Stoelinga P J, Bronkhorst F B
Dept. of Oral and Maxillofacial Surgery, Municipal Hospital, Arnhem, The Netherlands.
J Craniomaxillofac Surg. 1988 May;16(4):184-95. doi: 10.1016/s1010-5182(88)80044-1.
The incidence, multiple presentation and recurrence rate of aggressive cysts of the jaws is discussed, based on a study of 677 cysts in 651 patients. Cysts that are considered aggressive include: cysts in which carcinoma develops, unicystic ameloblastoma, keratocysts and calcifying odontogenic cysts. Based on literature studies and on our own material, the incidence and multiplicity of these lesions is calculated. Recommendations for treatment include careful preoperative assessment and treatment of suspicious lesions with excision of the overlying mucosa and fixation of the defect with Carnoy's solution. The cyst in which carcinoma develops should be treated as a true malignancy i.e. by resection. Long term follow-up is necessary to eliminate the possibility of recurrence.
基于对651例患者677个囊肿的研究，讨论了颌骨侵袭性囊肿的发病率、多发情况及复发率。被认为具有侵袭性的囊肿包括：发生癌变的囊肿、单囊性成釉细胞瘤、角化囊肿和钙化牙源性囊肿。根据文献研究和我们自己的资料，计算了这些病变的发病率和多发性。治疗建议包括术前仔细评估以及对可疑病变进行治疗，切除覆盖的黏膜并用卡诺氏液固定缺损处。发生癌变的囊肿应作为真正的恶性肿瘤进行治疗，即通过切除。需要长期随访以消除复发的可能性。
