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):120-6. doi: 10.1016/j.clinimag.2006.12.021.
Obtaining an accurate diagnosis of odontogenic tumor-mimickers (nonodontogenic lesions masquerading as odontogenic lesions) and tumor-like lesions of the jawbones can be difficult and requires a multidisciplinary approach. Lack of familiarity with these disease processes may lead to uncertainty and errors in diagnosis, which increase the possibility of errors in treatment. Radiologists should be aware of the imaging appearances of lesions affecting the jawbones in order to provide a complete differential diagnosis and to guide clinicians in proper patient treatment. The morphologic characteristics of tumors and tumor-like lesions of the jawbones may provide key diagnostic information regarding the aggressive or nonaggressive biologic behavior of such lesions. In addition to imaging findings, thorough physical examination and, often, histologic analysis of biopsy specimens are required.
准确诊断牙源性肿瘤模仿者(伪装成牙源性病变的非牙源性病变)和颌骨肿瘤样病变可能具有挑战性,需要多学科方法。对这些疾病过程缺乏了解可能导致诊断的不确定性和错误,从而增加治疗错误的可能性。放射科医生应了解影响颌骨病变的影像学表现,以便提供完整的鉴别诊断并指导临床医生进行适当的患者治疗。颌骨肿瘤和肿瘤样病变的形态学特征可能提供有关此类病变侵袭性或非侵袭性生物学行为的关键诊断信息。除了影像学检查结果外,还需要进行全面的体格检查,通常还需要对活检标本进行组织学分析。