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青少年下颌肿胀和疼痛加重:鉴别诊断与处理

Worsening Lower Jaw Swelling and Pain in a Teenager: Differential Diagnosis and Management.

作者信息

Kahlon Gurleen Kaur, Tilak Kedar, Kondamudi Noah

机构信息

Pediatrics, The Brooklyn Hospital Center, New York, USA.

出版信息

Cureus. 2021 Sep 26;13(9):e18296. doi: 10.7759/cureus.18296. eCollection 2021 Sep.

DOI:10.7759/cureus.18296
PMID:34722071
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8547371/
Abstract

Giant cell granuloma is a rare, benign non-neoplastic, aggressive tumor that originates mainly from the maxilla and mandible. It affects all age groups and is more commonly seen in children. We describe a 17-year-old female that presented to the Pediatrics Emergency room with a history of right lower jaw pain. Examination revealed a bone-like buccal vestibular swelling on the lower right tooth, a bone-like lingual swelling, and a pink gingival overgrowth lesion. The biopsy of the lesion revealed a central giant cell granuloma. Tissue biopsy with histopathological examination is diagnostic and surgical excision is the gold standard of treatment.

摘要

巨细胞肉芽肿是一种罕见的、良性非肿瘤性侵袭性肿瘤,主要起源于上颌骨和下颌骨。它影响所有年龄组,在儿童中更常见。我们描述了一名17岁女性,她因右下颌疼痛病史就诊于儿科急诊室。检查发现右下牙颊侧前庭有骨样肿胀、舌侧骨样肿胀以及粉红色牙龈增生病变。病变活检显示为中央型巨细胞肉芽肿。组织活检及组织病理学检查具有诊断意义,手术切除是治疗的金标准。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/1fb187b80c5d/cureus-0013-00000018296-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/7038c6be0cea/cureus-0013-00000018296-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/ba16e9d72129/cureus-0013-00000018296-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/dee3fd1eb4c9/cureus-0013-00000018296-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/1fb187b80c5d/cureus-0013-00000018296-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/7038c6be0cea/cureus-0013-00000018296-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/ba16e9d72129/cureus-0013-00000018296-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/dee3fd1eb4c9/cureus-0013-00000018296-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a199/8547371/1fb187b80c5d/cureus-0013-00000018296-i04.jpg

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本文引用的文献

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J Otolaryngol Head Neck Surg. 2019 Jul 18;48(1):32. doi: 10.1186/s40463-019-0356-5.
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Management of Central Giant Cell Granulomas of the Jaws: An Unusual Case Report with Critical Appraisal of Existing Literature.颌骨中央巨细胞肉芽肿的治疗:一例罕见病例报告及对现有文献的批判性评价
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BMJ Case Rep. 2013 Jul 22;2013:bcr2013009903. doi: 10.1136/bcr-2013-009903.
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Central giant cell granuloma of the jaw: a review of the literature with emphasis on therapy options.颌骨中央巨细胞肉芽肿:文献综述,重点关注治疗选择
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