Khonsari R H, Corre P, Bouguila J, Piot B
Service de Chirurgie Maxillofaciale et Stomatologie, CHU de Nantes, 1, Place Alexis-Ricordeau, 44000 Nantes, France.
Rev Stomatol Chir Maxillofac. 2011 Feb;112(1):51-3. doi: 10.1016/j.stomax.2009.02.006. Epub 2011 Feb 2.
Cemento-osseous dysplasia is a benign fibro-osseous lesion of the jaws. Its complications are very rare.
A panoramic x-ray was made to complete the pre-radiotherapy oral assessment of a 71-year-old female patient presenting with lung adenocarcinoma. This revealed a periapical fibro-osseous lesion on tooth n° 46. She had presented with a similar lesion on tooth n° 36, 16 years before. This had been treated by extraction and alveolar curettage. No surgical treatment was suggested for this recurrence on tooth n° 46.
The diagnosis of focal cemento-osseous dysplasia is usually made on radiological and clinical data. The risk for transition to a florid form is unknown. Exeresis surgery before radiotherapy is discussed.
骨化性纤维瘤是颌骨的一种良性纤维-骨病变。其并发症非常罕见。
对一名71岁患有肺腺癌的女性患者进行全景X线检查，以完成放疗前的口腔评估。检查发现46号牙根尖周有纤维-骨病变。16年前，她的36号牙也曾出现类似病变，当时通过拔牙和牙槽刮治术进行了治疗。对于46号牙的这种复发情况，未建议进行手术治疗。
局灶性骨化性纤维瘤通常根据影像学和临床资料进行诊断。向 florid 型转变的风险尚不清楚。讨论了放疗前的切除手术。
