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[成牙骨质细胞瘤的临床及影像学表现分析]

[Analysis of clinical and imaging findings in cementoblastoma].

作者信息

Xu Laiqing, Liu Yuanyuan, Luo Jingjing, Jiang Meng, Guo Wenhao, Zheng Guangning

出版信息

Hua Xi Kou Qiang Yi Xue Za Zhi. 2015 Aug;33(4):419-22. doi: 10.7518/hxkq.2015.04.020.

Abstract

OBJECTIVE

To assess the clinical and imaging features of cementoblastoma for diagnosis and differential diagnosis.

METHODS

Clinical and imaging data of 14 cases were selected for this retrospective study.

RESULTS

A total of 14 cases of cementoblastoma patients with ages at diagnosis ranging from 11 years to 58 years (mean age, 27.6 years; median age, 21.0 years). The tumor affected 7 patients from each gender. The mandible was the main site of occurrence. The most common complaints were swelling and pain. Radiographic results showed that cementoblastoma typically presented as a well-circumscribed and radiopaque mass confluent with the involved tooth root and surrounded by a thin and uniform radio-lucent border. Tumor parenchyma was generally mixed-density, which could be divided into two types, namely, homogeneous and heterogeneous patterns. Other significant imaging features included the periphery bone of the lesion sclerosis and cortical thickening of the lower edge of the mandible.

CONCLUSION

Obvious characteristics are found in the clinical and imaging findings of cementoblastoma. Accurate recognition of this lesion is significant in clinic to avoid misdiagnoses.

摘要

目的

评估成牙骨质细胞瘤的临床及影像学特征,以用于诊断和鉴别诊断。

方法

选取14例成牙骨质细胞瘤患者的临床及影像学资料进行回顾性研究。

结果

14例成牙骨质细胞瘤患者诊断时年龄为11岁至58岁(平均年龄27.6岁;中位年龄21.0岁)。男女各7例。下颌骨为主要发病部位。最常见的症状是肿胀和疼痛。影像学结果显示,成牙骨质细胞瘤通常表现为边界清晰的不透光团块,与受累牙根融合,周围有薄而均匀的透光边界。肿瘤实质一般为混合密度,可分为均匀型和不均匀型两种。其他重要的影像学特征包括病变周边骨质硬化及下颌骨下缘皮质增厚。

结论

成牙骨质细胞瘤的临床及影像学表现具有明显特征。准确认识该病变对临床避免误诊具有重要意义。

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