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上颌骨上皮样骨母细胞瘤:一种罕见且具有侵袭性的良性肿瘤变体,位于不常见部位。

Epithelioid osteoblastoma of maxilla: A rare and aggressive variant of a benign neoplasm at an uncommon site.

作者信息

Rana Vandana, Saxena Vivek, Sahai Kavita, Singh Giriraj

机构信息

Department of Pathology, Command Hospital (SC), AFMC, Pune, Maharashtra, India.

Command Dental Center, AFMC, Pune, Maharashtra, India.

出版信息

J Oral Maxillofac Pathol. 2016 May-Aug;20(2):332. doi: 10.4103/0973-029X.185923.

Abstract

Osteoblastoma (OB) is an uncommon benign bone-forming tumor accounting for <1% of all bone neoplasms. Unlike conventional OB, its small subset variant "Epithelioid osteoblastoma (EO)" is characterized by its propensity for local invasion and recurrent behavior. This rare variant of an uncommon tumor when occurs in an atypical site can lead to diagnostic problems more so due to ambiguous clinico-radiologic presentation. This was what faced in the present case of 18-year-old female with a swelling in upper jaw. OB is usually more common in males and involves primarily the posterior element of the spine and the sacrum (40-55%). Less frequently, long bones of limbs are involved. Clinical, radiological and histopathological correlation in this case guided us to reach at right diagnosis of EO which helped the patient in getting correct treatment which involves surgical excision over conventional curettage. The purpose behind this case presentation is to improve the awareness about this recurrent tumor variant which has many close differentials including well-differentiated osteoblastic osteosarcoma.

摘要

骨母细胞瘤(OB)是一种罕见的良性成骨性肿瘤,占所有骨肿瘤的比例不到1%。与传统骨母细胞瘤不同,其小部分亚型“上皮样骨母细胞瘤(EO)”的特点是易于局部侵袭且有复发倾向。这种罕见肿瘤的罕见亚型发生在非典型部位时,由于临床和放射学表现不明确,更易导致诊断问题。这就是本病例中一名18岁上颌肿胀女性所面临的情况。骨母细胞瘤通常在男性中更常见,主要累及脊柱后部和骶骨(40 - 55%)。四肢长骨受累的情况较少见。本病例中的临床、放射学和组织病理学相关性指导我们正确诊断为上皮样骨母细胞瘤,这有助于患者获得正确的治疗,即采用手术切除而非传统的刮除术。展示此病例背后的目的是提高对这种复发性肿瘤亚型的认识,它有许多相似的鉴别诊断,包括高分化成骨骨肉瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b7a0/4989578/c51a0d5f8723/JOMFP-20-332a-g001.jpg

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