Department of Oral & Maxillofacial Surgery, Faculty of Dentistry, Al Fateh University, Salahdin, Tripoli, Libya.
Int J Oral Maxillofac Surg. 2013 Feb;42(2):298-302. doi: 10.1016/j.ijom.2012.05.005. Epub 2012 Jun 2.
Osteoid osteoma is a rare benign osseous neoplasm which rarely affects the jaws. It is more common in long bones which can lead to postural scoliosis. The clinical characteristic feature of this tumour is the unexplained pain that is relieved by the intake of analgesics. Histologically it is characterized by the formation of central nidus with surrounding sclerotic bone. The diagnostic dilemma in this case report is aggravated by its unusual association with the teeth. The use of CT scanning is advised to distinguish from other odontogenic tumours. Treatment for this tumour is surgical removal or excisional biopsy to avoid recurrence and progression to malignant changes.
骨样骨瘤是一种罕见的良性骨肿瘤,很少累及颌骨。它更常见于长骨,可导致姿势性脊柱侧凸。该肿瘤的临床特征为原因不明的疼痛,服用镇痛药可缓解。组织学上表现为中央病灶伴周围硬化骨。本病例报告的诊断难题因与牙齿的异常关联而加重。建议使用 CT 扫描以与其他牙源性肿瘤相鉴别。该肿瘤的治疗方法是手术切除或切除术活检,以避免复发和进展为恶性变化。