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一名13岁患者上颌骨的腺样牙源性肿瘤:1例罕见病例报告并文献复习

Adenomatoid Odontogenic Tumor of the Maxilla in a 13-year-old Patient: A Rare Case Report with a Review of Literature.

作者信息

Kamble Amol, Shimpi Manasi R, Dash Jayant K, Sahoo Prasanna K, Chaudhary Shweta, Doiphode Minu

机构信息

Department of Paediatric and Preventive Dentistry, Bharati Vidyapeeth Dental College and Hospital, Bharati Vidyapeeth Deemed University, Pune, Maharashtra, India.

Department of Paediatric and Preventive Dentistry, SCB Dental College and Hospital, Cuttack, Odisha, India.

出版信息

Int J Clin Pediatr Dent. 2021 Jul-Aug;14(4):596-600. doi: 10.5005/jp-journals-10005-1771.

Abstract

BACKGROUND

The AOT is an atypical tumor of odontogenic origin that comprises about 0.1% of jaw tumors and cysts as well as up to 3% of odontogenic tumors (OTs).

AIM AND OBJECTIVE

This review describes the clinical, radiographical, histopathological, and immunohistochemical properties of adenomatoid odontogenic tumor (AOT) and reports an occurrence of an AOT in a boy, 13 years of age.

CASE DESCRIPTION

A male, 13 years of age, presented with a swelling with respect to the left maxilla, painless, and with obvious facial asymmetry. The orthopantomogram and computed tomography scan revealed a large unilocular radiolucency in the left maxilla with permanent lateral incisor embedded within the lesion and permanent canine pushed away from its normal position. After complete enucleation of the cyst under local anesthesia and extraction of associated impacted permanent teeth and retained deciduous teeth related to the lesion, the defect was filled with a bone graft and closed. Postoperative follow-up was uneventful.

CONCLUSION

An accurate diagnosis should be established through clinical, radiographical, and pathological correlations in order to be able to differentiate AOT from other conditions for early diagnosis.

CLINICAL SIGNIFICANCE

This report highlights the salient features of the AOT to be able to correctly diagnose and manage the lesion.

HOW TO CITE THIS ARTICLE

Kamble A, Shimpi MR, Dash JK, Adenomatoid Odontogenic Tumor of the Maxilla in a 13-year-old Patient: A Rare Case Report with a Review of Literature. Int J Clin Pediatr Dent 2021;14(4):596-600.

摘要

背景

腺样牙源性肿瘤(AOT)是一种非典型的牙源性肿瘤,约占颌骨肿瘤和囊肿的0.1%,在牙源性肿瘤(OTs)中占比高达3%。

目的

本综述描述了腺样牙源性肿瘤(AOT)的临床、影像学、组织病理学和免疫组化特征,并报告了一例13岁男孩发生AOT的病例。

病例描述

一名13岁男性,左侧上颌骨出现肿胀,无痛,面部不对称明显。全景片和计算机断层扫描显示左侧上颌骨有一个大的单房性透射区,病变内嵌入恒侧切牙,恒尖牙被推离正常位置。在局部麻醉下完整摘除囊肿,并拔除与病变相关的受累恒牙和滞留乳牙后,用骨移植填充缺损并封闭创口。术后随访情况良好。

结论

应通过临床、影像学和病理学相关性进行准确诊断,以便能够将AOT与其他疾病区分开来进行早期诊断。

临床意义

本报告突出了AOT的显著特征,以便能够正确诊断和处理该病变。

如何引用本文

坎布尔A,辛皮MR,达什JK,13岁患者上颌骨腺样牙源性肿瘤:一例罕见病例报告并文献复习。《国际临床儿科牙科学杂志》2021年;14(4):596 - 600。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a39/8585894/96e78c939dd9/ijcpd-14-596-g001.jpg

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