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[上颌骨骨化性纤维瘤。病例报告]

[Ossifying fibroma in maxilla. Report of case].

作者信息

Nomura A, Satoh T, Sugiyama A, Sonoyama N, Matsuoka K, Furumoto K

出版信息

Shigaku. 1989 Aug;77(2):733-41.

PMID:2489327
Abstract

Since first reported by Montgomery in 1927, ossifying fibroma, a benign neoplasm of bone or bone tissue, has been the subject of numerous studies. In the present paper, a case of ossifying fibroma in a woman is presented. The woman was 49 years old. She visited our clinic with a complaint of swelling in the right maxillary region. Thorough examinations were conducted. From X-ray, CT, scintigraphy and biopsy findings, the case was diagnosed as ossifying fibroma. Under a general anesthetic, the tumor was extirpated. It measured 40 x 40 x 60mm. It's weight, including that of teeth, was 60.5 g. Histopathological examination revealed fibroblasts and hard, bone-like masses of varying shapes in the connective tissue. Nearly one year has elapsed since the surgical operation. The patient is doing well. Since 1957, a total of 107 cases of ossifying fibroma have been reported in Japan. The ages of the patients were mostly between 10 and 49. By sex, 42 were male and 65 female. By region, in 28 case, fibroma occurred in the maxillary part, 68 in the mandibular part, and 11 in the region extending from maxillary to mandibular area. More 70% of the cases were fibroma originating in the molar area.

摘要

自1927年蒙哥马利首次报道以来,骨化性纤维瘤,一种骨或骨组织的良性肿瘤,一直是众多研究的主题。在本文中,介绍了一例女性骨化性纤维瘤病例。该女性49岁。她因右侧上颌区域肿胀前来我们诊所就诊。进行了全面检查。根据X线、CT、闪烁扫描和活检结果,该病例被诊断为骨化性纤维瘤。在全身麻醉下,切除了肿瘤。肿瘤大小为40×40×60mm。其重量,包括牙齿的重量,为60.5g。组织病理学检查显示结缔组织中有成纤维细胞和各种形状的坚硬骨样肿块。手术至今已过去近一年。患者情况良好。自1957年以来,日本共报告了107例骨化性纤维瘤病例。患者年龄大多在10至49岁之间。按性别划分,男性42例,女性65例。按部位划分,28例纤维瘤发生在上颌部,68例在下颌部,11例在上颌至下颌区域。超过70%的病例为起源于磨牙区的纤维瘤。

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