成釉细胞瘤的人口学、临床和治疗研究：40 例分析。

Ameloblastoma demographic, clinical and treatment study: analysis of 40 cases.

机构信息

Department of Otorhinolaryngology and Head and Neck Surgery, Hospital Heliópolis, São Paulo, SP, Brazil.

出版信息

Braz J Otorhinolaryngol. 2012 Jun;78(3):38-41. doi: 10.1590/S1808-86942012000300008.

DOI:10.1590/S1808-86942012000300008

PMID:22714845

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9446200/

Abstract

UNLABELLED

Dental lesions represent about 1% of oral cavity tumors being ameloblastoma the most common one. It is a tumor of epithelial origin that mainly affects the jaw, and less commonly the maxilla. Its clinical presentation is that of an asymptomatic slow-growing tumor. Despite being a benign tumor, it has an invasive behavior with a high rate of recurrence if not treated properly.

OBJECTIVE

To describe the cases of ameloblastoma in a reference department.

METHODS

Retrospective analysis of 40 cases. The variables analyzed were: age, gender, ethnicity, tumor location, type of treatment, complications and recurrence.

RESULTS

The most affected gender was male - 21 cases (52.5%); with a predominance of Caucasians - 24 cases (60%). The mean age was 35.45 years; the most common location was in the jaw - 37 cases (92.5%). Facial asymmetry was the most frequent complaint. Of the 40 cases, 33 were submitted to surgery. Of those submitted to surgery, 24 (72.72%) underwent segmental resection, with recurrence in 4 (12.12%) cases.

CONCLUSION

Ameloblastoma may relapse when treatment is not performed with broad surgical resection of the lesion with wide safety margins.

摘要

未注明

口腔肿瘤中约有 1%为牙源性肿瘤，其中最常见的是成釉细胞瘤。它是一种来源于上皮组织的肿瘤，主要影响颌骨，较少见于上颌骨。其临床表现为无症状、缓慢生长的肿瘤。尽管成釉细胞瘤是一种良性肿瘤，但如果治疗不当，具有侵袭性，且复发率较高。

目的

描述一个参考科室中成釉细胞瘤的病例。

方法

回顾性分析 40 例患者。分析的变量包括：年龄、性别、种族、肿瘤位置、治疗类型、并发症和复发情况。

结果

受影响最多的性别是男性-21 例（52.5%）；以白种人为主-24 例（60%）。平均年龄为 35.45 岁；最常见的位置是在颌骨-37 例（92.5%）。面部不对称是最常见的主诉。在 40 例患者中，有 33 例接受了手术治疗。在接受手术治疗的患者中，有 24 例（72.72%）接受了节段性切除术，其中 4 例（12.12%）复发。