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单囊型丛状成釉细胞瘤:给儿童牙医的启示

Unicystic plexiform ameloblastoma: an insight for pediatric dentists.

作者信息

Yavagal C, Anegundi Rajesh T, Shetty S

机构信息

Department of Pediatric Dentistry, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.

出版信息

J Indian Soc Pedod Prev Dent. 2009 Jan-Mar;27(1):70-4. doi: 10.4103/0970-4388.50824.

DOI:10.4103/0970-4388.50824
PMID:19414980
Abstract

Ameloblastomas have been categorized broadly into three biologic variants: cystic (unicystic), solid, and peripheral. The term plexiform unicystic ameloblastoma refers to a pattern of epithelial proliferation that has been described in cystic lesions of the jaws. Although the histology suggests that cystic ameloblastomas follow a biologically low-grade course, recent evidence suggests that they may often behave clinically as biologically aggressive tumors. This is supported by the high incidence of cortical perforation, tooth resorption, lesion size, bony destruction, and a high rate of recurrence after simple enucleation. This article tries to provide an insight for pediatric dentists regarding this biologically distinct entity. A literature review on the topic has been added along with a case report highlighting the state-of-the-art approach and management of such ameloblastomas, in pediatric patients.

摘要

成釉细胞瘤大致可分为三种生物学变体

囊性(单囊性)、实性和外周性。丛状单囊性成釉细胞瘤一词指的是在颌骨囊性病变中所描述的上皮增殖模式。尽管组织学表明囊性成釉细胞瘤生物学行为呈低度恶性,但最近的证据表明它们在临床上可能常表现为具有生物学侵袭性的肿瘤。皮质穿孔、牙齿吸收、病变大小、骨质破坏的高发生率以及单纯摘除术后的高复发率均支持这一点。本文旨在为儿童牙医提供关于这种生物学特性独特的实体的见解。本文还增加了关于该主题的文献综述以及一份病例报告,突出了儿科患者中此类成釉细胞瘤的最新治疗方法和管理。

相似文献

1
Unicystic plexiform ameloblastoma: an insight for pediatric dentists.单囊型丛状成釉细胞瘤:给儿童牙医的启示
J Indian Soc Pedod Prev Dent. 2009 Jan-Mar;27(1):70-4. doi: 10.4103/0970-4388.50824.
2
Cystic ameloblastoma--behavior and treatment of 21 cases.囊性成釉细胞瘤——21例病例的行为表现与治疗
J Oral Maxillofac Surg. 2001 Nov;59(11):1311-6; discussion 1316-8. doi: 10.1053/joms.2001.27522.
3
Plexiform unicystic ameloblastoma. A variant of ameloblastoma with a low-recurrence rate after enucleation.丛状单囊型成釉细胞瘤。成釉细胞瘤的一种变体,摘除术后复发率低。
Cancer. 1984 Apr 15;53(8):1730-5. doi: 10.1002/1097-0142(19840415)53:8<1730::aid-cncr2820530819>3.0.co;2-u.
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Plexiform unicystic ameloblastoma: a rare variant of ameloblastoma.丛状单囊性成釉细胞瘤:成釉细胞瘤的一种罕见变异型。
Case Rep Dent. 2014;2014:146989. doi: 10.1155/2014/146989. Epub 2014 Aug 14.
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Is there a role for enucleation in the management of ameloblastoma?眼球摘除术在成釉细胞瘤的治疗中是否有作用?
Int J Oral Maxillofac Surg. 2009 Aug;38(8):807-12. doi: 10.1016/j.ijom.2009.02.018. Epub 2009 Mar 17.
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The relationship of plexiform unicystic ameloblastoma to conventional ameloblastoma.丛状单囊型成釉细胞瘤与传统成釉细胞瘤的关系。
Oral Surg Oral Med Oral Pathol. 1983 Jul;56(1):54-60. doi: 10.1016/0030-4220(83)90056-7.
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Growth characteristics of ameloblastoma involving the inferior alveolar nerve: a clinical and histopathologic study.累及下牙槽神经的成釉细胞瘤的生长特征:一项临床与组织病理学研究。
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001 May;91(5):557-62. doi: 10.1067/moe.2001.113110.
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Maxillary unicystic ameloblastoma: A review of the literature.上颌单囊性成釉细胞瘤:文献综述
Natl J Maxillofac Surg. 2011 Jul;2(2):163-8. doi: 10.4103/0975-5950.94472.
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Early unicystic ameloblastoma: report of case.早期单囊型成釉细胞瘤:病例报告
J Oral Surg. 1979 Oct;37(10):747-50.
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Unicystic plexiform ameloblastoma with mural proliferation: a full-blown lesion.伴有壁内增殖的单囊型丛状成釉细胞瘤:一种完全形成的病变。
BMJ Case Rep. 2016 Apr 6;2016:bcr2015212778. doi: 10.1136/bcr-2015-212778.

引用本文的文献

1
Conservative Management of Unicystic Ameloblastoma in Young Patients: A Prospective Single-Center Trial and Review of Literature.年轻患者单囊性成釉细胞瘤的保守治疗:一项前瞻性单中心试验及文献综述
J Maxillofac Oral Surg. 2017 Sep;16(3):333-341. doi: 10.1007/s12663-016-0987-2. Epub 2016 Dec 20.
2
Plexiform unicystic ameloblastoma: a case report and data analysis in the Indian population.丛状单囊性成釉细胞瘤:印度人群中的一例病例报告及数据分析
J Maxillofac Oral Surg. 2015 Mar;14(Suppl 1):407-11. doi: 10.1007/s12663-014-0647-3. Epub 2014 Sep 2.
3
Unusual imaging appearance of unicystic ameloblastoma.
单囊性成釉细胞瘤的异常影像学表现。
Contemp Clin Dent. 2012 Oct;3(4):475-7. doi: 10.4103/0976-237X.107445.
4
Difficulties in the diagnosis of plexiform ameloblastoma.丛状成釉细胞瘤的诊断难点。
Oral Maxillofac Surg. 2012 Mar;16(1):115-8. doi: 10.1007/s10006-011-0265-x. Epub 2011 Mar 1.