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下颌骨中牙源性角化囊肿与单囊性成釉细胞瘤罕见同时发生:一例报告

A Rare Simultaneous Occurrence of Odontogenic Keratocyst and Unicystic Ameloblastoma in Mandible: A Case Report.

作者信息

Gupta Rohan Kishor, Dugal Arun Govind, Pawar Sudhir Ramlal, Khandelwal Saurabh Girish, Iyengar Apoorva

机构信息

Chief Resident, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed University Dental College and Hospital , Pune, Maharashtra, India .

Professor, Department of Oral and Maxillofacial Surgery, Bharati Vidyapeeth Deemed University Dental College and Hospital , Pune, Maharashtra, India .

出版信息

J Clin Diagn Res. 2016 Aug;10(8):ZD01-4. doi: 10.7860/JCDR/2016/18271.8224. Epub 2016 Aug 1.

Abstract

Odontogenic Keratocyst (OKC) and Ameloblastomas are slow growing benign odontogenic lesions that primarily occur in the molar region of the mandible. Clinically and radiographically both ameloblastoma, especially the Unicystic ameloblastoma and OKC are indistinguishable due to the similar location of occurrence and the age of patients. It is very rare for these lesions to arise simultaneously in a patient's jaw. The co-occurrence of Ameloblastomas with odontogenic cysts or other odontogenic lesions (histologically in a single lesion)have already been described as combined or hybrid lesions. There are very few reported cases in the English literature for simultaneous occurrence of Unicystic Ameloblastoma and OKC as completely distinct lesions. Here we present such a rare case of the simultaneous occurrence of OKC and ameloblastoma in the posterior region of the mandible of a 22-year-old male in close relation.

摘要

牙源性角化囊肿(OKC)和成釉细胞瘤是生长缓慢的良性牙源性病变,主要发生在下颌磨牙区。在临床和影像学上,成釉细胞瘤,尤其是单囊性成釉细胞瘤和OKC,由于发生部位相似和患者年龄相仿,难以区分。这些病变在患者颌骨中同时出现的情况非常罕见。成釉细胞瘤与牙源性囊肿或其他牙源性病变同时出现(组织学上在单个病变中)已被描述为联合或混合性病变。英文文献中报道的单囊性成釉细胞瘤和OKC作为完全不同的病变同时出现的病例非常少。在此,我们报告一例22岁男性下颌后部同时出现OKC和成釉细胞瘤的罕见病例。

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本文引用的文献

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Conservative treatment of unicystic ameloblastoma.单囊型成釉细胞瘤的保守治疗。
Am J Orthod Dentofacial Orthop. 2010 Mar;137(3):396-400. doi: 10.1016/j.ajodo.2007.10.062.
8
Marsupialization as a definitive treatment for the odontogenic keratocyst.袋形术作为牙源性角化囊肿的一种确定性治疗方法。
J Oral Maxillofac Surg. 2004 Jun;62(6):651-5; discussion 655-6. doi: 10.1016/j.joms.2003.08.029.

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