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下颌骨和上颌骨的成釉细胞瘤。

Ameloblastomas of the mandible and maxilla.

作者信息

Petrovic Ivana D, Migliacci Jocelyn, Ganly Ian, Patel Snehal, Xu Bin, Ghossein Ronald, Huryn Joseph, Shah Jatin

机构信息

Head and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY 10065, USA.

出版信息

Ear Nose Throat J. 2018 Jul;97(7):E26-E32. doi: 10.1177/014556131809700704.


DOI:10.1177/014556131809700704
PMID:30036443
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6104513/
Abstract

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.

摘要

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。

相似文献

[1]
Ameloblastomas of the mandible and maxilla.

Ear Nose Throat J. 2018-7

[2]
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Ann Otol Rhinol Laryngol. 1983

[3]
Proceedings: Ameloblastoma of maxilla and mandible.

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[4]
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[5]
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[6]
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[7]
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[8]
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[9]
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[10]
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[3]
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Cureus. 2024-9-11

[4]
The Effect of Conservative vs. Radical Treatment of Ameloblastoma on Recurrence Rate and Quality of Life: An Umbrella Review.

J Clin Med. 2024-9-9

[5]
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Head Neck Pathol. 2024-8-23

[6]
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J Maxillofac Oral Surg. 2024-2

[7]
Segmental resection vs. partial resection on treating solid multicystic ameloblastomas of the jaws - recurrence rates: A systematic review and meta-analysis.

J Clin Exp Dent. 2023-7-1

[8]
Ameloblastoma of the jaws in adult: A retrospective review of local recurrent lesions based on the resection margin in the adjacent apparent healthy tissues.

Heliyon. 2023-5-13

[9]
A network meta-analysis assessing the effectiveness of various radical and conservative surgical approaches regarding recurrence in treating solid/multicystic ameloblastomas.

Sci Rep. 2023-5-25

[10]
Does the use of a "wrap" in three-dimensional surgical planning influence the bony margin status of benign and malignant neoplasms of the oral, head, and neck region? An initial investigation.

Oral Maxillofac Surg. 2024-3

本文引用的文献

[1]
Treatment of ameloblastoma and ameloblastic carcinoma with radiotherapy.

Eur Arch Otorhinolaryngol. 2016-10

[2]
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Oral Surg Oral Med Oral Pathol Oral Radiol. 2015-8

[3]
The variability and complexity of ameloblastoma: carcinoma ex ameloblastoma or primary ameloblastic carcinoma.

J Craniomaxillofac Surg. 2012-8-21

[4]
Immediate reconstruction of the mandible after resection for aggressive odontogenic tumours: a cohort study.

Int J Oral Maxillofac Surg. 2012-8-14

[5]
Malignant ameloblastoma: concurrent presentation of primary and distant disease and review of the literature.

J Oral Maxillofac Surg. 2012-10

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Ameloblastoma, a rare benign odontogenic tumour: an interesting tumour review targeting the role of radiation therapy.

Clin Transl Oncol. 2011-11

[7]
Metastatic ameloblastoma to the cervical lymph nodes: a case report and review of literature.

J Oral Maxillofac Surg. 2009-6

[8]
Is there a role for enucleation in the management of ameloblastoma?

Int J Oral Maxillofac Surg. 2009-8

[9]
Ameloblastic carcinoma: an analysis of 14 cases.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007-6

[10]
Extensive ameloblastoma of the jaws: surgical management and immediate reconstruction using microvascular flaps.

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007-2

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