Yavagal C, Anegundi Rajesh T, Shetty S
Department of Pediatric Dentistry, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India.
J Indian Soc Pedod Prev Dent. 2009 Jan-Mar;27(1):70-4. doi: 10.4103/0970-4388.50824.
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.
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。