Departament d'Odontostomatologia, Facultat d'Odontologia, Universitat de Barcelona, Barcelona, Spain.
Int J Oral Sci. 2013 Sep;5(3):172-5. doi: 10.1038/ijos.2013.27. Epub 2013 May 31.
Unusual presentation of localized gingival enlargement associated with a subjacent tumoural pathology is reported. The patient was a 55-year-old black male, whose chief complaint was a progressive gingival overgrowth for more than ten years, in the buccal area of the anterior left mandible. According to the clinical features and the radiological diagnosis of odontogenic keratocyst, a conservative surgery with enucleation and curettage was performed. Tissue submitted for histopathological analysis rendered the diagnosis of odontogenic myxoma. After 12-month of follow-up, no evidence of recurrence was found. Clinicians should be cautious when facing any gingival enlargement to avoid diagnostic pitfalls and to indicate the appropriate treatment.
报告了一例与下颌前牙区颊侧下方肿瘤性病变相关的局部牙龈肿大的不典型表现。患者为 55 岁黑人男性，主要诉求为十年来左侧下颌前牙区颊侧牙龈逐渐肿大。根据临床特征和牙源性角化囊肿的影像学诊断，行剜除术和刮治术的保守手术。组织学分析诊断为牙源性黏液瘤。随访 12 个月，未见复发迹象。临床医生在面对任何牙龈肿大时都应谨慎，以避免诊断陷阱，并选择合适的治疗方法。
