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基于19例病例分析的成釉细胞瘤新放射学分类

A new radiological classification for ameloblastoma based on analysis of 19 cases.

作者信息

Ogunsalu C, Daisley H, Henry K, Bedayse S, White K, Jagdeo B, Baldeo S

机构信息

Oral Diseases Unit, School of Dentistry, Faculty of Medical Sciences, The University of the West Indies, St Augustine, Trinidad and Tobago.

出版信息

West Indian Med J. 2006 Dec;55(6):434-9. doi: 10.1590/s0043-31442006000600013.


DOI:10.1590/s0043-31442006000600013
PMID:17691241
Abstract

OBJECTIVE: To describe ameloblastoma of the jawbone in young Jamaicans, with special emphasis on radiological findings, and to introduce a radiological classification which could assist in the categorization of these cases according to their biological behaviour and hence their subsequent surgical and medical management. SUBJECTS AND METHODS: The series comprised all the 18 cases of ameloblastoma of the jaw seen in patients under the age of 20 years in the two major hospitals in Jamaica with an oral and maxillofacial surgery department from 1980 to 1995. Radiological and histological diagnosis was confirmed in all. A case of maxillary ameloblastoma in a 13-year old girl seen in the year 2000 was also included in this study. This last case had special attributes. RESULTS: All 19 patients had primary lesions of ameloblastoma. The mean age was 16.1 years with a mode of 18 years and a range of 13 to 19 years. The male to female ratio was 1.1:1. Eighteen cases were seen in the mandible and one case in the maxilla. Of these, 42% were unilocular and 58% were multilocular radiologically. Thirty-two per cent of cases had unerupted teeth associated with the lesions and 32% had root resorption. Based on our new radiological classification, the most predominant radiological type was IIb2 with root resorption (42%). There was no radiological type classically simulating dentigerous cyst (Ia2). CONCLUSION: Ameloblastoma in young Jamaicans presented more in the adolescent period and are predominantly unicystic and rare in the maxilla. A new classification for ameloblastoma based solely on radiological presentation is adopted.

摘要

目的:描述牙买加年轻人颌骨成釉细胞瘤,特别强调放射学表现,并引入一种放射学分类方法,该方法可根据这些病例的生物学行为及其后续的手术和药物治疗对其进行分类。 研究对象与方法:该系列包括1980年至1995年在牙买加两家设有口腔颌面外科的主要医院中,20岁以下患者中所见的全部18例颌骨成釉细胞瘤病例。所有病例均经放射学和组织学诊断确诊。本研究还纳入了2000年一名13岁女孩的上颌成釉细胞瘤病例。最后这个病例具有特殊特征。 结果:所有19例患者均有原发性成釉细胞瘤病变。平均年龄为16.1岁,众数为18岁,范围为13至19岁。男女比例为1.1:1。18例见于下颌骨,1例见于上颌骨。其中,放射学表现为单房性的占42%,多房性的占58%。32%的病例病变伴有未萌出牙齿,32%有牙根吸收。根据我们新的放射学分类,最主要的放射学类型是伴有牙根吸收的IIb2型(42%)。没有典型模拟含牙囊肿的放射学类型(Ia2型)。 结论:牙买加年轻人的成釉细胞瘤多在青春期出现,主要为单囊性,在上颌骨中罕见。采用了一种仅基于放射学表现的成釉细胞瘤新分类方法。

相似文献

[1]
A new radiological classification for ameloblastoma based on analysis of 19 cases.

West Indian Med J. 2006-12

[2]
Ameloblastoma in the Hong Kong Chinese. Part 2: systematic review and radiological presentation.

Dentomaxillofac Radiol. 2004-5

[3]
The occurrence and pattern of ameloblastoma in children and adolescents: an Indian institutional study of 41 years and review of the literature.

Int J Oral Maxillofac Surg. 2015-6

[4]
Ameloblastoma in Jamaica--predominantly unicystic: analysis of 47 patients over a 16-year period and a case report on re-entry cryosurgery as a new modality of treatment for the prevention of recurrence.

West Indian Med J. 2011-3

[5]
Radiographic analysis of ameloblastoma: a retrospective study.

Indian J Dent Res. 2012

[6]
Maxillary unicystic ameloblastoma: a case report.

BMC Res Notes. 2016-10-18

[7]
Review of six cases of maxillary ameloblastoma from the West Indies: re-entry cryosurgery as prophylactic surgical intervention.

West Indian Med J. 2009-9

[8]
A conservative approach for unicystic ameloblastoma: Retrospective clinic-pathologic analysis of 12 cases.

J Oral Pathol Med. 2023-8

[9]
Unicystic ameloblastoma: Analysis of 370 cases in a single center in Sri Lanka.

J Oral Pathol Med. 2018-6-20

[10]
[Imaging analysis of ameloblastoma, odontogenic keratocyst and dentigerous cyst in the maxilla using spiral CT and cone beam CT].

Zhonghua Kou Qiang Yi Xue Za Zhi. 2018-10-9

引用本文的文献

[1]
Effectiveness of the Conservative Surgical Management of the Ameloblastomas: A Cross-Sectional Study.

Front Oral Health. 2021-10-29

[2]
HIF-1 Is Associated with Resistance to Hypoxia-Induced Apoptosis in Ameloblastoma.

Int J Dent. 2021-12-27

[3]
Ameloblastoma: a clinical and therapeutic analysis on six cases.

Rev Bras Ortop. 2014-4-25

[4]
Giant anterior ameloblastoma managed by wide excision mandibulectomy with intraoral primary mucosal closure and skin defect coverage by deltopectoral flap.

South Asian J Cancer. 2014-7

[5]
Prominent response with helical tomotherapy in recurrent ameloblastic carcinoma of maxillary sinus: a case report.

Radiat Oncol. 2014-7-15

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