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侵袭性多灶性鳞状牙源性肿瘤的外科治疗

Surgical Management of an Aggressive Multifocal Squamous Odontogenic Tumor.

作者信息

Verhelst Pieter-Jan, Grosjean Laury, Shaheen Eman, Politis Constantinus

机构信息

Resident, Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.

Resident, Department of Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.

出版信息

J Oral Maxillofac Surg. 2018 Feb;76(2):355-362. doi: 10.1016/j.joms.2017.07.153. Epub 2017 Jul 21.

Abstract

Squamous odontogenic tumor is a rare benign epithelial odontogenic tumor of the jaw. Most are solitary lesions, although rare multifocal lesions have been described. Maxillary lesions have more aggressive behavior. Because of their benign character, these lesions are usually treated using a conservative surgical approach with curettage and surgical enucleation. This report describes the case of a 29-year-old woman with multifocal lesions who was initially treated with conservative surgical therapy. Early recurrence 6 months after surgery prompted more aggressive resection. This case is discussed in the context of current evidence related to the epidemiology, etiology, diagnosis, and therapy of squamous odontogenic tumors.

摘要

鳞状牙源性肿瘤是一种罕见的颌骨良性上皮性牙源性肿瘤。大多数为孤立性病变,尽管也有罕见的多灶性病变的报道。上颌病变的侵袭性更强。由于其良性特征,这些病变通常采用刮除术和手术摘除术等保守手术方法进行治疗。本报告描述了一名患有多灶性病变的29岁女性病例,该患者最初接受了保守手术治疗。术后6个月早期复发促使进行更积极的切除。本文结合鳞状牙源性肿瘤的流行病学、病因学、诊断和治疗的现有证据对该病例进行了讨论。

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