Petrovic Ivana D, Migliacci Jocelyn, Ganly Ian, Patel Snehal, Xu Bin, Ghossein Ronald, Huryn Joseph, Shah Jatin
Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY 10065, USA.
Ear Nose Throat J. 2018 Jul;97(7):E26-E32. doi: 10.1177/014556131809700704.
Ameloblastoma is a histologically benign but locally aggressive tumor of the jaws. We conducted a retrospective cohort study to review the clinical, radiologic, and pathologic features of patients with ameloblastoma of the mandible and maxilla and to report the outcomes of treatment. Our study population was made up of a series of 30 consecutively presenting patients-15 men and 15 women, aged 19 to 81 years (median: 61.5)-who had undergone their primary treatment of ameloblastoma of the mandible or maxilla at Memorial Sloan Kettering Cancer Center from January 1987 through December 2012. In addition to demographic data, we compiled information on clinical characteristics, imaging findings, the type of surgery, surgical margins, adjuvant treatments, histologic patterns, length of follow-up, time to recurrence, treatment of recurrence, and factors that had an influence on recurrence. All but 2 patients with negative margins were cured. Favorable outcomes were associated with the administration of adjuvant postoperative radiotherapy for patients with positive margins and a repeat resection for patients with recurrences. Complete excision with negative margins, however, remains the gold standard for curative treatment.
成釉细胞瘤是一种组织学上为良性但具有局部侵袭性的颌骨肿瘤。我们进行了一项回顾性队列研究,以回顾下颌骨和上颌骨成釉细胞瘤患者的临床、放射学和病理学特征,并报告治疗结果。我们的研究人群包括30例连续就诊的患者,其中15名男性和15名女性,年龄在19至81岁之间(中位数:61.5岁),他们于1987年1月至2012年12月在纪念斯隆凯特琳癌症中心接受了下颌骨或上颌骨成釉细胞瘤的初次治疗。除人口统计学数据外,我们还收集了有关临床特征、影像学表现、手术类型、手术切缘、辅助治疗、组织学模式、随访时间、复发时间、复发治疗以及影响复发的因素等信息。除2例切缘阴性的患者外,所有患者均治愈。对于切缘阳性的患者,辅助性术后放疗以及对复发患者进行再次切除与良好的治疗结果相关。然而,切缘阴性的完整切除仍然是根治性治疗的金标准。
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