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一名儿科患者的口腔平滑肌瘤:诊断挑战

Oral Leiomyoma in a Pediatric Patient: A Diagnostic Challenge.

作者信息

Zope Amit, Banerjee Satyabrat, Deshmukh Gargi, Syed Junaid A, Sharma Manish

机构信息

Orthodontics, JMF's (Jawahar Medical Foundation) ACPM (Annasaheb Chudaman Patil Memorial) Dental College, Dhule, IND.

Endodontics, JMF's (Jawahar Medical Foundation) ACPM (Annasaheb Chudaman Patil Memorial) Dental College, Dhule, IND.

出版信息

Cureus. 2023 Jun 28;15(6):e41107. doi: 10.7759/cureus.41107. eCollection 2023 Jun.

DOI:10.7759/cureus.41107
PMID:37519627
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10382252/
Abstract

A nodular lesion of the tongue incorporates a spectrum of entities from reactive to malignancy. A diagnostic dilemma arises when a nodular, solitary, and firm submucosal mass appears in the oral cavity of a patient. To reach a definitive diagnosis, a crucial investigation protocol needs to be followed. Leiomyomas are benign tumors that rarely occur in the oral cavity. They usually affect patients within the fourth to fifth decades of life. We report a rare case of leiomyoma of the tongue in a 12-year-old child patient. Immunohistochemical analysis revealed the positivity of tumor cells for alpha-smooth muscle actin (SMA). Surgical excision of such lesions is the treatment of choice, with a low recurrence rate. Our patient was asymptomatic and tumor-free at the follow-up visit after two years.

摘要

舌部的结节性病变包含了从反应性病变到恶性病变的一系列实体。当患者口腔中出现结节状、孤立且质地坚硬的黏膜下肿物时,就会产生诊断难题。为了得出明确诊断,需要遵循关键的检查方案。平滑肌瘤是罕见于口腔的良性肿瘤。它们通常影响40至50岁的患者。我们报告一例12岁儿童患者舌部平滑肌瘤的罕见病例。免疫组织化学分析显示肿瘤细胞对α-平滑肌肌动蛋白(SMA)呈阳性。手术切除此类病变是首选治疗方法,复发率低。我们的患者在两年后的随访中无症状且无肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/cf51724b08cd/cureus-0015-00000041107-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/843c25c5dc58/cureus-0015-00000041107-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/52587d38921b/cureus-0015-00000041107-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/3dca31909a2d/cureus-0015-00000041107-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/cf51724b08cd/cureus-0015-00000041107-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/843c25c5dc58/cureus-0015-00000041107-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/52587d38921b/cureus-0015-00000041107-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/3dca31909a2d/cureus-0015-00000041107-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/09a1/10382252/cf51724b08cd/cureus-0015-00000041107-i04.jpg

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本文引用的文献

1
Leiomyoma of the Cheek.颊部平滑肌瘤
Case Rep Pathol. 2020 Feb 19;2020:8474905. doi: 10.1155/2020/8474905. eCollection 2020.
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Epidemiology and management of uterine fibroids.子宫肌瘤的流行病学和管理。
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Oral Leiomyoma in an Adult Male: A Case Report.一名成年男性的口腔平滑肌瘤:病例报告
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Oral leiomyoma.口腔平滑肌瘤
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