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一名年轻个体上颌尖牙区的外生性牙龈肿物:外周牙源性影细胞肿瘤的极其罕见病例报告

Exophytic gingival growth of the maxillary canine region in a young individual: Extremely rare case report of peripheral dentinogenic ghost cell tumor.

作者信息

Nahid Rakhshinda, Bansal Monika, Gupta Kanupriya, Pandey Samidha, Tiwari Preeti, Agarwal Rahul

机构信息

Department of Periodontics, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

Department of Oral Pathology, Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University, Varanasi, Uttar Pradesh, India.

出版信息

J Cancer Res Ther. 2020 Apr-Jun;16(3):661-664. doi: 10.4103/jcrt.JCRT_180_19.

Abstract

The present case report is a case of peripheral dentinogenic ghost cell tumor (PDGCT), an extremely rare solid benign neoplastic variant of calcifying cystic odontogenic tumor of the gingiva mimicking clinically as pyogenic granuloma, fibroma, peripheral ossifying fibroma, and peripheral giant-cell granuloma. A 24-year-old male reported with painless, firm, solitary, sessile, smooth-surfaced, nonulcerative, nonpulsatile, well-defined swelling measuring ≈12 mm × 9 mm in the interdental gingiva of the teeth #13 and #14 extending to the mucogingival junction. Intraoral periapical radiographic showed a normal trabecular pattern with mild radiolucency without bony expansion, periapical lesion, and resorption of the adjacent teeth. The diagnosis was established by histopathologic examination. Very few cases of this entity have been documented in the literature. The present case report aims to document this rare entity and emphasizes on the fact that histopathological examination of every localized gingival growth should be included in the treatment planning to differentiate with other commonly found lesions.

摘要

本病例报告为一例外周性牙源性影细胞肿瘤(PDGCT),它是牙龈钙化囊性牙源性肿瘤的一种极其罕见的实性良性肿瘤变体,临床上可模仿化脓性肉芽肿、纤维瘤、外周骨化性纤维瘤和外周巨细胞肉芽肿。一名24岁男性患者报告称,在13号和14号牙的牙间牙龈处有一个无痛、质地硬、孤立、无蒂、表面光滑、非溃疡性、非搏动性、边界清晰的肿胀,大小约为12毫米×9毫米,延伸至膜龈联合处。口腔根尖片显示小梁形态正常,有轻度透射区,无骨质膨胀、根尖病变及邻牙吸收。通过组织病理学检查确诊。文献中记载的该实体病例极少。本病例报告旨在记录这一罕见实体,并强调在治疗计划中应包括对每例局限性牙龈肿物进行组织病理学检查,以与其他常见病变相鉴别。

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