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老年女性上颌骨纤维异常增殖症:关于14年静止期的病例报告

Fibrous dysplasia of the maxilla in an elderly female: Case report on a 14-year quiescent phase.

作者信息

Lee Byung-Do, Lee Wan, Park Yong-Chan, Kim Myoung-Hyoun, Choi Moon-Ki, Yoon Jung-Hoon

机构信息

Department of Oral and Maxillofacial Radiology and Research Institute of Dental Education, College of Dentistry, Wonkwang University, Iksan, Korea.

Department of Oral and Maxillofacial Radiology, College of Dentistry, Wonkwang University, Iksan, Korea.

出版信息

Imaging Sci Dent. 2016 Dec;46(4):259-265. doi: 10.5624/isd.2016.46.4.259. Epub 2016 Dec 20.

DOI:10.5624/isd.2016.46.4.259
PMID:28035304
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5192024/
Abstract

Fibrous dysplasia (FD) is an uncommon skeletal disorder in which normal bone is replaced by abnormal fibro-osseous tissue. Mainly, FD is found in children, and by adulthood it usually becomes quiescent. Our case showed FD of more than 14-year duration in the left maxilla. Our evaluation was that growth ceased in adulthood and had achieved the static stage. Because FD cases in elderly patients are rarely reported, we hereby present a monostotic FD case in a 65-year-old female. We presented sequential radiographic images and scintigraphic images of this case, and combined them with a literature review that emphasized the progression of the disease.

摘要

骨纤维发育不良(FD)是一种罕见的骨骼疾病,其中正常骨被异常的纤维骨组织所取代。主要发生在儿童期,到成年期通常会静止。我们的病例显示左侧上颌骨有超过14年病程的骨纤维发育不良。我们评估其在成年期生长停止并进入静止期。由于老年患者的骨纤维发育不良病例鲜有报道,我们在此呈现一例65岁女性的单骨型骨纤维发育不良病例。我们展示了该病例的系列放射影像学图像和骨闪烁显像图像,并结合文献综述强调了该疾病的进展情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/d90443aee742/isd-46-259-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/ba8947ef8820/isd-46-259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/a0f2fe5ae628/isd-46-259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/235c599cdfcd/isd-46-259-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/327b22a226cd/isd-46-259-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/cb170122ce30/isd-46-259-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/2fa86ed3322e/isd-46-259-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/3697b3307409/isd-46-259-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/d90443aee742/isd-46-259-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/ba8947ef8820/isd-46-259-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/a0f2fe5ae628/isd-46-259-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/235c599cdfcd/isd-46-259-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/327b22a226cd/isd-46-259-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/cb170122ce30/isd-46-259-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/2fa86ed3322e/isd-46-259-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/3697b3307409/isd-46-259-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e591/5192024/d90443aee742/isd-46-259-g008.jpg

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本文引用的文献

1
Craniofacial Fibrous Dysplasia in an Elderly Patient: A Case Report with a Review of Literature.老年患者的颅面骨纤维发育不良:一例病例报告并文献复习
Acta Stomatol Croat. 2015 Mar;49(1):60-4. doi: 10.15644/asc49/1/8.
2
Surgical treatment of polyostotic craniomaxillofacial fibrous dysplasia in adult: a case report and review of the literature.成人多骨型颅颌面骨纤维异常增殖症的外科治疗:1例报告并文献复习
Int J Clin Exp Med. 2015 Sep 15;8(9):16756-64. eCollection 2015.
3
Malignant transformation in monostotic fibrous dysplasia: clinical features, imaging features, outcomes in 10 patients, and review.
单骨型骨纤维异常增殖症的恶性转化:10例患者的临床特征、影像特征、治疗结果及文献复习
Medicine (Baltimore). 2015 Jan;94(3):e369. doi: 10.1097/MD.0000000000000369.
4
Malignant sarcomatous transformation of fibrous dysplasia.骨纤维异常增殖症的恶性肉瘤样转化
Head Neck Pathol. 2015 Mar;9(1):100-3. doi: 10.1007/s12105-014-0567-z. Epub 2014 Aug 27.
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Monostotic fibrous dysplasia of the mandible.下颌骨单骨型纤维性骨发育不良
Oral Health Dent Manag. 2014 Jun;13(2):326-9.
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Five benign myoskeletal diseases in paediatrics and the role of nuclear medicine. Do they differ from those in adults?小儿五种良性肌肉骨骼疾病及核医学的作用。它们与成人的疾病有差异吗?
Hell J Nucl Med. 2013 Jan-Apr;16(1):2-8. doi: 10.1967/s002449910065. Epub 2013 Mar 26.
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Fibrous dysplasia.纤维结构不良。
Arch Pathol Lab Med. 2013 Jan;137(1):134-8. doi: 10.5858/arpa.2012.0013-RS.
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Craniofacial fibrous dysplasia.颅面骨纤维发育不良
Oral Maxillofac Surg Clin North Am. 2012 Aug;24(3):427-41. doi: 10.1016/j.coms.2012.05.004. Epub 2012 Jul 6.
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Clinical guidelines for the management of craniofacial fibrous dysplasia.颅面纤维结构不良管理的临床指南。
Orphanet J Rare Dis. 2012 May 24;7 Suppl 1(Suppl 1):S2. doi: 10.1186/1750-1172-7-S1-S2.
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Cervical fibrous dysplasia presenting as a pathologic fracture in an older patient.老年患者中表现为病理性骨折的颈椎纤维发育不良。
J Korean Neurosurg Soc. 2011 Aug;50(2):139-42. doi: 10.3340/jkns.2011.50.2.139. Epub 2011 Aug 31.