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外周性牙源性角化囊肿。病例报告。

Peripheral odontogenic keratocyst. A Case report.

作者信息

Hornillos-de Villota María, Pampin-Martínez Marta Mª, Moran-Soto Mª José, Cebrián-Carretero José-Luis

机构信息

Departamento de Cirugía Oral y Maxilofacial, Hospital Universitario La Paz. Madrid, Spain.

出版信息

J Clin Exp Dent. 2023 Feb 1;15(2):e169-e172. doi: 10.4317/jced.60033. eCollection 2023 Feb.

DOI:10.4317/jced.60033
PMID:36911150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9994655/
Abstract

Odontogenic keratocysts (OKCs) are benign cysts arising from the dental lamina and its remnants. They are most commonly located in the posterior body and the ramus of the mandible. The diagnosis of peripheral OKCs (other than intraosseous) are extremely rare and the current literature is limited. The most common location is the gingiva, but mucosal, epidermal, and even intramuscular sites have also been described. Currently 15 cases have been described. The origin and nature of peripheral OKC still remains controversial. The differential diagnosis includes gingival cyst, mucoceles and epidermoid cyst. Soft tissue OKCs have a lower rate of recurrences; 12,5% vs. 62% in intraosseus OKCs. We report a case of a 58-year-old woman with a peripheral OKC, located in the left masticatory space. We performed a review of the existing literature on peripheral odontogenic keratocysts. Odontogenic keratocysts (OKCs), peripheral keratocyst, mandibular cyst.

摘要

牙源性角化囊肿(OKCs)是起源于牙板及其残余物的良性囊肿。它们最常见于下颌骨体后部和下颌支。外周性OKCs(非骨内型)的诊断极为罕见,目前的文献有限。最常见的部位是牙龈,但也有黏膜、表皮甚至肌肉内的病例报道。目前已报道15例。外周性OKC的起源和性质仍存在争议。鉴别诊断包括牙龈囊肿、黏液囊肿和表皮样囊肿。软组织OKCs的复发率较低;骨内型OKCs的复发率为62%,而软组织OKCs的复发率为12.5%。我们报告一例58岁女性,其外周性OKC位于左侧咀嚼间隙。我们对现有的外周性牙源性角化囊肿文献进行了综述。牙源性角化囊肿(OKCs)、外周性角化囊肿、下颌囊肿。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876c/9994655/b9c9e5999636/jced-15-e169-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876c/9994655/bc76ea01c326/jced-15-e169-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876c/9994655/2c0d59ac7308/jced-15-e169-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876c/9994655/b9c9e5999636/jced-15-e169-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876c/9994655/bc76ea01c326/jced-15-e169-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876c/9994655/2c0d59ac7308/jced-15-e169-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/876c/9994655/b9c9e5999636/jced-15-e169-g003.jpg

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本文引用的文献

1
Recurrence of odontogenic keratocyst in the buccal space.颊间隙牙源性角化囊肿复发。
BMJ Case Rep. 2022 Feb 24;15(2):e246735. doi: 10.1136/bcr-2021-246735.
2
Odontogenic Keratocyst in the Masseter Muscle.咬肌内的牙源性角化囊肿。
J Craniofac Surg. 2022 May 1;33(3):e275-e276. doi: 10.1097/SCS.0000000000008079. Epub 2021 Aug 9.
3
Odontogenic keratocyst located in the retromolar trigone.位于磨牙后三角区的牙源性角化囊肿。
颊间隙牙源性角化囊肿 1 例:多模态影像学特征,包括 CT、弥散加权磁共振成像和超声检查。
Oral Radiol. 2024 Apr;40(2):304-309. doi: 10.1007/s11282-023-00712-8. Epub 2023 Sep 19.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2021 Sep;132(3):e82-e85. doi: 10.1016/j.oooo.2021.02.008. Epub 2021 Feb 27.
4
Mucosal keratocyst of buccal mucosa: A rare entity.颊黏膜黏膜角质囊肿:一种罕见的病变。
J Oral Maxillofac Pathol. 2020 Sep-Dec;24(3):589. doi: 10.4103/jomfp.JOMFP_54_20. Epub 2021 Jan 9.
5
Odontogenic keratocysts located in the buccal mucosa: A description of two cases and review of the literature.位于颊黏膜的牙源性角化囊肿:两例病例报告及文献复习
SAGE Open Med Case Rep. 2019 May 19;7:2050313X19849828. doi: 10.1177/2050313X19849828. eCollection 2019.
6
A Large Extragnathic Keratocystic Odontogenic Tumour.一例巨大颌骨外牙源性角化囊性瘤
Case Rep Pathol. 2015;2015:723010. doi: 10.1155/2015/723010. Epub 2015 Dec 6.
7
Radiological and clinical features of peripheral keratocystic odontogenic tumor.外周型牙源性角化囊性瘤的放射学及临床特征
Int J Clin Exp Med. 2014 Jan 15;7(1):300-6. eCollection 2014.
8
A keratocyst in the buccal mucosa with the features of keratocystic odontogenic tumor.具有牙源性角化囊性瘤特征的颊黏膜角化囊肿。
Open Dent J. 2013 Nov 13;7:152-6. doi: 10.2174/1874210601307010152. eCollection 2013.
9
Intramuscular keratocyst as a soft tissue counterpart of keratocystic odontogenic tumor: differential diagnosis by immunohistochemistry.肌间角化囊肿作为牙源性角化囊性瘤的软组织对应物:免疫组织化学鉴别诊断。
Hum Pathol. 2014 Jan;45(1):110-8. doi: 10.1016/j.humpath.2013.08.011. Epub 2013 Oct 31.
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