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颞窝复发性成釉细胞瘤:诊断难题。

Recurrent ameloblastoma in temporal fossa: A diagnostic dilemma.

作者信息

Vaishampayan Sagar S, Nair Deepa, Patil Asawari, Chaturvedi Pankaj

机构信息

Department of Head and Neck Oncosurgery, Tata Memorial Hospital, Parel, Mumbai, Maharashtra, India.

出版信息

Contemp Clin Dent. 2013 Apr;4(2):220-2. doi: 10.4103/0976-237X.114852.

Abstract

Ameloblastoma is a unique, histologically benign but aggressive neoplasm of the jaws, arising from odontogenic epithelium with potency to cause extensive destruction of jaw bones and infiltration into the surrounding tissues. Recurrences are common after incomplete treatment. Recurrences can occur at difficult sites such as temporal and infratemporal fossa, orbit, anterior cranial base, paranasal sinuses etc. Fine needle aspiration cytology or core biopsy of these recurrent lesions may be misleading. Clinical course and radiological features help immensely in these situations. Good communication between surgeon, radiologist, and pathologist is of paramount importance.

摘要

成釉细胞瘤是一种独特的、组织学上为良性但具有侵袭性的颌骨肿瘤,起源于牙源性上皮,有能力导致颌骨广泛破坏并浸润周围组织。不完全治疗后复发很常见。复发可发生在颞下窝、眼眶、前颅底、鼻窦等困难部位。这些复发病变的细针穿刺细胞学检查或芯针活检可能会产生误导。在这些情况下,临床病程和放射学特征非常有帮助。外科医生、放射科医生和病理科医生之间的良好沟通至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a10/3757886/5c3ddeb1414d/CCD-4-220-g001.jpg

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