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上颌前部区域的波动性肿胀——诊断挑战与处理

A vacillating swelling in maxillary anterior region-Diagnostic challenges and management.

作者信息

Sreekumar Vinod Nair, Salim Shiad, Cherian Sangeeth K, John Richie

机构信息

Department of Oral and Maxillofacial Surgery, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India.

Department of Prosthodontics, PMS College of Dental Science and Research, Kerala, India.

出版信息

Natl J Maxillofac Surg. 2020 Jul-Dec;11(2):292-297. doi: 10.4103/njms.NJMS_84_18. Epub 2020 Dec 16.

Abstract

In most of the cystic lesions appearing in the oral cavity, proper diagnosis and treatment remains a challenge. As glandular odontogenic cyst (GOC) is a rare type of developmental odontogenic cyst, it was not included in our differential diagnosis. The report of GOC was quite surprising as it was rare and never came in this discussion. A 25-year-old male patient was reported to our center with a chief complaint of painless swelling in the right anterior region of the maxilla. The swelling was oval shaped and diffuse extending from the distal aspect of 11 to the mesial aspect of 14 and superiorly extending into the sulcus. Working diagnosis was a periapical cyst, so conventional treatment of root canal treatment, cyst enucleation, and apicoectomy was done. This article presents a rare case which was primarily misdiagnosed and treated and has been subsequently revealed histopathologically as a rare clinicopathological entity.

摘要

在大多数出现在口腔的囊性病变中,正确的诊断和治疗仍然是一项挑战。由于腺牙源性囊肿(GOC)是一种罕见的发育性牙源性囊肿,它未被纳入我们的鉴别诊断。GOC的报告相当令人惊讶,因为它很罕见且从未在本次讨论中出现过。一名25岁男性患者因上颌右前区无痛性肿胀为主诉被转诊至我们中心。肿胀呈椭圆形且弥漫性,从11牙远中延伸至14牙近中,并向上延伸至龈沟。初步诊断为根尖囊肿,因此进行了根管治疗、囊肿摘除术和根尖切除术等常规治疗。本文介绍了一个罕见病例,该病例最初被误诊并进行了治疗,随后经组织病理学检查揭示为一种罕见的临床病理实体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4dd/8051655/ae07782425a0/NJMS-11-292-g001.jpg

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