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下颌骨联合处切除术后16年成釉细胞瘤复发,保留了骨移植。

Ameloblastoma relapse after 16 years of resection in symphysis of mandible sparing the bone graft.

作者信息

Ram Rangila

机构信息

Department of Maxillofacial Surgery, H.P. Government Dental College/Hospital, Shimla, Himachal Pradesh, India.

出版信息

Natl J Maxillofac Surg. 2010 Jul;1(2):190-3. doi: 10.4103/0975-5950.79229.

Abstract

Ameloblastoma is a tumor derived from epithelium involved in odontogenesis. Although it is considered a benign tumor, its clinical behavior may be regarded as lying between benign and malignant. It is characterized by slow but persistent growth, local infiltration into adjacent tissues and recurrences; however, metastases are rare. Diagnosis mainly from tissue biopsy and characteristic finding on plain X-rays does assist in differentiating between types of ameloblastoma. The challenges in the management of this tumor are to provide complete excision as recurrence may occur in incomplete removal and also to reconstruct the bony defect in order to give reasonable cosmetic and functional outcome to the patient.

摘要

成釉细胞瘤是一种起源于参与牙胚发生的上皮组织的肿瘤。尽管它被认为是一种良性肿瘤,但其临床行为可能介于良性和恶性之间。其特点是生长缓慢但持续,局部浸润邻近组织并复发;然而,转移很少见。主要通过组织活检和X线平片上的特征性表现进行诊断,这有助于区分不同类型的成釉细胞瘤。该肿瘤治疗的挑战在于实现完整切除,因为不完全切除可能会复发,同时还要修复骨缺损,以便为患者提供合理的美观和功能效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dae/3304200/8ff6b5ef6dcc/NJMS-1-190-g001.jpg

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