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牙源性肿瘤:706例病例分析。

Odontogenic tumors: analysis of 706 cases.

作者信息

Regezi J A, Kerr D A, Courtney R M

出版信息

J Oral Surg. 1978 Oct;36(10):771-8.

PMID:280645
Abstract

From a total of 54,534 oral biopsy specimens, 706 (1.3%) odontogenic tumors were retrieved and reviewed. Odontomas comprised more than 65% of the odontogenic tumors, ameloblastomas about 10%, and the remaining six categories of odontogenic tumors accounted for approximately 25% of the lesions. The distribution by age, sex, and location of these tumors generally supported the data from other previously reported cases. A possible variant of the calcifying epithelial odontogenic tumor was described, and instances of two granular cell ameloblastic fibromas were reported. The myxomas as a group were characterized histologically more by residual bony trabeculae than by the presence of odontogenic rests. Because the clinical, histological, and behavioral features of the ameloblastic fibroma and ameloblastic fibro-odontoma were similar, these lesions were considered to be essentially the same. From limited follow-up information, the ameloblastoma was the only lesion that recurred. With the exception of one ameloblastoma found in the lung, no malignant odontogenic tumors were encountered.

摘要

在总共54534份口腔活检标本中,检出并回顾了706例(1.3%)牙源性肿瘤。牙瘤占牙源性肿瘤的65%以上,成釉细胞瘤约占10%,其余六类牙源性肿瘤约占病变的25%。这些肿瘤的年龄、性别和部位分布总体上与其他先前报道病例的数据相符。描述了一种钙化上皮性牙源性肿瘤的可能变异型,并报告了两例颗粒细胞成釉细胞纤维瘤病例。黏液瘤组在组织学上更多地以残留骨小梁为特征,而非牙源性剩余的存在。由于成釉细胞纤维瘤和成釉细胞纤维-牙瘤的临床、组织学和行为特征相似,这些病变被认为本质上是相同的。根据有限的随访信息,成釉细胞瘤是唯一复发的病变。除了在肺部发现的一例成釉细胞瘤外,未遇到恶性牙源性肿瘤。

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