Thompson S H, Altini M
Department of Radiology, DD Eisenhower Army Medical Center, Fort Gordon, Georgia 30905-5650.
Head Neck. 1989 Nov-Dec;11(6):538-44. doi: 10.1002/hed.2880110612.
Fibro-osseous cemental lesions of the jaw remain a controversial area of bone/cementum pathology. This article describes the clinicopathological features of 28 lesions classified as gigantiform cementoma. Black women are affected more frequently than other race and sex groups, with a peak frequency of occurrence in the fourth and fifth decades. The posterior mandible is preferentially affected and unifocal lesions (67.9%) occur more frequently than multifocal lesions (32.1%). Dull pain and a centrifugal size increase are the most prevalent presenting symptoms. Of 28 cases with parental and sibling clinical information, there were no cases which exhibited an autosomal dominant genetic association. The pathogenesis of this lesion in relation to other cemental lesions of the jaws, as well as the clinical management of cemental jaw lesions, is discussed.
颌骨纤维骨化性牙骨质病变仍是骨/牙骨质病理学中一个存在争议的领域。本文描述了28例被归类为巨大型牙骨质瘤的病变的临床病理特征。黑人女性比其他种族和性别群体更易受累，发病高峰在第四和第五个十年。下颌骨后部是优先受累部位，单发病变（67.9%）比多发病变（32.1%）更常见。钝痛和离心性增大是最常见的症状。在28例有父母和兄弟姐妹临床信息的病例中，没有表现出常染色体显性遗传关联的病例。本文还讨论了该病变与颌骨其他牙骨质病变的发病机制以及颌骨牙骨质病变的临床处理。
