Theodorou Stavroula J, Theodorou Daphne J, Sartoris David J
Department of Radiology, School of Medicine, University of California San Diego Medical Center, San Diego, CA, USA.
Clin Imaging. 2007 Mar-Apr;31(2):114-9. doi: 10.1016/j.clinimag.2006.12.022.
Odontogenic tumors of the jawbones arise in the tissues of the odontogenic apparatus. Although many odontogenic tumors and tumorlike lesions may be asymptomatic, they can become severe enough to cause pain, swelling, paresthesias, facial disfigurement, and various dental problems. The evaluation of lesions involving the jawbones can be challenging due to lack of familiarity with the imaging and clinical features of the disease. Further confusing the diagnosis is the fact that some benign odontogenic tumors may exhibit an aggressive and destructive behavior that can fallaciously suggest a malignant lesion. Careful consideration of the patient's history and the location of the lesion within the affected jawbone, its borders, internal architecture, and its relationship to adjacent structures generally makes it possible to narrow the differential diagnosis.
颌骨牙源性肿瘤起源于牙源性器官组织。尽管许多牙源性肿瘤和肿瘤样病变可能没有症状，但它们可能会严重到引起疼痛、肿胀、感觉异常、面部畸形以及各种牙齿问题。由于对该疾病的影像学和临床特征缺乏了解，对涉及颌骨的病变进行评估可能具有挑战性。进一步使诊断复杂化的是，一些良性牙源性肿瘤可能表现出侵袭性和破坏性的行为，这可能会错误地提示为恶性病变。仔细考虑患者的病史、病变在患侧颌骨内的位置、边界、内部结构及其与相邻结构的关系，通常可以缩小鉴别诊断范围。
