Wu P C, Leung P K, Ma K M
J Oral Maxillofac Surg. 1986 Mar;44(3):229-34. doi: 10.1016/0278-2391(86)90114-x.
A case of recurrent cementifying fibroma in an adolescent girl, necessitating repeated surgery, is reported. The multifocal nature of the tumor in the third recurrence, seven years after the initial surgery, leads to speculation as to the possible multifocal development of cementifying fibroma. Histologic assessment is of no value in predicting the behavior of this tumor, but radical surgery does not appear to be justified, even for tumors that have recurred. In the present case, however, partial mandibulectomy was ultimately performed, because, despite repeated conservative surgery, the patient had recurrences that caused pain and gross deformity.
本文报告了一例青春期女孩复发性牙骨质化纤维瘤病例，该病例需要反复手术。在初次手术后七年的第三次复发中，肿瘤呈现多灶性，这引发了关于牙骨质化纤维瘤可能多灶性发展的推测。组织学评估对于预测该肿瘤的行为没有价值，但即使对于复发的肿瘤，根治性手术似乎也不合理。然而，在本病例中，最终还是进行了部分下颌骨切除术，因为尽管进行了多次保守手术，患者仍出现复发，导致疼痛和明显畸形。
