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谢维茨器官:口腔癌诊断中的一个潜在陷阱。

Chievitz's organ: a potential pitfall in oral cancer diagnosis.

作者信息

Danforth R A, Baughman R A

出版信息

Oral Surg Oral Med Oral Pathol. 1979 Sep;48(3):231-6. doi: 10.1016/0030-4220(79)90009-4.

DOI:10.1016/0030-4220(79)90009-4
PMID:289927
Abstract

It has been reported that epithelial nests associated with sensory nerve fibers may simulate perineural invasion and pose a potential diagnostic problem for surgical pathologists working on frozen tissue specimens from patients with oral cancer. The epithelial structures are not neoplastic, and no known pathologic condition has been associated with them. They are believed to be those structures described scantily in the English literature as Chievitz's organ. The fact that the epithelial nests lie near the plane of injection for the inferior alveolar nerve should be of special interest to dentists, especially oral surgeons and pathologists. Controversy exists as to the exact nature of Chievitz's organ, but the potential hazard of misdiagnosis exists nonetheless. This study of cadaver and autopsy material reaffirms the existence of the epithelial rests and outlines a simple technique for locating them.

摘要

据报道,与感觉神经纤维相关的上皮巢可能会模拟神经周围浸润,给处理口腔癌患者冰冻组织标本的外科病理学家带来潜在的诊断难题。这些上皮结构并非肿瘤性的,且尚无已知的病理状况与之相关。它们被认为是英文文献中鲜有描述的被称为奇维茨器官的结构。上皮巢位于下牙槽神经注射平面附近这一事实,应引起牙医尤其是口腔外科医生和病理学家的特别关注。关于奇维茨器官的确切性质存在争议,但误诊的潜在风险依然存在。这项对尸体和尸检材料的研究再次证实了上皮剩余的存在,并概述了一种定位它们的简单技术。

相似文献

1
Chievitz's organ: a potential pitfall in oral cancer diagnosis.谢维茨器官:口腔癌诊断中的一个潜在陷阱。
Oral Surg Oral Med Oral Pathol. 1979 Sep;48(3):231-6. doi: 10.1016/0030-4220(79)90009-4.
2
The juxtaoral organ of Chievitz.奇耶维茨口腔旁器官
Am J Surg Pathol. 1979 Apr;3(2):147-50. doi: 10.1097/00000478-197904000-00005.
3
[Morphogenetic aspects of the juxtaoral organ (Chievitz's organ) in the human].[人类口周器官(奇维茨器官)的形态发生学方面]
Z Mikrosk Anat Forsch. 1985;99(1):59-74.
4
[Histo-ontogenetic study of the major salivary glands and Chievitz's organ].
Stomatol Mediterr. 1991 Jan-Mar;11(1):33-7.
5
[Chievitz's organ (the juxtaoral organ): morphological and immunohistochemical studies].[奇维茨器官(口周器官):形态学与免疫组织化学研究]
Dtsch Zahn Mund Kieferheilkd Zentralbl. 1991;79(7):565-70.
6
Schwannoma of the inferior alveolar nerve in association with the organ of Chievitz.下牙槽神经施万细胞瘤伴奇氏器
J Oral Pathol. 1980 Jan;9(1):16-28. doi: 10.1111/j.1600-0714.1980.tb01384.x.
7
Maxillary intraosseous neuroepithelial structures resembling those seen in the organ of Chievitz.上颌骨内的神经上皮结构类似于在奇耶维茨器官中所见的结构。
Oral Surg Oral Med Oral Pathol. 1978 Oct;46(4):555-8. doi: 10.1016/0030-4220(78)90385-7.
8
[New studies on the juxta-oral organ].[关于口腔旁器官的新研究]
Verh Anat Ges. 1967 Mar;62:361-5.
9
[Epthelial derivates of the transversal groove of the stomodeum: parotid gland and juxtaoral organ].
An R Acad Nac Med (Madr). 2004;121(3):379-85; discussion 385-90.
10
[The juxtaoral organ (Chievitz's organ)].
Bibl Anat. 1962;3:1-113.

引用本文的文献

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The Juxtaoral Organ: From Anatomy to Clinical Relevance.口周器官:从解剖到临床意义
Diagnostics (Basel). 2022 Feb 21;12(2):552. doi: 10.3390/diagnostics12020552.
2
Neuroepithelial Structures of the Oral Soft Tissues Including the Juxtaoral Organ of Chievitz: A Literature Review and Audit of Diagnosed Cases.口腔软组织的神经上皮结构,包括奇维茨近口腔器官:文献回顾和诊断病例分析。
Head Neck Pathol. 2020 Dec;14(4):876-883. doi: 10.1007/s12105-020-01131-5. Epub 2020 Feb 3.
3
Prognostic value of frozen section in t1, t2 carcinoma of oral cavity.
冰冻切片在口腔T1、T2期癌中的预后价值
Indian J Otolaryngol Head Neck Surg. 2015 Mar;67(Suppl 1):86-90. doi: 10.1007/s12070-014-0783-6. Epub 2014 Oct 21.
4
Morphogenesis of the juxtaoral organ in humans.人类口周器官的形态发生
J Anat. 2005 Feb;206(2):155-63. doi: 10.1111/j.1469-7580.2005.00377.x.
5
Enzyme-histochemistry of the juxtaoral organ in man ("organ of Chievitz").人近口器官(“契维茨器官”)的酶组织化学
Histochemistry. 1981;71(2):279-90. doi: 10.1007/BF00507831.