 10.1111/j.1365-263X.2004.00543.x.
A 4.5-month-old Chinese boy presented with a bulging mass in the anterior right maxillary region. Clinical features and incisional biopsy examination confirmed the diagnosis of melanotic neuroectodermal tumour of infancy (MNTI). The lesion had first been noted a month before the biopsy. The extent of the lesion was defined via computed tomography, and surgical excision was accomplished through a partial maxillectomy under general anaesthesia. The patient has been irregularly followed-up over the past 8 years, and no evidence of recurrence has been found, either by clinical examination or serial computed tomography scans. A bony defect and a lack of alveolar process were noted on the right side of the anterior maxilla. The patient displayed social withdrawal at school as a result of his partial anodontia. There have only been a limited number of reports on the dental rehabilitation of postoperative MNTI. We report a case of maxillary MNTI in which the need for dental rehabilitation was emphasized.
一名4个半月大的中国男婴,右侧上颌前部出现一个隆起性肿块。临床特征及切开活检检查确诊为婴儿黑色素神经外胚层肿瘤(MNTI)。该病变在活检前一个月首次被发现。通过计算机断层扫描确定病变范围,并在全身麻醉下通过部分上颌骨切除术完成手术切除。在过去8年中对该患者进行了不定期随访,无论是临床检查还是系列计算机断层扫描,均未发现复发迹象。在前上颌骨右侧发现骨缺损及牙槽突缺失。由于部分牙缺失,该患者在学校表现出社交退缩。关于MNTI术后牙齿修复的报道数量有限。我们报告一例上颌MNTI病例,强调了牙齿修复的必要性。