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上颌骨钙化性上皮性牙源性肿瘤:一例病例报告及其免疫组织化学观察。

Calcifying epithelial odontogenic tumour of the maxilla: a case report with respect to immunohistochemical findings.

机构信息

Department of Oral and Maxillofacial Surgery, Eppendorf University Hospital, University of Hamburg, Martinistr. 52, D-20246 Hamburg, Germany.

出版信息

In Vivo. 2011 Mar-Apr;25(2):259-64.

Abstract

Calcifying epithelial odontogenic tumour (Pindborg tumour) is a rare benign neoplasm with a poorly understood histogenesis. This report describes a single case of a maxillary calcifying epithelial odontogenic tumour including immunohistochemical analysis. The vast majority of tumour cells were positive for CK5/6 and p63. Furthermore, basal cells also displayed moderate reaction for vimentin and strong membranous positivity for podoplanin. Interestingly, the tumour invaded the dental pulp of the partially disintegrated tooth root. While the tumour showed focal connection with the superficial gingival epithelium and revealed intercellular bridges, the findings of this case study seem to support the suggestion of an epithelial origin of a calcifying epithelial odontogenic tumour derived from the dental lamina.

摘要

牙源性钙化上皮瘤(Pindborg 瘤)是一种罕见的良性肿瘤,其组织发生机制尚不清楚。本报告描述了一例上颌牙源性钙化上皮瘤,包括免疫组织化学分析。绝大多数肿瘤细胞 CK5/6 和 p63 阳性。此外,基底细胞也对波形蛋白呈中度反应,对 podoplanin 呈强膜阳性。有趣的是,肿瘤侵犯了部分分解的牙根的牙髓。虽然肿瘤与浅层牙龈上皮有局部联系,并显示细胞间桥,但本病例研究的结果似乎支持牙源性钙化上皮瘤来源于牙板的上皮起源的观点。

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