Neuman Ashley Nicole, Montague Lindsay, Cohen Donald, Islam Nadim, Bhattacharyya Indraneel
West Virginia University School of Dentistry, Morgantown, WV, USA,
Head Neck Pathol. 2015 Sep;9(3):417-20. doi: 10.1007/s12105-014-0601-1. Epub 2015 Jan 1.
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.
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。
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