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颗粒细胞型成釉细胞瘤在下颌骨节段性切除二十年后作为孤立性外周生长:一例罕见的复发病例。

Granular cell ameloblastoma as a solitary peripheral growth after twenty years of segmental resection of the mandible: A rare case of recurrence.

作者信息

Fukate Chetan A, Bansal Shivani P, Andrade Neelam N, Desai Rajiv S

机构信息

Department of Oral Pathology and Microbiology, Nair Hospital Dental College, Mumbai, Maharashtra, India.

Department of Oral and Maxillofacial Surgery, Nair Hospital Dental College, Mumbai, Maharashtra, India.

出版信息

J Oral Maxillofac Pathol. 2022 Apr-Jun;26(2):273-276. doi: 10.4103/jomfp.jomfp_24_22. Epub 2022 Jun 28.

Abstract

The ameloblastoma is a slowly growing, locally invasive, benign epithelial odontogenic neoplasm of the jaws with a high rate of recurrence if not removed adequately. We report an interesting case of granular cell ameloblastoma, which presented as a solitary, peripheral, soft tissue growth 20 years after initial segmental resection of the left mandible. The basal layer of oral mucosa could be the possible source of peripheral ameloblastoma in our case. In order to reduce the chances of recurrence, we suggest to incorporate mucosal stripping along with the conventional treatment as a mandatory rather than an elective procedure while treating ameloblastoma.

摘要

成釉细胞瘤是一种生长缓慢、具有局部侵袭性的颌骨良性上皮性牙源性肿瘤,如果切除不彻底,复发率很高。我们报告了一例颗粒细胞成釉细胞瘤的有趣病例,该病例在左下颌骨初次节段性切除20年后表现为孤立的、外周性的软组织肿物。在我们的病例中,口腔黏膜的基底层可能是外周性成釉细胞瘤的潜在来源。为了降低复发几率,我们建议在治疗成釉细胞瘤时,将黏膜剥离术与传统治疗方法相结合作为一种强制性而非选择性的操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a258/9364632/69159f917e12/JOMFP-26-273-g001.jpg

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