Nagalaxmi V, Sangmesh Mithare, Maloth Kotya Naik, Kodangal Srikanth, Chappidi Vani, Goyal Stuti
Sri Sai College of Dental Surgery, H. No. 5-5-47/1, Mustafa Nagar, Khammam 507 001, Vikarabad, Andhra Pradesh, India.
Case Rep Dent. 2013;2013:957418. doi: 10.1155/2013/957418. Epub 2013 Apr 23.
Ameloblastoma is a benign odontogenic neoplasm which frequently affects the mandible. The term ameloblastoma includes several clinicoradiological and histological types. Apart from the most commonly encountered clinicopathologic models, there are few variants, whose biological profile is unknown or not elicited. Among these types, unicystic ameloblastoma is the least encountered variant of the ameloblastoma. Unicystic ameloblastoma refers to those cystic lesions that show clinical, radiographic, or gross features of a jaw cyst but on histologic examination show a typical ameloblastomatous epithelium lining the cyst cavity, with or without luminal and/or mural tumor proliferation. Unicystic ameloblastoma is a less encountered variant of the ameloblastoma and is believed to be less aggressive. As this tumor shows considerable similarities with dentigerous cysts, both clinically and radiographically, the biologic behaviour of this tumor group was reviewed. Moreover, recurrence of unicystic ameloblastoma may be long delayed, and a long-term postoperative followup is essential for proper management of these patients. Here we are presenting a case of unicystic ameloblastoma in an 18-year-old female patient.
成釉细胞瘤是一种常见于下颌骨的良性牙源性肿瘤。成釉细胞瘤这一术语包括几种临床放射学和组织学类型。除了最常见的临床病理模型外,还有一些变异型,其生物学特性尚不清楚或未被阐明。在这些类型中,单囊性成釉细胞瘤是成釉细胞瘤中最少见的变异型。单囊性成釉细胞瘤是指那些具有颌骨囊肿临床、影像学或大体特征,但组织学检查显示囊肿腔内衬有典型成釉细胞瘤上皮,伴有或不伴有腔内和/或壁内肿瘤增殖的囊性病变。单囊性成釉细胞瘤是成釉细胞瘤中较少见的变异型,被认为侵袭性较小。由于该肿瘤在临床和影像学上与含牙囊肿有相当多的相似之处,因此对该肿瘤组的生物学行为进行了综述。此外,单囊性成釉细胞瘤的复发可能会延迟很长时间,长期术后随访对于妥善管理这些患者至关重要。在此,我们报告一例18岁女性患者的单囊性成釉细胞瘤病例。