根据皮提耶尔-萨尔佩特里埃医院的经验制定的成人成釉细胞瘤治疗方案。
A treatment algorithm for adult ameloblastomas according to the Pitié-Salpêtrière Hospital experience.
作者信息
Escande Catherine, Chaine André, Menard Philippe, Ernenwein Didier, Ghoul Sonia, Bouattour Ayman, Berdal Ariane, Bertrand Jacques-Charles, Ruhin-Poncet Blandine
机构信息
Stomatology and Maxillofacial Surgery Department, Pitié-Salpêtrière University Hospital, Assistance Publique des Hôpitaux de Paris, Pierre et Marie Curie-Paris6 University, Paris F-75013, France.
出版信息
J Craniomaxillofac Surg. 2009 Oct;37(7):363-9. doi: 10.1016/j.jcms.2009.05.001. Epub 2009 Jun 25.
During a 13-year period (from 1994 to 2007), in the Oral and Maxillofacial Surgery Department of the Pitié-Salpêtrière Hospital, 116 new cases of adult ameloblastomas, were analyzed for treatment composed against radiographic presentation, size, histological type. Follow-up and recurrence were also analyzed. Treatment was surgical consisting of enucleations (82%), segmental mandibulectomy (8.3%) resections (24.7%) 85% of them underwent reconstruction. The follow-up was documented for 97%. More than two recurrences occurred in 21% of the patients after the first enucleation: 66% with a "follicular" histological diagnosis. Lenthly, a therapeutic algorithm is suggested for adult ameloblastomas that underlines the importance of the conservative enucleation treatment as far as possible.
在13年期间（从1994年至2007年），在皮提耶尔-萨尔佩特里埃医院口腔颌面外科，对116例成人成釉细胞瘤新病例进行了分析，分析内容包括针对影像学表现、大小、组织学类型的治疗方法。还对随访情况和复发情况进行了分析。治疗方式为手术，包括摘除术（82%）、下颌骨节段切除术（8.3%）、切除术（24.7%），其中85%的患者接受了重建手术。97%的患者有随访记录。21%的患者在首次摘除术后出现了两次以上复发：66%的患者组织学诊断为“滤泡型”。最后，针对成人成釉细胞瘤提出了一种治疗算法，强调了尽可能采用保守摘除术治疗的重要性。
Zotero 插件