Arjona Amo M, Belmonte Caro R, Valdivieso del Pueblo C, Batista Cruzado A, Torres Lagares D, Gutiérrez Pérez J L
Departamento de Cirugía Bucal, Universidad de Sevilla.
Cir Pediatr. 2011 Apr;24(2):118-21.
In the present study we report and discuss a case of odontogenic myxoma in a 13-month-old patient. Only two other reports have been published in the literature describing the occurrence of this type of tumor at an earlier age. Odontogenic myxoma is a benign mesenchymal neoplasm of the maxilla more common between the third and fourth decades of life. The case here reported is exceptional as it presents in an infant and, although some cases have been reported in the literature, this type of tumor is rare in early childhood. The most common locations include the ascending ramus and the angle of the jaw, although these tumors may also affect the upper maxilla, in which case they may involve the maxillary sinus. According to the review of the literature, these tumors show a recurrence rate of about 25%. Consequently, after the intraoperative clinical examination of the lesion and the assessment of the initial suspected diagnosis by means of intraoperative biopsy under general anesthesia, we carried out the resection of the tumor with wide margins at some points of the tumor location.
在本研究中,我们报告并讨论了一例13个月大患者的牙源性黏液瘤病例。文献中仅另有两篇报道描述了这种类型的肿瘤在更早年龄出现的情况。牙源性黏液瘤是上颌骨的一种良性间叶性肿瘤,在生命的第三个和第四个十年之间更为常见。此处报告的病例很特殊,因为它出现在一名婴儿身上,尽管文献中已有一些病例报道,但这种类型的肿瘤在幼儿期很少见。最常见的部位包括下颌升支和下颌角,不过这些肿瘤也可能累及上颌骨,在这种情况下可能会累及上颌窦。根据文献综述,这些肿瘤的复发率约为25%。因此,在术中对病变进行临床检查并通过全身麻醉下的术中活检对初步疑似诊断进行评估后,我们在肿瘤位置的某些点进行了肿瘤的广泛切除。