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十六世纪撒丁岛(意大利)颧骨骨瘤的古流行病学研究。

Osteoma of the zygomatic bone from 16th century Sardinia (Italy) in the framework of a paleoepidemiological study.

机构信息

Division of Paleopathology, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Via Roma 57, 56126 Pisa, Italy.

University of Genoa, Genoa, Italy.

出版信息

Int J Paleopathol. 2022 Dec;39:70-74. doi: 10.1016/j.ijpp.2022.10.003. Epub 2022 Oct 18.

Abstract

OBJECTIVE

The aim of this paper is to evaluate a case of osteoma of the zygomatic bone in a post-medieval individual in the context of a paleoepidemiological approach.

MATERIALS

Forty-five skulls from the plague cemetery of Alghero (Sardinia, Italy), dating back to the end of the 16th century, were evaluated for the presence of osteomata on the outer surface of the cranial vault and facial bones.

METHODS

Macroscopic examination was performed using standard anthropological methods. The bone presenting the lesion was submitted to radiological examination through cone beam; a 3D reconstruction was obtained with a surface 3D scanner.

RESULTS

Only one case of osteoma was observed in an adolescent aged 13-15 years, located on the right zygomatic bone. The lesion consisted of a rounded mass of 0.5 cm in diameter composed of compact bone, as also the radiographic study demonstrates. The prevalence of osteoma on the outer surface of the cranial vault and facial bones in the population of Alghero was 2.2 %.

CONCLUSIONS

This case offers the opportunity to enrich the knowledge about the presence of benign tumors among past populations and to evaluate this lesion in dry bone.

SIGNIFICANCE

This study provides paleoepidemiological data on the scarce area of benign tumors in paleo-oncology and presents the first documented osteoma of the zygomatic bone in paleopathology.

LIMITATION

Histological study was not performed for conservative issues.

SUGGESTIONS FOR FUTURE RESEARCH

Increasing the attention to benign tumors is essential to deepen our knowledge about paleoepidemiology of neoplastic lesions.

摘要

目的

本文旨在通过古流行病学方法评估一例发生在中世纪后期个体的颧骨骨瘤病例。

材料

对来自意大利撒丁岛阿尔盖罗(Alghero)鼠疫墓地的 45 个头骨进行评估,这些头骨可追溯到 16 世纪末,以确定颅盖骨和面骨外表面是否存在骨瘤。

方法

采用标准人类学方法进行肉眼检查。对有病变的骨头进行锥形束放射检查;使用表面 3D 扫描仪获得 3D 重建。

结果

仅在一名 13-15 岁的青少年右侧颧骨上观察到一例骨瘤。病变为直径 0.5 厘米的圆形肿块,由密质骨组成,影像学研究也证实了这一点。在阿尔盖罗人群中,颅盖骨和面骨外表面骨瘤的患病率为 2.2%。

结论

本病例为丰富过去人群中良性肿瘤的存在知识提供了机会,并评估了干骨中的这种病变。

意义

本研究为古肿瘤学中良性肿瘤这一罕见领域提供了古流行病学数据,并首次在古病理学中记录了颧骨骨瘤。

局限性

由于保守问题,未进行组织学研究。

未来研究建议

增加对良性肿瘤的关注对于深入了解肿瘤病变的古流行病学至关重要。

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