Zhou H J
Zhonghua Kou Qiang Yi Xue Za Zhi. 1989 Nov;24(6):350-2, 386.
A clinical-histologic-radiologic study of 138 cases of fibro-osseous lesions of the jaw and facial bones is presented. In this series, all were monostotic lesions except 8 polyostotic fibrous dysplasia. In the 130 monostotic lesions, 59 occurred in maxilla, 66 in mandible, 4 in zygoma and one in ethmoid bone. Clinically, a painless enlargement of the involved bone was the main sign. Histologically, these lesions were composed of proliferating fibrous connective tissues and various amounts of calcified tissues, but different lesion has different feature. Radiologically, fibrous dysplasia was characterized by lesions with diffuse blending. The other three tumors including ossifying fibroma, cementifying fibroma and fibro-osteoma were all represented by lesions with well delineated borders. In this article, Diagnosis of the fibro-osseous lesions and some questions about fibro-osteoma of the jaw and facial bones and osteofibrous dysplasia of long bones are discussed.
本文介绍了一项对138例颌骨和面部骨纤维-骨病变的临床-组织学-放射学研究。在该系列中,除8例多骨型纤维发育异常外,其余均为单骨型病变。在130例单骨型病变中,59例发生在上颌骨,66例发生在下颌骨,4例发生在颧骨,1例发生在筛骨。临床上,受累骨无痛性肿大是主要体征。组织学上,这些病变由增生的纤维结缔组织和不同数量的钙化组织组成,但不同病变有不同特征。放射学上,纤维发育异常的特征是病变边界模糊。其他三种肿瘤,包括骨化性纤维瘤、牙骨质化纤维瘤和骨纤维瘤,均表现为边界清晰的病变。本文讨论了纤维-骨病变的诊断以及颌骨和面部骨骨纤维瘤及长骨骨纤维发育异常的一些问题。