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腭部孤立性淀粉样瘤:一例报告及文献复习

Solitary amyloid tumor of the palate: A case report and literature review.

作者信息

Razmara Farnoosh, Derakhshan Samira, Mahdavi Nazanin, Mohammadi Saba

机构信息

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.

出版信息

Rare Tumors. 2023 Mar 23;15:20363613231166540. doi: 10.1177/20363613231166540. eCollection 2023.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2f50/10037730/bfcfb9ab5a3d/10.1177_20363613231166540-fig1.jpg

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Solitary amyloid tumor of the palate: A case report and literature review.腭部孤立性淀粉样瘤:一例报告及文献复习
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本文引用的文献

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Focus on localized laryngeal amyloidosis: management of five cases.聚焦局限性喉淀粉样变:5例病例的管理
Open Med (Wars). 2020 Apr 20;15(1):327-332. doi: 10.1515/med-2020-0400. eCollection 2020.
2
Systemic amyloidosis from A (AA) to T (ATTR): a review.系统性淀粉样变,从 A(AA)到 T(ATTR):综述。
J Intern Med. 2021 Mar;289(3):268-292. doi: 10.1111/joim.13169. Epub 2020 Sep 14.
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Confirming the Diagnosis of Amyloidosis.明确淀粉样变性的诊断。
Acta Haematol. 2020;143(4):312-321. doi: 10.1159/000508022. Epub 2020 Jun 16.
5
Amyloidoma of the Tongue: Case Report, Surgical Management, and Review of the Literature.舌淀粉样瘤:病例报告、手术治疗及文献综述
J Oral Maxillofac Surg. 2020 Sep;78(9):1572-1582. doi: 10.1016/j.joms.2020.04.022. Epub 2020 Apr 27.
7
Unusual presentation of oral amyloidosis.口腔淀粉样变性的不寻常表现。
Contemp Clin Dent. 2015 Sep;6(Suppl 1):S282-4. doi: 10.4103/0976-237X.166814.
10
Localized tongue Amyloidosis in a Patient with Neurofibromatosis type II.II型神经纤维瘤病患者的局限性舌淀粉样变性
Head Neck Pathol. 2011 Sep;5(3):302-5. doi: 10.1007/s12105-011-0251-5. Epub 2011 Feb 22.

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