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外周性成釉细胞瘤:一例报告。

Peripheral ameloblastoma: A case report.

作者信息

Ülker Ersin, Kirtiloğlu Tuğrul, Taban Burcu

机构信息

Research Assistant, Department of Periodontology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.

Associated Proffessor, Department of Periodontology, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.

出版信息

J Clin Exp Dent. 2020 Jun 1;12(6):e607-e609. doi: 10.4317/jced.56757. eCollection 2020 Jun.

DOI:10.4317/jced.56757
PMID:32665822
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7335604/
Abstract

BACKGROUND

Ameloblastoma is a rare tumor which develops from odontogenic epithelium and its remnants and it occurs in the jaws. Peripheral ameloblastomas are rare and benign extraooseous ameloblastomas which effects soft tissues. This case report declares a peripheral ameloblastoma which is a rare type of ameloblastoma.

MATERIAL AND METHODS

34 year old female patient referred with a complaint of a gingival growth at right lower premolar area. A firm and granular surfaced gingival growth with the color of pink and red and having 1.5x1 cm sizes was observed at the mentioned area. With an incision from lower right second incisor tooth to lower right second molar tooth a flap from bone was made and lesion was excised. After then specimen was submitted to histopathologic examination. After clinical, radiological and pathological examinations lesion was described as peripheral ameloblastoma.

RESULTS

At the control examination after three months of excision there was no recurrence and patieant has no complaint.

CONCLUSIONS

Although reccurens rate of peripheral ameloblastomas are low, long-term follow-ups are suggested Patient was informed about the importance of regular controls for early diagnosis of possible reccurenses and regular controls were made during one year after excision. Peripheral ameloblastoma, gingiva, gingival hyperplasia, gingival lesion, alveolar mucosa, extraosseous.

摘要

背景

成釉细胞瘤是一种罕见的肿瘤,由牙源性上皮及其残余组织发展而来,发生于颌骨。外周型成釉细胞瘤是罕见的良性骨外型成釉细胞瘤,累及软组织。本病例报告的是一例外周型成釉细胞瘤,这是一种罕见类型的成釉细胞瘤。

材料与方法

一名34岁女性患者因右下前磨牙区牙龈肿物前来就诊。在上述区域观察到一个质地坚实、表面呈颗粒状的牙龈肿物,颜色为粉红色和红色,大小为1.5×1厘米。从右下第二切牙至右下第二磨牙做切口,掀起骨膜瓣,切除病变组织。随后将标本送检进行组织病理学检查。经临床、影像学和病理学检查,病变被诊断为外周型成釉细胞瘤。

结果

切除术后三个月的复查中未见复发,患者无不适主诉。

结论

尽管外周型成釉细胞瘤的复发率较低,但仍建议进行长期随访。已告知患者定期复查对于早期诊断可能复发的重要性,并在切除术后一年内进行了定期复查。外周型成釉细胞瘤、牙龈、牙龈增生、牙龈病变、牙槽黏膜、骨外型

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/7335604/1d8a65670458/jced-12-e607-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/7335604/217952926716/jced-12-e607-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/7335604/19518ec764ea/jced-12-e607-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/7335604/1d8a65670458/jced-12-e607-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/7335604/217952926716/jced-12-e607-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/7335604/19518ec764ea/jced-12-e607-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e61/7335604/1d8a65670458/jced-12-e607-g003.jpg

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本文引用的文献

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Recurrent peripheral ameloblastoma in an elderly patient: A case report.老年患者复发性外周性成釉细胞瘤:一例报告
Gerodontology. 2019 Mar;36(1):78-81. doi: 10.1111/ger.12377.
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Oral peripheral ameloblastoma: A retrospective series study of 25 cases.口腔外周性成釉细胞瘤:25例回顾性系列研究。
Med Oral Patol Oral Cir Bucal. 2018 May 1;23(3):e277-e281. doi: 10.4317/medoral.22225.
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Update from the 4th Edition of the World Health Organization Classification of Head and Neck Tumours: Odontogenic and Maxillofacial Bone Tumors.
世界卫生组织头颈部肿瘤分类第4版更新:牙源性和颌面骨肿瘤
Head Neck Pathol. 2017 Mar;11(1):68-77. doi: 10.1007/s12105-017-0794-1. Epub 2017 Feb 28.
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Peripheral ameloblastoma; report of a case.外周性成釉细胞瘤;一例报告。
Oral Surg Oral Med Oral Pathol. 1959 Jun;12(6):760-5. doi: 10.1016/0030-4220(59)90124-0.
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Peripheral ameloblastoma: review of the literature and report of recurrence as severe dysplasia.外周性成釉细胞瘤:文献综述及复发为重度发育异常的病例报告
J Oral Maxillofac Surg. 2001 Jul;59(7):811-5. doi: 10.1053/joms.2001.24302.
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Peripheral ameloblastoma: biological profile based on 160 cases from the literature.外周性成釉细胞瘤:基于文献中160例病例的生物学特征
Oral Oncol. 2001 Jan;37(1):17-27. doi: 10.1016/s1368-8375(00)00064-6.
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Peripheral and mural ameloblastoma in the mandibular canine region of a 13-year-old boy.一名13岁男孩下颌尖牙区的外周型和壁性成釉细胞瘤。
J Oral Maxillofac Surg. 2000 Oct;58(10):1150-4. doi: 10.1053/joms.2000.9578.
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Ameloblastoma of the maxilla. Case report.上颌骨成釉细胞瘤。病例报告。
Aust Dent J. 1999 Mar;44(1):51-5. doi: 10.1111/j.1834-7819.1999.tb00536.x.
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Unicystic ameloblastoma. A review of 193 cases from the literature.单囊性成釉细胞瘤。对文献中193例病例的回顾。
Oral Oncol. 1998 Sep;34(5):317-25. doi: 10.1016/s1368-8375(98)00012-8.
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Malignant transformation of peripheral ameloblastoma.外周型成釉细胞瘤的恶性转化
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