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一例侧方牙周囊肿的罕见临床影像学表现——两例报告

An unusual clinicoradiographic presentation of a lateral periodontal cyst--report of two cases.

作者信息

Mendes Rui Amaral, van der Waal Isaac

机构信息

Department of Oral Surgery, Faculty of Dental Medicine, University of Porto, Portugal.

出版信息

Med Oral Patol Oral Cir Bucal. 2006 Mar 1;11(2):E185-7.

Abstract

The lateral periodontal cyst and the botryoid odontogenic cyst are two rare nosological entities, who, despite their radiological and clinical presentation can only be diagnosed by their rather typical histopathological characteristics. The purpose of this article is to report two cases of radiolucent cystic lesions of the mandible, located in the premolar area, with a clinical and radiographic diagnosis of residual cyst, which showed histological features of a lateral periodontal cyst. Histopathologically, the lateral periodontal cyst lining is characterized by a thin cuboidal to stratified squamous non-keratinizing epithelium, ranging from one to five cell layers and presence of one or more epithelial thickenings or plaques. Furthermore, glycogen-rich clear cells encountered either in the epithelial plaques or in the superficial layer of the lining epithelium.

摘要

侧方牙周囊肿和葡萄状牙源性囊肿是两种罕见的疾病实体,尽管它们有各自的放射学和临床表现,但只有通过其相当典型的组织病理学特征才能确诊。本文旨在报告两例下颌骨透光性囊性病变,位于前磨牙区,临床和影像学诊断为残余囊肿,但其组织学特征显示为侧方牙周囊肿。组织病理学上,侧方牙周囊肿的内衬以薄的立方上皮至复层鳞状非角化上皮为特征,细胞层数为一至五层,并有一个或多个上皮增厚或斑块。此外,在上皮斑块或内衬上皮的表层可发现富含糖原的透明细胞。

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