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儿童颌骨肿瘤:来自资源有限的三级医疗保健中心的经验与发现

Paediatric jaw tumours: experiences and findings from a resource limited tertiary health care center.

作者信息

Akhiwu Benjamin Idemudia, Osunde Daniel Otasowie, Akhiwu Helen Oluwadamilola, Aliyu Ibrahim, Omeje Kelvin Uchenna, Ojukwu Basil, Ameh Priscilla Okhiabigie, Adebola Rafael Adetokunbo, Ladeinde Akinola Ladipo

机构信息

Department of Oral and Maxillofacial Surgery, University of Jos, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.

Department of Oral and Maxillofacial Surgery, University of Calabar, University of Calabar Teaching Hospital, Calabar, Cross River State, Nigeria.

出版信息

Pan Afr Med J. 2020 Jun 19;36:111. doi: 10.11604/pamj.2020.36.111.23695. eCollection 2020.

DOI:10.11604/pamj.2020.36.111.23695
PMID:32821322
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7406456/
Abstract

INTRODUCTION

primary maxillofacial tumors are uncommon in pediatric patients. When they do occur, the tissue damage caused directly alters facial growth, development as well as psycho-social evolution. This study was carried out to determine the pattern, sociodemographic characteristics and histologic peculiarities of paediatric jaw tumors in our environment.

METHODS

a retrospective hospital-based study where the case notes of children below the age of 14 years who presented with jaw tumors and tumor-like lesions from January 2014 to December 2018 were studied.

RESULTS

eighty-two patients were studied; patients aged 10-14 years had the highest representation. Mean time of presentation was 8 months with jaw swelling being the commonest presentation (84.1%). Majority of the fathers were in their 4 decade of life while most of the mothers were in their third decade of life and both parents possessed primary school certificate as their highest level of educational attainment. Fathers were mostly traders, while mothers were mostly full-time housewives. The maxilla and mandible were most commonly affected with the left side showing higher preponderance. Burkitt lymphoma (19 (23.2%)) and adenomatoid odontogenic tumor (14 (17.1%)) were the commonest lesions. When the tumor involved both the maxilla and the mandible, the tumor was most likely malignant.

CONCLUSION

in our center, paediatric jaw tumors are commonest in male children with the 10-14 years´ age group most commonly affected. Burkitt lymphoma and adenomatoid odontogenic tumors were the commonest tumors. Early presentation must be encouraged since these tumors if presented early can be successfully treated.

摘要

引言

原发性颌面肿瘤在儿科患者中并不常见。当它们确实发生时,直接造成的组织损伤会改变面部生长、发育以及心理社会发展。本研究旨在确定我们环境中儿童颌骨肿瘤的模式、社会人口学特征和组织学特点。

方法

一项基于医院的回顾性研究,研究了2014年1月至2018年12月期间出现颌骨肿瘤和肿瘤样病变的14岁以下儿童的病历。

结果

研究了82例患者;10 - 14岁的患者占比最高。平均就诊时间为8个月,颌部肿胀是最常见的表现(84.1%)。大多数父亲处于40多岁,而大多数母亲处于30多岁,父母双方的最高学历均为小学毕业证书。父亲大多是商人,而母亲大多是全职家庭主妇。上颌骨和下颌骨最常受累,左侧更为常见。伯基特淋巴瘤(19例(23.2%))和腺样牙源性肿瘤(14例(17.1%))是最常见的病变。当肿瘤同时累及上颌骨和下颌骨时,肿瘤最有可能是恶性的。

结论

在我们中心,儿童颌骨肿瘤在男童中最常见,10 - 14岁年龄组受影响最严重。伯基特淋巴瘤和腺样牙源性肿瘤是最常见的肿瘤。必须鼓励早期就诊,因为这些肿瘤如果早期发现可以成功治疗。

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