Grätz K W, Makek M, Sailer H F
Klinik für Kiefer- und Gesichtschirurgie, Universitätsspitals Zürich.
Dtsch Zahnarztl Z. 1991 Jan;46(1):71-3.
The ameloblastic fibro-odontoma is a rare nonagressive mixed odontogenic tumor. Most of these lesions occur in patients under 20 years. There is no sex predilection. They are located more often in the mandible, usually in the posterior segment. Painless swelling in the most common clinical sign. Radiologically, ameloblastic fibro-odontomas show a circumscribed radiolucency which contains radiopaque foci of various sizes and shapes. Histological examination reveals fibrous soft tissue and islands of odontogenic epithelium. The tumor produces enamel or enamel matrix, dentin and cementum. Treatment of ameloblastic fibro-odontomas usually consists of enucleation or surgical curettage. Eight cases of ameloblastic fibro-odontoma are reported and the clinical features, radiographic and histo-pathologic findings will be discussed along with the 67 cases found in the literature.
成釉细胞纤维牙瘤是一种罕见的非侵袭性混合性牙源性肿瘤。这些病变大多发生在20岁以下的患者中。无性别倾向。它们更常位于下颌骨,通常在后段。无痛性肿胀是最常见的临床症状。在放射学上,成釉细胞纤维牙瘤表现为边界清晰的透射区,其中含有各种大小和形状的不透射影灶。组织学检查显示纤维软组织和牙源性上皮岛。该肿瘤可产生釉质或釉基质、牙本质和牙骨质。成釉细胞纤维牙瘤的治疗通常包括摘除术或手术刮除术。本文报告了8例成釉细胞纤维牙瘤,并将讨论其临床特征、放射学和组织病理学发现,同时结合文献中发现的67例病例进行探讨。