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成人患者偶然发现的与含牙囊肿相关的复合性牙瘤:体层摄影及组织学特征

Compound Odontoma Associated with Dentigerous Cyst Incidentally Detected in an Adult Patient: Tomography and Histological Features.

作者信息

Manfredini Mattia, Ferrario Susanna, Creminelli Luca, Kuhn Elisabetta, Poli Pier Paolo

机构信息

Implant Center for Edentulism and Jawbone Atrophies, Maxillofacial Surgery and Odontostomatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy.

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy.

出版信息

Case Rep Dent. 2022 May 2;2022:6210289. doi: 10.1155/2022/6210289. eCollection 2022.

Abstract

Odontoma is the most common benign odontogenic tumor of epithelial and mesenchymal origin. The standard treatment involves a conservative approach. While this procedure is generally well accepted and tolerated, some difficulties may arise in case of odontomas associated with cystic lesions. In general, the expansive nature of cystic lesions requires their surgical excision, different from isolated nonsymptomatic odontomas that can be monitored radiographically. However, to the best of our knowledge, there is scarce evidence currently available reporting on the presence of odontoma-associated cystic lesions in the oral cavity. Therefore, the present case report is aimed at describing the diagnostic clinical, radiological, and histological features together with the surgical management of a dentigerous cyst associated with a compound odontoma. Following surgical removal of the lesion, no recurrence was observed after 12 months of follow-up.

摘要

牙瘤是最常见的源于上皮和间充质的良性牙源性肿瘤。标准治疗方法采用保守治疗。虽然该手术一般被广泛接受且耐受性良好,但对于伴有囊性病变的牙瘤,可能会出现一些困难。一般来说,囊性病变的扩张性需要手术切除,这与孤立的无症状牙瘤不同,后者可通过影像学监测。然而,据我们所知,目前鲜有关于口腔中牙瘤相关囊性病变存在情况的报道。因此,本病例报告旨在描述与复合牙瘤相关的含牙囊肿的诊断性临床、放射学和组织学特征以及手术治疗方法。手术切除病变后,随访12个月未观察到复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c18/9085339/d6b53cedc84c/CRID2022-6210289.001.jpg

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