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含牙关系中的腺性牙源性囊肿:1例罕见病例报告

Glandular Odontogenic Cyst in Dentigerous Relationship: An Uncommon Case Report.

作者信息

Ferreira Jean Carlos Barbosa, Vêncio Eneida Franco, de Sá Rodrigo Tavares, Gasperini Giovanni

机构信息

Department of Oral and Maxillofacial Surgery, Clinical Hospital, Federal University of Goiás, Goiânia, Brazil.

Department of Oral Medicine (Oral Pathology), Dental School, Federal University of Goiás, Goiânia, Brazil.

出版信息

Case Rep Dent. 2019 Jul 4;2019:8647158. doi: 10.1155/2019/8647158. eCollection 2019.

Abstract

Glandular odontogenic cyst (GOC) is an uncommon cyst of the jaw. Less than 200 cases are reported in the literature, and only 22 cases are associated with an unerupted tooth (dentigerous relationship). Although it is an asymptomatic lesion, it can be destructive and has high recurrence rates. The diagnosis can be especially challenging due to the lack of distinct diagnostic clinic-radiological criteria and nonspecific microscopic features, mimicking benign and malignant lesions. Conservative surgical treatment has been the choice for most surgeons, but marginal or partial jaw resection has been reported. This report describes a rare case of GOC in a dentigerous relationship, which was treated with enucleation and peripheral osteotomy.

摘要

腺源性牙源性囊肿(GOC)是一种罕见的颌骨囊肿。文献报道的病例不足200例,仅有22例与未萌出牙齿相关(含牙关系)。尽管它是一种无症状病变,但具有破坏性且复发率高。由于缺乏明确的诊断性临床-放射学标准和非特异性微观特征,其诊断颇具挑战性,易与良性和恶性病变相混淆。保守性手术治疗一直是大多数外科医生的选择,但也有报道采用边缘性或部分颌骨切除术。本报告描述了一例罕见的含牙关系的GOC病例,该病例采用摘除术和周边截骨术进行治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf95/6637709/d05554c04460/CRID2019-8647158.001.jpg

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