Bilodeau Elizabeth, Collins Bobby, Costello Bernard, Potluri Anitha
Department of Diagnostic Sciences, University of Pittsburgh School of Dental Medicine, 3501 Terrace St, Pittsburgh, PA 15261, USA.
Head Neck Pathol. 2010 Dec;4(4):324-8. doi: 10.1007/s12105-010-0205-3. Epub 2010 Aug 25.
One case of an expansile mass involving the roots of a mandibular left first molar in a nine year old male is presented. The lesion has features of a cementoblastoma (CB), osteoblastoma (OB), and osteosarcoma (OS) both radiographically and histologically. Radiographically, a "sunburst" appearance is present. Histologically, the lesional tissue is intimately involved with the root, not the periosteum. The clinical, radiographic, and histopathologic characteristics of CB, OB, and OS are discussed as well as the difficulties associated with distinguishing between these lesions in the gnathic region.
本文报告一例9岁男性下颌左侧第一磨牙牙根处出现膨胀性肿物的病例。该病变在影像学和组织学上均具有成牙骨质细胞瘤(CB)、成骨细胞瘤(OB)和骨肉瘤(OS)的特征。影像学上呈现“日光放射”外观。组织学上,病变组织与牙根紧密相连,而非骨膜。文中讨论了CB、OB和OS的临床、影像学及组织病理学特征,以及在颌骨区域区分这些病变所面临的困难。