在一位老年患者中，颌下腺牙源性囊肿误诊为根尖周炎性病变，且治疗了 6 年。
Glandular odontogenic cyst misdiagnosed and treated as a periapical inflammatory lesion for 6 years in an older adult.
机构信息
Department of Oral Diagnosis and Pathology, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Oral and Maxillofacial Surgeon, Private Practice, Fernandópolis, Brazil.
出版信息
Gerodontology. 2024 Sep;41(3):436-440. doi: 10.1111/ger.12741.
OBJECTIVES
To document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion.
BACKGROUND
Glandular odontogenic cysts behave more aggressively, while others have an indolent course. There is limited information on this cyst in the gerodontologic literature.
MATERIALS AND METHODS
A 76-year-old male patient presented with an asymptomatic expansive lesion in the anterior mandible resistant to several endodontic treatments. Cone-beam computed tomography revealed a multilocular osteolytic lesion measuring 6.0 × 4.0 cm, with cortical bone perforation.
RESULTS
Histopathological analysis of a biopsy specimen was consistent with glandular odontogenic cyst. The patient underwent marginal mandibulectomy with preservation of the base of the mandible.
CONCLUSION
A strict diagnostic process is important to avoid unwanted consequences, particularly in the geriatric population.
目的
记录一例患者的病例，该患者因腺牙源性囊肿被误诊为炎性根尖病变而接受了多次根管治疗。
背景
腺牙源性囊肿的行为更具侵袭性，而其他类型则呈惰性病程。在老年牙科文献中，关于这种囊肿的信息有限。
材料和方法
一名 76 岁男性患者因前下颌出现无症状性膨胀性病变就诊，该病变对多次根管治疗均有抵抗力。锥形束 CT 显示一个多房性溶骨性病变，大小为 6.0×4.0cm，伴有皮质骨穿孔。
结果
活检标本的组织病理学分析与腺牙源性囊肿一致。患者接受了下颌骨边缘切除术，保留了下颌骨的基底。
结论
严格的诊断过程对于避免不良后果很重要，尤其是在老年人群中。
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