Department of Pathology, Antwerp University Hospital and Antwerp University, Edegem, Belgium.
Center for Oncological Research (CORE), University of Antwerp, Wilrijk, Belgium.
Semin Musculoskelet Radiol. 2020 Oct;24(5):535-548. doi: 10.1055/s-0040-1710357. Epub 2020 Oct 9.
Tumors of the jaws represent a heterogeneous group of lesions that are classified histologically in the World Health Organization Classification of Odontogenic Tumors (2017). This article provides an update of the current nomenclature. The main role of imaging is to describe the precise location and extent of these lesions. Although characterization of imaging is often difficult due to overlapping characteristics, imaging is helpful to define which lesions should be referred for histologic examination and subsequent treatment planning. Location and density are the cardinal criteria for potential characterization on imaging. Radiologically, lesions may be radiolucent, radiopaque, or of mixed density. Additional criteria include lesion demarcation, morphology, cortical breakthrough, periosteal reaction, and adjacent soft tissue changes. Final lesion characterization is only definitive after interdisciplinary discussion and radiopathologic correlation. Correct diagnosis is obtained by a combination of the patient's age, lesion location, and clinical and radiologic presentation. It is important that all physicians use a uniform nomenclature.
颌骨肿瘤是一组具有异质性的病变，在《世界卫生组织牙源性肿瘤分类（2017 年）》中进行了组织学分类。本文提供了当前命名法的更新。影像学的主要作用是描述这些病变的精确位置和范围。尽管由于重叠的特征，对影像学表现进行特征描述通常较为困难，但影像学有助于确定哪些病变需要进行组织学检查和随后的治疗计划。位置和密度是影像学潜在特征描述的关键标准。在影像学上，病变可能是透亮的、不透光的或混合密度的。其他标准包括病变边界、形态、皮质突破、骨膜反应和相邻软组织变化。只有经过多学科讨论和放射病理学相关性分析后，才能最终确定病变特征。正确的诊断是通过患者的年龄、病变位置以及临床和影像学表现的综合判断得出的。重要的是，所有医生都应使用统一的命名法。
