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肿瘤源性的所谓“纤维-骨病变”。生物学与术语的碰撞。

So called "fibro-osseous lesions" of tumorous origin. Biology confronts terminology.

作者信息

Makek M S

出版信息

J Craniomaxillofac Surg. 1987 Jun;15(3):154-67. doi: 10.1016/s1010-5182(87)80040-9.

Abstract

The terms "fibro-osteo-cemental lesions" or "ossifying" and "cementifying fibromas" are confusing and should be discarded and replaced by clear and distinct terminology based on clinically, radiologically and histopathologically observable and reproducible characteristics. Histogenetic features and biological potential rather than tumour tissue products alone should be regarded as the basis for nomenclature. A classification of "fibro-osseous lesions" and three tumorous entities which have been defined by the terms "periodontoma", "psammous desmo-osteoblastoma" and "trabecular desmo-osteoblastoma" are presented and illustrated. These proposed entities go some way to bridge the gap between clinical diagnosis on the one hand and morphological and descriptive diagnosis on the other.

摘要

“纤维骨牙骨质病变”或“骨化性”及“牙骨质化纤维瘤”这些术语令人困惑,应予以摒弃,并用基于临床、放射学及组织病理学可观察且可重复特征的清晰明确术语取而代之。命名的基础应是组织发生学特征和生物学潜能,而非仅肿瘤组织产物。本文提出并举例说明了“纤维骨性病变”的一种分类以及由“牙周瘤”“沙样促结缔组织增生性成骨细胞瘤”和“小梁状促结缔组织增生性成骨细胞瘤”所定义的三种肿瘤实体。这些提议的实体在一定程度上弥合了临床诊断与形态学及描述性诊断之间的差距。

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