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成釉细胞瘤:临床综述与治疗趋势

Ameloblastoma: a clinical review and trends in management.

作者信息

McClary Andrew C, West Robert B, McClary Ashley C, Pollack Jonathan R, Fischbein Nancy J, Holsinger Christopher F, Sunwoo John, Colevas A Dimitrios, Sirjani Davud

机构信息

Department of Pathology, Stanford University, 300 Pasteur Drive, Lane 235, Stanford, CA, 94305-5324, USA.

Department of Pediatrics, Stanford University, 300 Pasteur Dr., Stanford, CA, 94305, USA.

出版信息

Eur Arch Otorhinolaryngol. 2016 Jul;273(7):1649-61. doi: 10.1007/s00405-015-3631-8. Epub 2015 Apr 30.

DOI:10.1007/s00405-015-3631-8
PMID:25926124
Abstract

Ameloblastoma is a rare odontogenic neoplasm of the mandible and maxilla, with multiple histologic variants, and high recurrence rates if improperly treated. The current mainstay of treatment is wide local excision with appropriate margins and immediate reconstruction. Here we review the ameloblastoma literature, using the available evidence to highlight the change in management over the past several decades. In addition, we explore the recent molecular characterization of these tumors which may point towards new potential avenues of personalized treatment.

摘要

成釉细胞瘤是一种罕见的下颌骨和上颌骨牙源性肿瘤,有多种组织学变异型,若治疗不当复发率很高。目前的主要治疗方法是进行广泛的局部切除并保证切缘合适,然后立即进行重建。在此,我们回顾成釉细胞瘤的相关文献,利用现有证据强调过去几十年来治疗方法的变化。此外,我们还探讨了这些肿瘤最近的分子特征,这可能为个性化治疗指明新的潜在途径。

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Ameloblastoma: a clinical review and trends in management.成釉细胞瘤:临床综述与治疗趋势
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2
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A pathologist's approach to the treatment of ameloblastoma.病理学家对成釉细胞瘤的治疗方法
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Treatment of recurrent mandibular ameloblastoma with segmental resection and revascularized fibula free flap.采用节段性切除和带血管蒂游离腓骨瓣治疗复发性下颌骨成釉细胞瘤。
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Multicystic Intraosseous Ameloblastoma With Follicular Pattern in a 16-Year-Old Male: A Case Report.一名16岁男性的具有滤泡型的多囊性骨内成釉细胞瘤:病例报告
Cureus. 2025 Jul 16;17(7):e88103. doi: 10.7759/cureus.88103. eCollection 2025 Jul.
2
Exploratory Advanced Radiotherapies for Ameloblastoma and Ameloblastic Carcinoma-A Concise Review.成釉细胞瘤和成釉细胞癌的探索性先进放射疗法——简要综述
Oral Dis. 2025 Jun 10. doi: 10.1111/odi.15403.
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Clinicopathological and Immunohistochemical Risk Predictors for Ameloblastoma Recurrence.成釉细胞瘤复发的临床病理及免疫组化风险预测指标

本文引用的文献

1
Activating FGFR2-RAS-BRAF mutations in ameloblastoma.在造釉细胞瘤中激活 FGFR2-RAS-BRAF 突变。
Clin Cancer Res. 2014 Nov 1;20(21):5517-26. doi: 10.1158/1078-0432.CCR-14-1069. Epub 2014 Jul 3.
2
Identification of recurrent SMO and BRAF mutations in ameloblastomas.成釉细胞瘤中复发性SMO和BRAF突变的鉴定。
Nat Genet. 2014 Jul;46(7):722-5. doi: 10.1038/ng.2986. Epub 2014 May 25.
3
The use of vismodegib to shrink keratocystic odontogenic tumors in patients with basal cell nevus syndrome.使用维莫德吉治疗基底细胞痣综合征患者的角化囊性牙源性肿瘤以使其缩小。
Head Neck Pathol. 2025 Feb 17;19(1):22. doi: 10.1007/s12105-024-01743-1.
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Surgical management of conventional ameloblastoma: a retrospective cohort study over the past 21 years.常规成釉细胞瘤的外科治疗:过去 21 年的回顾性队列研究。
Oral Maxillofac Surg. 2024 Nov 4;29(1):4. doi: 10.1007/s10006-024-01296-1.
5
Comparative Immunohistochemical Analysis of Craniopharyngioma and Ameloblastoma: Insights into Odontogenic Differentiation.颅咽管瘤和成釉细胞瘤的比较免疫组织化学分析:对牙源性分化的见解
Diagnostics (Basel). 2024 Oct 17;14(20):2315. doi: 10.3390/diagnostics14202315.
6
Decompression, an Unusual Treatment Option for Multicystic Ameloblastoma: Concepts and Controversies.减压术:一种用于多囊性成釉细胞瘤的非常规治疗选择——概念与争议
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7
The role of surgical navigation in computer-assisted mandibular reconstruction: is it necessary?手术导航在计算机辅助下颌骨重建中的作用:有必要吗?
Med Oral Patol Oral Cir Bucal. 2024 Nov 1;29(6):e806-e814. doi: 10.4317/medoral.26762.
8
Efficacy of bone morphogenetic protein in comparison with autogenous bone in regeneration of ameloblastoma bone defects. A systematic review.骨形态发生蛋白在成釉细胞瘤骨缺损再生中与自体骨的疗效比较。系统评价。
Med Oral Patol Oral Cir Bucal. 2024 Nov 1;29(6):e782-e790. doi: 10.4317/medoral.26729.
9
Multidisciplinary Approach to Mandibular Ameloblastoma: A Case Report on Surgical and Prosthetic Management.多学科方法治疗下颌骨造釉细胞瘤:手术和修复管理的病例报告。
Am J Case Rep. 2024 Sep 25;25:e944651. doi: 10.12659/AJCR.944651.
10
NKG2D (Natural Killer Group 2, Member D) ligand expression and ameloblastoma recurrence: a retrospective immunohistological pilot study.NKG2D(自然杀伤细胞组 2,成员 D)配体表达与造釉细胞瘤复发:一项回顾性免疫组织化学的初步研究。
BMC Oral Health. 2024 Sep 17;24(1):1102. doi: 10.1186/s12903-024-04873-8.
JAMA Dermatol. 2014 May;150(5):542-5. doi: 10.1001/jamadermatol.2013.7444.
4
High frequency of BRAF V600E mutations in ameloblastoma.成釉细胞瘤中 BRAF V600E 突变的高频性。
J Pathol. 2014 Apr;232(5):492-8. doi: 10.1002/path.4317. Epub 2014 Jan 31.
5
Ameloblastoma with varied sites of metastasis: report of two cases and literature review.具有不同转移部位的成釉细胞瘤:两例报告及文献复习
J Craniomaxillofac Surg. 2014 Jul;42(5):e301-4. doi: 10.1016/j.jcms.2013.10.010. Epub 2013 Nov 2.
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Diagnostic value of MRI for odontogenic tumours.MRI 对牙源性肿瘤的诊断价值。
Dentomaxillofac Radiol. 2013;42(5):20120265. doi: 10.1259/dmfr.20120265. Epub 2013 Mar 6.
7
Preoperative incisional and intraoperative frozen section biopsy techniques have comparable accuracy in the diagnosis of benign intraosseous jaw pathology.术前切开活检和术中冰冻切片活检技术在诊断颌骨骨内良性病变方面具有相当的准确性。
J Oral Maxillofac Surg. 2012 Nov;70(11):2566-72. doi: 10.1016/j.joms.2011.11.023. Epub 2012 Jan 28.
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Loss of heterozygosity of the PTCH gene in ameloblastoma.成釉细胞瘤中 PTCH 基因的杂合性缺失。
Hum Pathol. 2012 Aug;43(8):1229-33. doi: 10.1016/j.humpath.2011.08.026. Epub 2012 Jan 4.
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Metastatic ameloblastoma responding to combination chemotherapy: case report and review of the literature.对联合化疗有反应的转移性成釉细胞瘤:病例报告及文献复习
J Med Case Rep. 2011 Oct 3;5:491. doi: 10.1186/1752-1947-5-491.
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Treatment of recurrent mandibular ameloblastoma with segmental resection and revascularized fibula free flap.采用节段性切除和带血管蒂游离腓骨瓣治疗复发性下颌骨成釉细胞瘤。
J Craniofac Surg. 2011 May;22(3):1163-5. doi: 10.1097/SCS.0b013e318210bc34.