Hameed Meera, Horvai Andrew E, Jordan Richard C K
Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY, 10065, USA.
University of California, San Francisco, San Francisco, USA.
Head Neck Pathol. 2020 Mar;14(1):70-82. doi: 10.1007/s12105-019-01094-2. Epub 2020 Jan 16.
Gnathic fibro-osseous lesions are a diverse group of disease processes which share overlapping microscopic features characterized by fibroblastic stroma with variable cellularity and a range of bone forming pathological processes leading to woven, sclerotic and cementum-like structures. Some of the lesions are unique to craniofacial location and a combination of clinical, radiological and pathological correlation is often necessary for diagnostic accuracy. Gnathic osteosarcomas are rare tumors with differences in age distribution and behavior as compared to osteosarcoma of long bones. This review will discuss the clinicopathological and radiological features of gnathic fibro-osseous lesions and osteosarcoma with updates on current genetics and molecular pathogenesis.
颌骨纤维-骨病变是一组多样的疾病过程,它们具有重叠的微观特征,其特点是有成纤维细胞基质,细胞数量可变,以及一系列导致编织状、硬化状和牙骨质样结构的骨形成病理过程。其中一些病变是颅面部所特有的,通常需要临床、放射学和病理学相结合才能准确诊断。颌骨骨肉瘤是罕见肿瘤,与长骨骨肉瘤相比,在年龄分布和行为方面存在差异。本综述将讨论颌骨纤维-骨病变和骨肉瘤的临床病理及放射学特征,并介绍当前遗传学和分子发病机制的最新进展。