牙源性影细胞癌的临床和影像学特征：文献综述及4例新病例报告

Clinical and radiological features of odontogenic ghost cell carcinoma: review of the literature and report of four new cases.

作者信息

Cheng Y, Long X, Li X, Bian Z, Chen X, Yang X

机构信息

Department of Oral and Maxillofacial Surgery, College of Stomatology, Wuhan University, Wuhan, Hubei, PR China 430079.

出版信息

Dentomaxillofac Radiol. 2004 May;33(3):152-7. doi: 10.1259/dmfr/67909783.

DOI:10.1259/dmfr/67909783

PMID:15371314

Abstract

OBJECTIVES

To analyse systematically the clinical and radiological features of odontogenic ghost cell carcinoma (OGCC).

METHODS

Clinical and radiological features of 22 OGCCs (4 new and 18 from the literature) were analysed.

RESULTS

There were 17 (77%) males and 5 (23%) females (male-to-female ratio of 3.4:1). Ages ranged from 13 years to 72 years (mean 36.7) with a peak in the fourth (40.9%) and fifth (27.3%) decades. The maxilla was involved in 68% and the mandible in 32%. Our study confirmed that OGCC is more prevalent in Asians (12/18) than in other racial groups. The mixed radiolucent and radiopaque lesion pattern was the most frequent (14/19) compared with radiolucent lesions (5/19). 89% (17/19) showed poorly defined borders and 11% (2/19) showed well defined borders. Root resorption was reported in 31% (6/19) of patients and tooth displacements in 21%.

CONCLUSIONS

OGCC demonstrates clinical and radiographic features of a malignant tumour with high recurrence.

摘要

目的

系统分析牙源性影细胞癌（OGCC）的临床和影像学特征。

方法

分析22例OGCC的临床和影像学特征（4例为新病例，18例来自文献）。

结果

男性17例（77%），女性5例（23%）（男女比例为3.4:1）。年龄范围为13岁至72岁（平均36.7岁），第四和第五个十年发病率最高（分别为40.9%和27.3%）。上颌骨受累占68%，下颌骨受累占32%。我们的研究证实，OGCC在亚洲人（12/18）中比在其他种族群体中更常见。与透射性病变（5/19）相比，混合性透射和阻射性病变模式最为常见（14/19）。89%（17/19）边界不清，11%（2/19）边界清晰。31%（6/19）的患者报告有牙根吸收，21%的患者有牙齿移位。