Senra Giselle Segnini, Pereira Andresa Costa, Murilo dos Santos Lucio, Carvalho Yasmin Rodarte, Brandão Adriana Aigotti Haberbeck
Department of Biosciences and Oral Diagnosis, School of Dentistry of São José dos Campos, São Paulo State University (UNESP), São Paulo, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2008 Feb;105(2):e42-6. doi: 10.1016/j.tripleo.2007.09.006.
Ameloblastoma is an odontogenic tumor, usually benign, which rarely metastasizes to distant organs. The case of a 27-year-old white woman is described, who presented a metastatic pulmonary ameloblastoma 7 years after the removal of a mandibular ameloblastoma. She presented no pulmonary symptoms, but a lung nodule was found in a chest x-ray during a routine check-up for job admission. Computed tomography (CT) revealed a 2-cm well-defined solitary round nodule without calcifications, leading to the hypothesis of a metastatic tumor. Clinical and CT investigation confirmed no ameloblastoma recurrence in the jaw and no other primary tumor. The diagnosis of metastatic ameloblastoma was confirmed by microscopic evaluation of the pulmonary nodule.
成釉细胞瘤是一种牙源性肿瘤,通常为良性,很少转移至远处器官。本文描述了一名27岁白人女性的病例,她在切除下颌成釉细胞瘤7年后出现了肺转移性成釉细胞瘤。她没有肺部症状,但在入职常规体检的胸部X光检查中发现了一个肺结节。计算机断层扫描(CT)显示一个2厘米边界清晰的孤立圆形结节,无钙化,提示为转移性肿瘤。临床和CT检查证实颌骨没有成釉细胞瘤复发,也没有其他原发性肿瘤。通过对肺结节的显微镜评估确诊为转移性成釉细胞瘤。