Fayad Flávio Tendolo, Bezerra Matheus Cavalcante Tomaz, da Rosa Marina Rolo Pinheiro, Pinheiro Tiago Novaes
Department of Surgery, State University of Amazonas, Manaus, AM, Brazil.
Department of Surgery, Federal University of Amazonas, Manaus, AM, Brazil.
Eur J Dent. 2018 Jul-Sep;12(3):454-458. doi: 10.4103/ejd.ejd_333_17.
Inflammatory pseudotumors are a group of lesions of unknown etiology that mimic clinically and radiographically neoplasms. In the maxilla, inflammatory pseudotumors are presented with bone alterations of erosion, remodeling, and sclerosis. The diagnosis is of exclusion, where multiple biopsies are required. The present study aims to report the case of a male patient who presented with increased volume in the left maxillary region, with diagnosis after total left maxillectomy being inflammatory pseudotumor. The patient did not present recurrences with 3 years of preservation and underwent by multidisciplinary treatment with esthetic and functional rehabilitation with the preparation of a bucomaxilo prosthesis. Despite presenting some suggestive clinical features, the inflammatory pseudotumor has a difficult and of exclusion diagnosis, where multiple biopsies are required. They are lesions that simulate clinically and radiographically neoplasms. If it is surgically accessible, the treatment of choice is complete surgical resection.
炎性假瘤是一组病因不明的病变,在临床和影像学上类似肿瘤。在上颌骨,炎性假瘤表现为骨质侵蚀、重塑和硬化等改变。诊断需排除其他疾病,通常需要多次活检。本研究旨在报告一例男性患者,其左上颌区域体积增大,在全上颌骨切除术后诊断为炎性假瘤。该患者在保留3年期间未出现复发,并接受了多学科治疗,通过制作颊上颌义齿进行了美学和功能康复。尽管炎性假瘤具有一些提示性临床特征,但诊断困难,需要多次活检以排除其他疾病。它们是在临床和影像学上模拟肿瘤的病变。如果在手术可及范围内,首选治疗方法是完整的手术切除。