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接受正畸治疗后随访的年轻患者的上颌骨骨肉瘤:持续口腔检查的重要性。

Maxillary osteosarcoma in a young patient undergoing postorthodontic treatment follow-up: the importance of ongoing oral examinations.

机构信息

Campinas State University (UNICAMP), Piracicaba Dental School, Department of Oral Diagnosis, Semiology Area, Piracicaba, São Paulo, Brazil.

出版信息

Am J Orthod Dentofacial Orthop. 2011 Jun;139(6):845-8. doi: 10.1016/j.ajodo.2009.09.024.

Abstract

Osteosarcoma is a common primary malignant tumor in long bones; it generally occurs in young adults. It is considered infrequent in the head and neck regions, where it is usually associated with poor outcomes and rates of survival. From a histopathologic point of view, osteosarcomas are commonly classified as osteoblastic, chondroblastic, or fibroblastic, although several unusual microscopic subtypes have also been reported. The purpose of this article was to present a case report of a maxillary chondroblastic osteosarcoma involving the maxillary sinus and the maxilla of a young woman who was diagnosed during early postorthodontic treatment follow-up. Treatment, prosthetic rehabilitation, and follow-up details are provided. Most importantly, this patient shows the importance of complete and systematic oral examinations during any routine dental treatment.

摘要

成骨肉瘤是长骨中常见的原发性恶性肿瘤;它通常发生在年轻人中。在头部和颈部区域,它被认为是罕见的,通常与不良预后和生存率相关。从组织病理学的角度来看,成骨肉瘤通常被分为成骨型、软骨母细胞型或纤维母细胞型,尽管也有一些罕见的微观亚型已被报道。本文的目的是报告一例上颌骨软骨母细胞性成骨肉瘤累及年轻女性的上颌窦和上颌,该患者在正畸治疗后随访期间被诊断出。提供了治疗、修复和随访的细节。最重要的是,该患者表明在任何常规牙科治疗中进行全面和系统的口腔检查的重要性。

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