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下颌骨戈勒姆病:影像学特征。

Gorham's disease of the mandible: radiological features.

机构信息

Department of Oral and Maxillofacial Surgery, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, 56000, Kuala Lumpur, Malaysia.

Department of Clinical Oral Biology, Faculty of Dentistry, Universiti Kebangsaan Malaysia, Jalan Raja Muda Abdul Aziz, 50300, Kuala Lumpur, Malaysia.

出版信息

Oral Radiol. 2018 May;34(2):179-184. doi: 10.1007/s11282-017-0282-z. Epub 2017 Mar 27.

Abstract

The most conspicuous element of Gorham's disease is its radiographic features, wherein massive disappearance of the mandible is observed. We report a case of an adolescent boy with massive osteolysis of the mandible in whom the diagnosis of Gorham's disease was made. A 14-year-old boy was referred to the Department of Oral and Maxillofacial Surgery, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, for the management of a massive mandibular deformity. He was diagnosed with a hemangioma-like lesion at 1 year of age. The disease had progressed for an unknown number of years. Plain X-rays and computed tomography images were examined for reconstructive surgery planning. Gorham's disease is self-limiting, but has catastrophic results. The role of imaging is huge, particularly for reconstructive surgery planning.

摘要

戈勒姆病最显著的特征是其放射学特征,其中可观察到下颌骨大量消失。我们报告了一个青少年男孩下颌骨巨大溶骨性病变的病例,该患者被诊断为戈勒姆病。一名 14 岁男孩因下颌骨严重畸形被转诊至马来西亚国民大学医学中心口腔颌面外科。他在 1 岁时被诊断出患有类似于血管瘤的病变。这种疾病已经进展了数年。为了进行重建手术规划,我们对普通 X 射线和计算机断层扫描图像进行了检查。戈勒姆病具有自限性,但会产生灾难性的后果。影像学的作用非常大,特别是对于重建手术规划。

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