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下颌骨巨细胞瘤:一例报告及关于一种可能诊断工具的讨论

Giant Cell Tumor of the Mandible: A Case Report with an Argument on a Possible Diagnostic Tool.

作者信息

Jain Ayushi, Chundawat Prashasti, Gupta Shalini, Ram Hari

机构信息

Dept of Oral Pathology, Microbiology and Forensic Odontology, King George's Medical University, Lucknow, 226003 India.

Dept of Oral & Maxillofacial Surgery, King George's Medical University, Lucknow, 226003 India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3537-3542. doi: 10.1007/s12070-024-04600-3. Epub 2024 Mar 14.

DOI:10.1007/s12070-024-04600-3
PMID:39130296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11306691/
Abstract

Giant cell tumor (GCT) is a benign, locally aggressive neoplasm with a high recurrence rate with common occurrence in the long bone and the cases in the maxillofacial region bone are very rare. Due to the paucity of the cases, there is not enough information available regarding the behavior of the tumor. Also, the differentiation of this aggressive lesion with the commonly occurring reactive giant cell lesions is crucial and needs more research. This study is pertaining to the review of literature of the cases of GCT in the oral cavity with their clinicopathological, radiographic, and biochemical analyses. Although there are no available studies regarding the immunohistochemical characteristics of this lesion, this study is the first step in this direction to differentiate this tumor better and identify the possible pathogenesis.

摘要

骨巨细胞瘤(GCT)是一种良性、具有局部侵袭性的肿瘤,复发率高,常见于长骨,而发生于颌面部骨骼的病例非常罕见。由于病例稀少,关于该肿瘤的行为尚无足够信息。此外,鉴别这种侵袭性病变与常见的反应性巨细胞病变至关重要,且需要更多研究。本研究旨在回顾口腔骨巨细胞瘤病例的文献,并进行临床病理、影像学和生化分析。尽管目前尚无关于该病变免疫组化特征的研究,但本研究是朝这个方向迈出的第一步,以更好地鉴别该肿瘤并确定可能的发病机制。

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本文引用的文献

1
Central Giant cell tumor of jaw bone in child: A case report.儿童颌骨中央巨细胞瘤:一例报告。
Int J Surg Case Rep. 2021 Feb;79:97-100. doi: 10.1016/j.ijscr.2021.01.007. Epub 2021 Jan 6.
2
A Comparative Analysis of p63 Expression in Giant Cell Tumour (GCT), Central Giant Cell Granuloma (CGCG) and Peripheral Giant Cell Granuloma (PGCG).p63 表达在巨细胞瘤(GCT)、中央性骨巨细胞瘤(CGCG)和外周性骨巨细胞瘤(PGCG)中的对比分析。
Head Neck Pathol. 2020 Sep;14(3):733-741. doi: 10.1007/s12105-019-01118-x. Epub 2019 Dec 23.
3
Giant cell tumor of temporomandibular joint masquerading as temporomandibular joint pain dysfunction syndrome: a rare case report.伪装成颞下颌关节疼痛功能紊乱综合征的颞下颌关节巨细胞瘤:一例罕见病例报告
J Korean Assoc Oral Maxillofac Surg. 2017 Apr;43(2):134-137. doi: 10.5125/jkaoms.2017.43.2.134. Epub 2017 Apr 25.
4
Giant cell tumor of the mandible.下颌骨巨细胞瘤
J Oral Maxillofac Pathol. 2015 Jan-Apr;19(1):108. doi: 10.4103/0973-029X.157217.
5
A diagnosis of giant cell-rich tumour of bone is supported by p63 immunohistochemistry, when more than 50 % of cells is stained.当超过50%的细胞被染色时,p63免疫组织化学支持骨巨细胞丰富性肿瘤的诊断。
Virchows Arch. 2014 Oct;465(4):487-94. doi: 10.1007/s00428-014-1637-z. Epub 2014 Aug 7.
6
p63 as a prognostic marker for giant cell tumor of bone.p63 作为骨巨细胞瘤的预后标志物。
Ups J Med Sci. 2013 Mar;118(1):23-8. doi: 10.3109/03009734.2012.724731. Epub 2012 Oct 4.
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Can p63 serve as a biomarker for giant cell tumor of bone? A Moroccan experience.p63 是否可以作为骨巨细胞瘤的生物标志物?来自摩洛哥的经验。
Diagn Pathol. 2012 Sep 27;7:130. doi: 10.1186/1746-1596-7-130.
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Giant cell tumor of the mandible.下颌骨巨细胞瘤。
Clin Exp Otorhinolaryngol. 2012 Mar;5(1):49-52. doi: 10.3342/ceo.2012.5.1.49. Epub 2011 Feb 23.
9
p63 expression in giant cell-containing lesions of bone and soft tissue.p63 在骨和软组织的巨细胞病变中的表达。
Arch Pathol Lab Med. 2011 Jun;135(6):776-9. doi: 10.5858/2010-0291-OA.1.
10
Giant cell tumor of bone express p63.骨巨细胞瘤表达p63。
Mod Pathol. 2008 Apr;21(4):369-75. doi: 10.1038/modpathol.2008.29. Epub 2008 Feb 29.