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复发性成釉细胞瘤:一项手术挑战。

Recurrent Ameloblastoma: A Surgical Challenge.

作者信息

Aramanadka Chithra, Kamath Abhay Taranath, Kudva Adarsh

机构信息

Department of Oral and Maxillofacial Surgery, Manipal College of Dental Sciences, Manipal, Karnataka, India.

出版信息

Case Rep Dent. 2018 Feb 21;2018:8271205. doi: 10.1155/2018/8271205. eCollection 2018.

Abstract

Ameloblastoma is locally aggressive benign odontogenic tumour with increased risk of recurrence rate. The choice of treatment depends on the histologic subtype. Radical therapy is the recommended modality for solid ameloblastomas. The possibilities of recurrence even after enbloc resection are still high. The author presents two case reports of recurrent ameloblastomas postradical resection. First case describes the recurrence of ameloblastoma in the bone graft which was used for reconstruction, and the second case depicts recurrence in the infratemporal fossa. Intraoperative radiography of the frozen section of the soft tissue margin plays an important role in the holistic management of these lesions.

摘要

成釉细胞瘤是具有较高复发风险的局部侵袭性良性牙源性肿瘤。治疗方法的选择取决于组织学亚型。根治性治疗是实性成釉细胞瘤推荐的治疗方式。即使整块切除后仍有较高的复发可能性。作者介绍了两例根治性切除术后复发性成釉细胞瘤的病例报告。第一例描述了用于重建的骨移植中成釉细胞瘤的复发,第二例描述了颞下窝的复发。软组织边缘冰冻切片的术中放射成像在这些病变的整体管理中起着重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6df/5841118/0e5b4a266bae/CRID2018-8271205.001.jpg

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