Department of Oral and Maxillofacial Pathology, Dental School of Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Periodontics, 1st floor, Dental School of Shahid Beheshti University of Medical Sciences, Daneshjoo Blvd, Evin, Chamran HWY, Tehran, Iran.
J Stomatol Oral Maxillofac Surg. 2020 Apr;121(2):146-149. doi: 10.1016/j.jormas.2019.07.010. Epub 2019 Jul 20.
Odontogenic lesions have been described in several syndromes. Despite multiple reports of ameloblastoma's association with various syndromes, it has not been added to the diagnostic criteria for any syndrome. Thus, the aim of this systematic review was gathering such cases' data. An electronic search in PubMed Central's database was performed. The search strategy was limited to human studies (case reports and case series), full-text English articles published from first of January 1975 until the end of 2018. Irrelevant articles or articles with inadequate information were omitted. Associated syndrome, patients' age and sex, lesions' location, radiographic features, and treatment modality were collected and analyzed. Ameloblastoma was reported in association with Gorlin syndrome (6 cases), epidermal nevus syndrome (2 cases), Gardner syndrome (2 cases), Simpson-Golabi-Behmel syndrome (1 case), and Williams syndrome (1 case). The commonest associated syndrome was Gorlin syndrome (50%) with maxillary and female predilections. Both cases of epidermal nevus syndrome (ENS) were female with mandibular involvement. In syndromes that odontogenic lesions are one of the diagnostic criteria, it is important to rule out ameloblastic changes. Although the relationship between ameloblastoma and these syndromes is not well known, any related information may be helpful in understanding the pathogenesis and the nature of this neoplasm.
牙源性病变在多种综合征中已有描述。尽管有多项关于造釉细胞瘤与各种综合征相关的报道,但它尚未被添加到任何综合征的诊断标准中。因此,本系统评价的目的是收集此类病例的数据。在 PubMed Central 数据库中进行了电子检索。检索策略仅限于人类研究(病例报告和病例系列),从 1975 年 1 月 1 日至 2018 年底发表的全文英文文章。忽略了不相关的文章或信息不足的文章。收集和分析了与综合征相关的信息、患者的年龄和性别、病变的位置、影像学特征和治疗方式。造釉细胞瘤与 Gorlin 综合征(6 例)、表皮痣综合征(2 例)、Gardner 综合征(2 例)、Simpson-Golabi-Behmel 综合征(1 例)和 Williams 综合征(1 例)相关。最常见的相关综合征是 Gorlin 综合征(50%),表现为上颌和女性倾向。表皮痣综合征(ENS)的两个病例均为女性,下颌受累。在牙源性病变是某些综合征的诊断标准之一的情况下,重要的是要排除造釉细胞变化。尽管造釉细胞瘤与这些综合征之间的关系尚不清楚,但任何相关信息都可能有助于了解该肿瘤的发病机制和性质。