Vila Stefan, Oster Robert A, James Sherin, Morlandt Anthony B, Powell Kathlyn K, Amm Hope M
Department of Oral & Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, USA.
Department of Medicine, University of Alabama at Birmingham, Birmingham, USA.
J Racial Ethn Health Disparities. 2025 Jun;12(3):1612-1620. doi: 10.1007/s40615-024-01993-3. Epub 2024 Apr 12.
Ameloblastomas are benign neoplasms of the jaw, but frequently require extensive surgery. The aim of the study was to analyze the demographic and clinicopathological features of ameloblastoma cases at a single Oral and Maxillofacial Surgery group in the United States.
A retrospective chart review of patients evaluated for ameloblastoma between 2010 and 2020 at a single tertiary care center. Age, race, sex, tumor size, tumor location, and histological subtypes were recorded.
A total of 129 cases of ameloblastoma were recorded with a mean patient age of 42 ± 18.6 years (range 9-91 years old), male to female ratio 1.08:1. Ameloblastoma presenting in the mandible outnumbered maxilla in primary (118 to 8, respectively) and recurrent cases (8 to 1, respectively). There was a higher prevalence of ameloblastoma in Black patients (61.3%) with mean age of Black patients occurring at 40.5 years and the mean age of White patients occurring at 47.8 years and mean tumor size trended larger in the Black patients (15.7 cm) compared to White patients (11.8 cm).
Data suggests a strong influence of racial factors on the incidence of ameloblastoma, with regards to size, Black patients with ameloblastoma trended higher and more data is needed to clearly elucidate any relationship between the tumor size and race, as other factors may influence the size (such as time to discovery).
成釉细胞瘤是颌骨的良性肿瘤,但常常需要进行广泛的手术。本研究的目的是分析美国一个口腔颌面外科小组中成釉细胞瘤病例的人口统计学和临床病理特征。
对2010年至2020年在一个三级医疗中心接受成釉细胞瘤评估的患者进行回顾性病历审查。记录年龄、种族、性别、肿瘤大小、肿瘤位置和组织学亚型。
共记录了129例成釉细胞瘤病例,患者平均年龄为42±18.6岁(范围9至91岁),男女比例为1.08:1。原发性(分别为118例和8例)和复发性病例(分别为8例和1例)中,下颌骨出现的成釉细胞瘤多于上颌骨。黑人患者中成釉细胞瘤的患病率较高(61.3%),黑人患者的平均年龄为40.5岁,白人患者的平均年龄为47.8岁,黑人患者的平均肿瘤大小(15.7厘米)比白人患者(11.8厘米)有增大趋势。
数据表明种族因素对成釉细胞瘤的发病率有很大影响,就肿瘤大小而言,患有成釉细胞瘤的黑人患者有增大趋势,需要更多数据来明确阐明肿瘤大小与种族之间的任何关系,因为其他因素可能影响大小(如发现时间)。