Hirota Makoto, Aoki Shinjiro, Kawabe Ryoichi, Fujita Kiyohide
Department of Oral and Maxillofacial Surgery, Yokohama City University School of Medicine, Yokohama, Japan.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Feb;99(2):160-4. doi: 10.1016/j.tripleo.2004.05.020.
The desmoplastic ameloblastoma is a histological variant of ameloblastoma. The neoplastic epithelial islands seen in desmoplastic ameloblastoma are small and ameloblastic cells are rare. Basal cell ameloblastoma is also a rare variant of ameloblastoma, in which the tumor is composed of more primitive cells and has even fewer features of peripheral palisading. This report describes the case of a 17-year-old female with an ameloblastoma in the right anterior maxilla. Orthopantomography and computed tomography showed a well-defined lesion in the right maxilla. A partial maxillectomy for tumor resection was performed under general anesthesia. Histologically, ameloblastic tumor cells were seen with dense collagenous stroma and the tumor cells showed primarily basal cell variants of ameloblastoma. After 7 years of follow-up, clinical and radiographic examinations have revealed no evidences of recurrence.
促结缔组织增生性成釉细胞瘤是成釉细胞瘤的一种组织学变异型。在促结缔组织增生性成釉细胞瘤中可见的肿瘤性上皮岛较小,成釉细胞罕见。基底细胞型成釉细胞瘤也是成釉细胞瘤的一种罕见变异型,其中肿瘤由更原始的细胞组成,周边栅栏状结构的特征更少。本报告描述了一名17岁女性右上前颌骨成釉细胞瘤的病例。曲面体层摄影术和计算机断层扫描显示右上颌骨有一个边界清晰的病变。在全身麻醉下进行了部分上颌骨切除术以切除肿瘤。组织学上,可见成釉细胞瘤细胞,伴有致密的胶原性间质,肿瘤细胞主要表现为基底细胞型成釉细胞瘤。经过7年的随访,临床和影像学检查均未发现复发迹象。