Razmara Farnoosh, Derakhshan Samira, Mahdavi Nazanin, Mohammadi Saba
Craniomaxillofacial Research Center, Oral and Maxillofacial Surgery Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Oral and Maxillofacial Pathology Department, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Rare Tumors. 2023 Mar 23;15:20363613231166540. doi: 10.1177/20363613231166540. eCollection 2023.
Amyloidosis is often caused by the abnormal extracellular accumulation of amyloid in organs and tissues. This condition, affecting the head and neck region, is typically localized, and may also involve the oral cavity, particularly the tongue and buccal mucosa. As a solitary manifestation, the localized amyloidosis occurring intraosseous is highly infrequent. In addition, localized amyloidosis has a great rate of recurrence. In this paper, a 50-year-old female patient with the chief complaint of pain in the anterior of the maxilla is reported. According to clinical examination, no significant pathologic lesion was seen. The radiographic image showed a radiolucent lesion around teeth four and five. The treatment of choice for the patient was an excisional biopsy. As amyloidosis diagnosis is clinically challenging, biopsy and histologic examination of lesions are necessary in this regard. Accordingly, it is concluded that long-term follow-up is mandatory in case of localized amyloidosis because late recurrence can occur in some cases.
淀粉样变性通常是由淀粉样蛋白在器官和组织中异常的细胞外积聚所引起。这种累及头颈部区域的病症通常是局限性的,也可能累及口腔,尤其是舌头和颊黏膜。作为一种孤立表现,发生于骨内的局限性淀粉样变性极为罕见。此外,局限性淀粉样变性的复发率很高。本文报道了一名50岁女性患者,主诉上颌前部疼痛。根据临床检查,未发现明显的病理性病变。影像学图像显示4号和5号牙周围有一个透射性病变。该患者的首选治疗方法是切除活检。由于淀粉样变性的诊断在临床上具有挑战性,因此在这方面对病变进行活检和组织学检查是必要的。因此得出结论,对于局限性淀粉样变性患者必须进行长期随访,因为在某些情况下可能会出现晚期复发。