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具有类似牙源性钙化上皮瘤区域的单囊性成釉细胞瘤异常变体:1例罕见病例报告并文献复习

Unusual Variant of Unicystic Ameloblastoma with CEOT-Like Areas: A Rare Case Report with Review of Literature.

作者信息

Oruganti Venkata Ramanand, Sanjeevareddygari Shylaja, Munisekhar Manay Srinivas, Eppalapalli Sharath Kumar Reddy, Vishwakarma Raghu Vamshi, Ganji Kiran Kumar, Halkai Kiran R, Halkai Rahul

机构信息

Department of Oral Pathology, SVS Institute of Dental Sciences, Mahabubnagar, Telangana, India.

Oral Pathology Division, Department of Preventive Dentistry, College of Dentistry, Jouf University, Sakaka, Al Jouf, Saudi Arabia.

出版信息

Case Rep Dent. 2021 Jul 17;2021:2093927. doi: 10.1155/2021/2093927. eCollection 2021.

DOI:10.1155/2021/2093927
PMID:34336302
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8313314/
Abstract

Ameloblastoma is an epithelial odontogenic neoplasm with clinical and histological diversity. They are locally invasive tumors with 3 clinical variants such as solid, unicystic, and peripheral ameloblastomas, and the unicystic variant constitutes only 13%. Histologically, it shows diverse microscopic patterns that may occur isolated or in combination with other patterns. The granular cell variant accounts for 3.5% of all ameloblastoma cases. The eosinophilic granules seen in the cytoplasm of the tumor are thought to be lysosomes and presumably contribute to the pathogenesis of the tumor. Although such a phenomenon is rare in unicystic ameloblastoma, granular cell differentiation in solid multicystic ameloblastoma is a well-established phenomenon. In this paper, we present a unique case of unicystic ameloblastoma with granular cell differentiation with a brief review.

摘要

成釉细胞瘤是一种具有临床和组织学多样性的上皮性牙源性肿瘤。它们是局部侵袭性肿瘤,有实性、单囊性和外周性成釉细胞瘤3种临床变体,其中单囊性变体仅占13%。在组织学上,它表现出多种微观模式,这些模式可能单独出现或与其他模式组合出现。颗粒细胞变体占所有成釉细胞瘤病例的3.5%。肿瘤细胞质中可见的嗜酸性颗粒被认为是溶酶体,可能与肿瘤的发病机制有关。虽然这种现象在单囊性成釉细胞瘤中很少见,但在实性多囊性成釉细胞瘤中颗粒细胞分化是一种公认的现象。在本文中,我们报告了一例具有颗粒细胞分化的单囊性成釉细胞瘤的独特病例并进行简要回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/8313314/74ebb76696ae/CRID2021-2093927.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/8313314/27b2b05d76cb/CRID2021-2093927.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/8313314/74ebb76696ae/CRID2021-2093927.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/8313314/27b2b05d76cb/CRID2021-2093927.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9970/8313314/74ebb76696ae/CRID2021-2093927.002.jpg

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本文引用的文献

1
Unicystic Ameloblastoma of Mandible with an Unusual Diverse Histopathology: A Rare Case Report.下颌骨单囊性成釉细胞瘤伴不寻常多样组织病理学:一例罕见病例报告
J Clin Diagn Res. 2017 Apr;11(4):ZD04-ZD05. doi: 10.7860/JCDR/2017/24192.9615. Epub 2017 Apr 1.
2
Granular cell ameloblastoma.颗粒细胞成釉细胞瘤
J Oral Maxillofac Pathol. 2017 Jan-Apr;21(1):183. doi: 10.4103/jomfp.JOMFP_45_15.
3
Granular cell type of a unicystic ameloblastoma: An unusual case and review of the literature.单囊性成釉细胞瘤的颗粒细胞型:1例罕见病例及文献复习
J Oral Maxillofac Pathol. 2014 May;18(2):331. doi: 10.4103/0973-029X.140927.
4
Unusual histological patterns and hyaline ring granulomas in a unicystic ameloblastoma.单囊性成釉细胞瘤中的异常组织学模式和透明环肉芽肿
Hippokratia. 2014 Jan;18(1):83-5.
5
Rare giant granular cell ameloblastoma: a case report and an immunohistochemical study.罕见的巨细胞性成釉细胞瘤:一例报告及免疫组织化学研究
Case Rep Dent. 2013;2013:372781. doi: 10.1155/2013/372781. Epub 2013 Mar 7.
6
Unicystic ameloblastoma: A diagnostic dilemma.单囊性成釉细胞瘤:诊断难题。
Natl J Maxillofac Surg. 2011 Jan;2(1):89-92. doi: 10.4103/0975-5950.85863.
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Cystic granular cell ameloblastoma.囊性颗粒细胞成釉细胞瘤
J Maxillofac Oral Surg. 2010 Sep;9(3):310-3. doi: 10.1007/s12663-010-0083-y. Epub 2010 Nov 27.
8
Immunohistochemical and ultrastructural investigation of apoptotic cell death in granular cell ameloblastoma.颗粒细胞成釉细胞瘤凋亡性细胞死亡的免疫组织化学和超微结构研究
J Oral Pathol Med. 2001 Apr;30(4):245-50. doi: 10.1034/j.1600-0714.2001.300409.x.
9
Granular cell odontogenic cyst: a unicystic ameloblastoma with late recurrence as follicular ameloblastoma.颗粒细胞性牙源性囊肿:一种具有晚期复发倾向的单囊性成釉细胞瘤,呈滤泡状成釉细胞瘤表现。
J Oral Maxillofac Surg. 1989 Feb;47(2):168-75. doi: 10.1016/s0278-2391(89)80111-9.