Verstraete F J, Ligthelm A J, Weber A
Department of Surgery, Faculty of Veterinary Science, University of Pretoria, Onderstepoort, South Africa.
J Comp Pathol. 1992 Feb;106(2):169-82. doi: 10.1016/0021-9975(92)90046-w.
The histological characteristics of a series of 154 oral tumours with the clinical appearance of epulides in 129 dogs were reviewed. Diagnoses were based on current criteria in human oral pathology and compared with the original diagnoses. The histological findings suggested that the majority of epulides in the dog can be classified as focal fibrous hyperplasia (43.5 per cent), peripheral ameloblastoma (17.5 per cent), peripheral odontogenic fibroma (WHO type) (16.9 per cent) and pyogenic granuloma (1.95 per cent). In addition, a number of other odontogenic tumours (1.95 per cent) and non-odontogenic tumours (18.2 per cent) such as fibrosarcoma and squamous cell carcinoma, which are not traditionally associated with the clinical appearance of an epulis, were diagnosed. Of 74 lesions that were previously diagnosed as fibromatous and ossifying epulides, 50 (68 per cent) were reclassified as focal fibrous hyperplasia and 21 (28 per cent) as peripheral odontogenic fibroma (WHO type). The majority of lesions (76 per cent), which were originally classified as acanthomatous epulis, were found to be peripheral ameloblastoma. In addition, three squamous cell carcinomas, two rare odontogenic tumours and two cases of focal fibrous hyperplasia were diagnosed in this classification. It was concluded that, as in man, the term epulis is a clinically descriptive term and that the renal nature of these lesions should be determined histologically.
回顾了129只犬的154例具有龈瘤临床表现的口腔肿瘤的组织学特征。诊断依据人类口腔病理学的现行标准,并与最初诊断进行比较。组织学研究结果表明,犬的大多数龈瘤可分类为局灶性纤维增生(43.5%)、外周性成釉细胞瘤(17.5%)、外周性牙源性纤维瘤(世界卫生组织类型)(16.9%)和化脓性肉芽肿(1.95%)。此外,还诊断出一些其他牙源性肿瘤(1.95%)和非牙源性肿瘤(18.2%),如纤维肉瘤和鳞状细胞癌,这些肿瘤传统上与龈瘤的临床表现无关。在74个先前诊断为纤维性和骨化性龈瘤的病变中,50个(68%)重新分类为局灶性纤维增生,21个(28%)重新分类为外周性牙源性纤维瘤(世界卫生组织类型)。大多数最初分类为棘皮瘤样龈瘤的病变(76%)被发现是外周性成釉细胞瘤。此外,在此次分类中还诊断出3例鳞状细胞癌、2例罕见牙源性肿瘤和2例局灶性纤维增生。结论是,与人类一样,龈瘤一词是一个临床描述性术语,这些病变的本质应通过组织学确定。