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儿童颌骨肿瘤的诊断与治疗

Diagnosis and treatment of jaw tumors in children.

作者信息

Chuong R, Kaban L B

出版信息

J Oral Maxillofac Surg. 1985 May;43(5):323-32. doi: 10.1016/0278-2391(85)90251-4.

DOI:10.1016/0278-2391(85)90251-4
PMID:2985771
Abstract

A retrospective review of experience with jaw tumors in 48 children over a ten-year period was made. These were predominantly benign, nonodontogenic, mesenchymal tumors. Clinical behavior was variable and often did not correspond to the histologic patterns. The clinically aggressive variants displayed rapid growth usually with associated pain. Resection rather than curettage is appropriate therapy when there has been earlier treatment failure by local tumor removal or rapid tumor expansion, or when tumor extensively invades the jaw. When resection is carried out, facial growth is not adversely affected if early reconstruction with autogenous bone is performed.

摘要

对48例儿童颌骨肿瘤患者进行了为期十年的回顾性研究。这些肿瘤主要为良性、非牙源性间充质肿瘤。临床表现各异,常与组织学模式不符。临床上具有侵袭性的变体通常生长迅速,并伴有疼痛。当局部肿瘤切除早期治疗失败、肿瘤迅速扩大或肿瘤广泛侵犯颌骨时,切除而非刮除是合适的治疗方法。当进行切除时,如果采用自体骨进行早期重建,面部生长不会受到不利影响。

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