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被误诊为腺性牙源性囊肿的滤泡外囊性牙源性腺样瘤

Extrafollicular Cystic Adenomatoid Odontogenic Tumor Misdiagnosed as Glandular Odontogenic Cyst.

作者信息

Mashhadiabbas Fatemeh, Bakhshaei Pedram, Gholami Toghchi Sanaz, Safarpour Roohollah

机构信息

Dept. of Oral & Maxillofacial Pathology, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Dept. of Oral & Maxillofacial Surgery, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

J Dent (Shiraz). 2022 Sep;23(2 Suppl):414-418. doi: 10.30476/DENTJODS.2022.91410.1577.

Abstract

Adenomatoid odontogenic tumor (AOT) is a benign slow-growing, asymptomatic epithelial odontogenic neoplasm. This lesion has been known for its varied clinical and histoarchitec-tural patterns. Most AOTs occur intra-osseously in the anterior maxilla associated with the unerupted tooth. Clinically, AOT is sometimes misdiagnosed as an odontogenic cyst. Alt-hough enucleation and curettage for AOT is the most common treatment modality, accurate histopathological diagnosis is essential to avoid unnecessary extensive surgery. Here, we present a rare challenging case of an extrafollicular cystic adenomatoid odontogenic tumor occurring in the body of the mandible in a 23-year-old female patient, which was diagnosed clinically and radiographically as glandular odontogenic cyst. The diagnosis of adenomatoid odontogenic tumor was confirmed through histopathological examination.

摘要

腺样牙源性肿瘤(AOT)是一种良性、生长缓慢、无症状的上皮性牙源性肿瘤。该病变以其多样的临床和组织架构模式而闻名。大多数AOT发生于上颌前部骨内,与未萌出牙相关。临床上,AOT有时会被误诊为牙源性囊肿。尽管摘除术和刮除术是AOT最常见的治疗方式,但准确的组织病理学诊断对于避免不必要的广泛手术至关重要。在此,我们报告一例罕见且具有挑战性的病例,一名23岁女性患者下颌骨体部发生了滤泡外囊性腺样牙源性肿瘤,临床和影像学诊断为腺性牙源性囊肿。通过组织病理学检查确诊为腺样牙源性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf9/9789340/ba317afb6cf3/JDS-23-414-g001.jpg

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