Meng Y, Zhang Y Q, Ye X, Zhao Y N, Chen Y, Liu D G
Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Department of Oral Pathology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
Zhonghua Kou Qiang Yi Xue Za Zhi. 2018 Oct 9;53(10):659-664. doi: 10.3760/cma.j.issn.1002-0098.2018.10.003.
To analyze the radiolographic features of ameloblastoma (AM), odontogenic keratocyst (OKC) and dentigerous cyst (DC) in the maxilla by spiral CT (SCT) and cone-beam CT (CBCT), and to provide useful information for the differential diagnosis of benign radiolucent lesions in the maxilla. Clinical records, histopathological reports and SCT or CBCT imaging of 85 patients with primary maxillary AM, OKC or DC admitted to Peking University School and Hospital of Stomatology from December 2012 to May 2017 were collected. Radiographic characteristics including site, size, shape, cortex expansion, internal structure and effects on neighboring tissue were analyzed. For OKC and DC, the relationship between cysts and enveloped teeth was classified as centripetal, eccentric and adherent. The 85 patients included 56 males and 29 females, aged from 8 to 84 years old. Eighty-three patients had a single lesion, whereas 2 patients had bilateral cysts. In total, 87 lesions were analyzed, comprising 22 AM, 45 OKC and 20 DC. Among the 22 AM, 11 lesions were desmoplastic type, 16 were round-like in shape and 18 presented with buccal expansion. The shapes of the 45 OKC varied as round-like (26), oval (3), reniform (4), sinus-like (5), sinus+round (5) and irregular (2). Furthermore, 30 OKC presented with buccal expansion, 22 nearly filled the maxillary sinus and 26 were dentigerous. The tooth-cyst relationship of the dentigerous OKC was centripetal in 11, eccentric in 4 and adherent in 11. Among the 20 unicystic DC, 8 lesions were centripetal, 6 were eccentric and 6 were adherent type; 16 DC presented with buccal expansion. Demosplastic type is common in maxillary AM. Most AM are round-like in shape and expand buccally. The shape of maxillary OKC varies greatly and maxillary sinus filling is common. More than a half of OKC appear dentigerous. For DC and OKC, tooth-cyst relationship can be centripetal, eccentric and adherent.
通过螺旋CT(SCT)和锥形束CT(CBCT)分析上颌骨成釉细胞瘤(AM)、牙源性角化囊肿(OKC)和含牙囊肿(DC)的影像学特征,为上颌骨良性透光影病变的鉴别诊断提供有用信息。收集了2012年12月至2017年5月北京大学口腔医学院口腔医院收治的85例原发性上颌骨AM、OKC或DC患者的临床记录、组织病理学报告及SCT或CBCT影像资料。分析影像学特征,包括部位、大小、形态、皮质扩张、内部结构及对邻近组织的影响。对于OKC和DC,将囊肿与被包绕牙齿的关系分为向心性、偏心性和附着性。85例患者中,男性56例,女性29例,年龄8~84岁。83例患者为单发病变,2例患者为双侧囊肿。共分析87个病变,其中AM 22个、OKC 45个、DC 20个。22个AM中,促结缔组织增生型11个,圆形16个,颊侧膨胀18个。45个OKC的形态多样,圆形26个、椭圆形3个、肾形4个、窦形5个、窦+圆形5个、不规则形2个。此外,30个OKC表现为颊侧膨胀,22个几乎充满上颌窦,26个含牙。含牙OKC的牙囊肿关系向心性11个、偏心性4个、附着性11个。20个单囊型DC中向心性8个、偏心性6个、附着型6个;16个DC表现为颊侧膨胀。促结缔组织增生型在上颌骨AM中常见。多数AM呈圆形,颊侧膨胀。上颌骨OKC形态差异大,上颌窦充盈常见。半数以上OKC含牙。对于DC和OKC,牙囊肿关系可为向心性、偏心性和附着性。
Zhonghua Kou Qiang Yi Xue Za Zhi. 2018-10-9
Dentomaxillofac Radiol. 2019-6-12
Zhonghua Kou Qiang Yi Xue Za Zhi. 2023-9-9
Beijing Da Xue Xue Bao Yi Xue Ban. 2021-3-4
Int Med Case Rep J. 2025-8-10
Beijing Da Xue Xue Bao Yi Xue Ban. 2021-3-4
Dentomaxillofac Radiol. 2019-6-12