Tabrizi Reza, Bahramnejhad Emad, Kazemi Hamidreza, Asadzadeh Maryam, Ranjbaran Hoda
Shiraz University of Medical Science, Shiraz, Iran.
J Craniofac Surg. 2013 Jul;24(4):e434-8. doi: 10.1097/SCS.0b013e3182942e18.
Several pathologic lesions can be responsible for rapid swelling of the maxilla during infancy. Two of these uncommon lesions are melanotic neuroectodermal tumor of infancy (MNTI) and myofibroma. Despite these lesions being benign, they can have a destructive behavior that needs a meticulous diagnosis and early intervention. Melanotic neuroectodermal tumor of infancy often presents as a fast-growing lesion, suggesting a clinical impression of infection or malignant neoplasm. Local excision and curettage are appropriate treatments for MNTI. Myofibromas are a rare lesion in the maxilla during infancy and sometimes are mistaken for malignant lesions. Surgical excision has been considered as a choice treatment for maxillomandibular lesions.
几种病理病变可导致婴儿期上颌骨迅速肿胀。其中两种不常见的病变是婴儿黑色素神经外胚层肿瘤(MNTI)和肌纤维瘤。尽管这些病变是良性的,但它们可能具有侵袭性,需要细致的诊断和早期干预。婴儿黑色素神经外胚层肿瘤通常表现为快速生长的病变,提示有感染或恶性肿瘤的临床印象。局部切除和刮除术是治疗MNTI的合适方法。肌纤维瘤在婴儿期的上颌骨中是一种罕见的病变,有时会被误诊为恶性病变。手术切除一直被认为是治疗颌骨病变的一种选择。