Clarós P, Clarós A, Clarós A, Antonia Clavería M
Clínica Clarós, Barcelona.
Acta Otorrinolaringol Esp. 1990 Mar-Apr;41(2):103-6.
Male patient, two months of age, is affected by a tumour on the left side of the mandible, which has quickly grown over the last month. There are no other clinical pathological signs. A thorough exploration, the radiographic, tomographic and tomodensitometrical tests show the presence of a tumour on the maxilla. It was of low density, encapsulated and shifting the germinal teeth. Surgical removal reveals a melanotic neuroectodermal tumour typical of childhood. The tumour recurred in the same location and was actually larger, less than a month after the operation. A new screening is done for vanilmandelic acid and radiographies of the skull base and skeletal series were negatives. The patient is operated on again, with the same histological diagnosis. The diagnosis and treatment are discussed.
男性患者，两个月大，下颌骨左侧有一肿瘤，在过去一个月内迅速生长。无其他临床病理体征。经过全面检查，放射学、断层扫描和体层密度测定检查显示上颌骨有肿瘤。其密度低，有包膜，使恒牙移位。手术切除显示为典型的儿童黑素性神经外胚层肿瘤。术后不到一个月，肿瘤在同一部位复发，且实际上更大了。再次进行香草扁桃酸筛查，颅底和骨骼系列的X光检查均为阴性。患者再次接受手术，组织学诊断相同。对诊断和治疗进行了讨论。
