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上颌骨牙源性黏液瘤

Odontogenic myxoma of maxilla.

作者信息

Sivakumar G, Kavitha B, Saraswathi T R, Sivapathasundharam B

机构信息

Department of Oral and Maxillo-Facial Pathology, Meenakshi Ammal Dental College and Hospital, Chennai, Tamil Nadu, India.

出版信息

Indian J Dent Res. 2008 Jan-Mar;19(1):62-5. doi: 10.4103/0970-9290.38934.

Abstract

Odontogenic myxoma (OM) is a rare and locally invasive benign neoplasm found exclusively in the jaws. OM commonly occurs in the second and third decade, and the mandible is involved more commonly than the maxilla. The lesion often grows without symptoms and presents as a painless swelling. The radiographic features are variable, and the diagnosis is therefore not easy. A case of OM of the maxilla with unusual radiographic and histologic features is described in a 30-year-old male. A panoramic radiograph revealed a well-demarcated, multilocular radiolucent lesion with 'tennis racket' appearance involving maxillary antrum. The histopathology showed loosely arranged spindle-shaped stellate cells and few areas of inactive odontogenic epithelium in a mucoid intercellular substance.

摘要

牙源性黏液瘤(OM)是一种罕见的、具有局部侵袭性的良性肿瘤,仅见于颌骨。OM常见于第二和第三个十年,下颌骨受累比上颌骨更常见。该病变通常无症状生长,表现为无痛性肿胀。其影像学特征多变,因此诊断并不容易。本文描述了一名30岁男性上颌骨OM病例,具有不寻常的影像学和组织学特征。全景X线片显示一个边界清晰、多房性的透射性病变,呈“网球拍”外观,累及上颌窦。组织病理学显示在黏液样细胞间质中有排列松散的梭形星状细胞和少量无活性的牙源性上皮区域。

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