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两例牙源性混合性肿瘤报告:成釉细胞瘤伴牙源性角化囊肿及成釉细胞纤维瘤伴钙化牙源性囊肿

Report of Two Cases of Combined Odontogenic Tumors: Ameloblastoma with Odontogenic Keratocyst and Ameloblastic Fibroma with Calcifying Odontogenic Cyst.

作者信息

Neuman Ashley Nicole, Montague Lindsay, Cohen Donald, Islam Nadim, Bhattacharyya Indraneel

机构信息

West Virginia University School of Dentistry, Morgantown, WV, USA,

出版信息

Head Neck Pathol. 2015 Sep;9(3):417-20. doi: 10.1007/s12105-014-0601-1. Epub 2015 Jan 1.


DOI:10.1007/s12105-014-0601-1
PMID:25552434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4542788/
Abstract

Combined odontogenic neoplasms have rarely been documented. Such tumors have also been described by other researchers as "hybrid" lesions. The histologic features are often identical to other individually well-established odontogenic neoplasms such as ameloblastoma, adenomatoid odontogenic tumor, ameloblastic fibroma (AF), and ameloblastic fibro-odontoma. Their clinical presentation is variable, ranging from cysts to neoplasms showing varying degrees of aggressive behavior. Most combined tumors contain features of one of the odontogenic tumors in combination with either a calcifying odontogenic cyst (COC) or a calcifying epithelial odontogenic tumor. We present two new cases of combined odontogenic tumors: an ameloblastoma with an odontogenic keratocyst and an AF with COC. Predicting clinical outcome is challenging when a combination tumor is encountered due to the paucity of such lesions. One must understand salient features of these entities and differentiate them from the more common conventional neoplasms to expand classification and provide prognostic criteria.

摘要

联合性牙源性肿瘤鲜有文献记载。其他研究者也将此类肿瘤描述为“混合性”病变。其组织学特征通常与其他已明确的单一牙源性肿瘤相同,如成釉细胞瘤、腺样牙源性肿瘤、成釉细胞纤维瘤(AF)和成釉细胞纤维牙瘤。它们的临床表现多样,从囊肿到具有不同程度侵袭性行为的肿瘤不等。大多数联合性肿瘤包含一种牙源性肿瘤的特征,并与钙化牙源性囊肿(COC)或钙化上皮牙源性肿瘤合并存在。我们报告两例联合性牙源性肿瘤的新病例:一例成釉细胞瘤合并牙源性角化囊肿,另一例AF合并COC。由于此类病变较少,遇到联合性肿瘤时预测临床结果具有挑战性。必须了解这些实体的显著特征,并将它们与更常见的传统肿瘤区分开来,以扩大分类并提供预后标准。

相似文献

[1]
Report of Two Cases of Combined Odontogenic Tumors: Ameloblastoma with Odontogenic Keratocyst and Ameloblastic Fibroma with Calcifying Odontogenic Cyst.

Head Neck Pathol. 2015-9

[2]
Hybrid odontogenic tumor of calcifying odontogenic cyst and ameloblastic fibroma.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004-7

[3]
Hybrid odontogenic tumor with features of ameloblastic fibro-odontoma, calcifying odontogenic cyst, and adenomatoid odontogenic tumor: a case report and review of the literature.

J Oral Maxillofac Surg. 2010-2

[4]
A review of 318 odontogenic tumors in Kaduna, Nigeria.

J Oral Maxillofac Surg. 2005-6

[5]
Calcifying odontogenic cyst with ameloblastic fibroma: report of three cases.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004-10

[6]
Odontogenic tumors: analysis of 706 cases.

J Oral Surg. 1978-10

[7]
Epidemiology of odontogenic tumours and selected cysts diagnosed at a single New Zealand oral pathology centre- A 15-year retrospective study.

Oral Maxillofac Surg. 2024-12

[8]
Odontogenic Cysts and Neoplasms.

Surg Pathol Clin. 2017-3

[9]
Calcifying odontogenic cyst. A review of ninety-two cases with reevaluation of their nature as cysts or neoplasms, the nature of ghost cells, and subclassification.

Oral Surg Oral Med Oral Pathol. 1991-7

[10]
Ameloblastic fibroma with ghost cell differentiation and calcification: A unique case report.

J Cancer Res Ther. 2015

引用本文的文献

[1]
Hybrid Odontogenic Lesions: A 30-year Retrospective Study.

J Dent (Shiraz). 2025-9-1

[2]
Unusual Association of Calcifying Cystic Odontogenic Tumor with Compound Odontoma and Ameloblastoma: Case Report and Review of the Literature.

J Microsc Ultrastruct. 2022-2-4

[3]
Concurrent Odontogenic Keratocyst and Odontoma: Report of an Unusual and Rare Entity.

J Dent (Shiraz). 2023-12-1

[4]
Hybrid odontogenic lesions: A case series of a rare entity.

Heliyon. 2023-5-13

[5]
Recurrent hybrid odontogenic tumor of calcifying odontogenic cyst and ameloblastic fibroma.

J Dent Sci. 2023-4

[6]
Calcifying odontogenic cyst combined with odontogenic keratocyst: report of a case and review of the literature.

Int J Surg Case Rep. 2023-4

[7]
Hybrid Ameloblastoma Arising from a Treated Odontogenic Keratocyst of the Mandible: A Case Report With Literature Review.

Indian J Otolaryngol Head Neck Surg. 2022-12

[8]
Hybrid Odontogenic Tumor of Calcifying Odontogenic Cyst and Ameloblastic Fibroma: a Case Report and Review of Literature.

J Dent (Shiraz). 2020-6

[9]
A Bilocular Radicular Cyst in the Mandible with Tooth Structure Components Inside.

Case Rep Dent. 2019-9-3

[10]
Unusual microscopic changes of Ameloblastic Fibroma and Ameloblastic Fibro-odontoma: A systematic review.

J Clin Exp Dent. 2019-5-1

本文引用的文献

[1]
Adenomatoid odontogenic tumor (AOT) originating in a unicystic ameloblastoma: a case report.

Head Neck Pathol. 2007-12

[2]
Hybrid odontogenic tumor with features of ameloblastic fibro-odontoma, calcifying odontogenic cyst, and adenomatoid odontogenic tumor: a case report and review of the literature.

J Oral Maxillofac Surg. 2010-2

[3]
How to name it: a rare case of odontogenic cyst.

J Oral Pathol Med. 2007-10

[4]
Hybrid ameloblastoma and calcifying epithelial odontogenic tumor: case report.

J Oral Maxillofac Surg. 2005-6

[5]
Calcifying odontogenic cyst with ameloblastic fibroma: report of three cases.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004-10

[6]
Hybrid odontogenic tumor of calcifying odontogenic cyst and ameloblastic fibroma.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004-7

[7]
A case of an ameloblastic fibro-odontoma arising from a calcifying odontogenic cyst.

Bull Tokyo Dent Coll. 2001-2

[8]
A case of glandular odontogenic cyst associated with ameloblastoma: correlation of diagnostic imaging with histopathological features.

Dentomaxillofac Radiol. 2000-7

[9]
Adenomatoid odontogenic tumor arising in a calcifying odontogenic cyst.

J Oral Maxillofac Surg. 1996-5

[10]
Adenomatoid odontogenic tumour with features of calcifying epithelial odontogenic tumour. (The so-called combined epithelial odontogenic tumour.) Clinico-pathological report of 12 cases.

Eur J Cancer B Oral Oncol. 1993-7

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