上颌前部钙化性牙源性囊肿：病例报告及文献复习
Calcifying odontogenic cyst of anterior maxillary: Case report and review.
作者信息
Samir Mainassara Chekaraou, Lamiae Gamra, Bassima Chami
机构信息
Faculty of Dentistry-Rabat, Mohammed V University, Rabat, Morocco.
Hassan Pathological Anatomy Center, Rabat, Morocco.
出版信息
Int J Surg Case Rep. 2021 Aug;85:106267. doi: 10.1016/j.ijscr.2021.106267. Epub 2021 Aug 6.
INTRODUCTION AND IMPORTANCE
Calcifying odontogenic cyst (COC) is a rare lesion of jawbone. It is classified among development cyst in the new WHO classification of tumors of the head and neck in 2017. It is a rare pathology, which is found more in the upper maxillae, with a predominance in women in the second or third decade. The diagnosis is based on the analysis of clinical, radiological and histological features.
CASE PRESENTATION
We report the case of a 17-year-old patient referred by his orthodontist following the fortuitous discovery of a mixed radiolucent/radiopaque image in the right jaw ranging from the tooth 11 to the tooth 16, for whom the clinical, radiological examination associated with fine needle aspiration cytology suggested a cystic lesion.
CLINICAL DISCUSSION
Management initially consisted of decompression of the lesion and complete enucleation after nine months. Histopathological examination gave the diagnosis of calcifying odontogenic cyst. The follow-up showed favorable evolution.
引言与重要性
牙源性钙化囊肿（COC）是一种罕见的颌骨病变。在2017年世界卫生组织头颈部肿瘤新分类中，它被归类为发育性囊肿。这是一种罕见的病理情况，在上颌骨中更为常见，在二三十岁的女性中更为多见。诊断基于临床、放射学和组织学特征的分析。
病例介绍
我们报告一例17岁患者，该患者由正畸医生转诊而来，其右颌从11号牙至16号牙偶然发现一个透射线/阻射线混合影像，临床、放射学检查及细针穿刺细胞学检查提示为囊性病变。
临床讨论
最初的治疗包括病变减压，九个月后进行完整摘除。组织病理学检查诊断为牙源性钙化囊肿。随访显示病情进展良好。
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