Punnia-Moorthy A
Joint Department of Oral and Maxillofacial Surgery, Eastman Dental Hospital, London, United Kingdom.
Br J Oral Maxillofac Surg. 1989 Jun;27(3):254-9. doi: 10.1016/0266-4356(89)90154-x.
Unicystic ameloblastomas are considered to be a less aggressive form of ameloblastoma and treatment by simple enucleation has been suggested as adequate for the majority of these cases. However, a case of unicystic ameloblastoma is reported which was treated by enucleation and the patient presented 21 years later with a multicystic recurrence. This raises the question of whether the unicystic variety should be treated in the same manner as the multicystic and solid varieties, thus necessitating a common approach to treatment and post-operative follow-up of all forms of ameloblastoma.
单囊性成釉细胞瘤被认为是成釉细胞瘤中侵袭性较小的一种形式，有人提出对于大多数此类病例，单纯摘除术是足够的治疗方法。然而，有一例单囊性成釉细胞瘤患者经摘除术治疗后，21年后出现了多囊性复发。这就引发了一个问题，即单囊性成釉细胞瘤是否应与多囊性和实性成釉细胞瘤采用相同的治疗方式，从而需要对所有形式的成釉细胞瘤采取统一的治疗方法和术后随访措施。
