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上颌骨后部的一例富于钙化的牙源性上皮肿瘤:病例报告

An Exuberant Calcifying Epithelial Odontogenic Tumor in the Posterior Maxilla: A Case Report.

作者信息

Silva Rodrigo, Ruppel Carolina, Gonçalves Ramon Cesar Godoy, Jabur Roberto de Oliveira, Roza Ana Luiza Oliveira Corrêa, Vargas Pablo Agustin, Bortoluzzi Marcelo Carlos

机构信息

Oral and Maxillofacial Surgery Residency Program at University Hospital of Campos Gerais (HUCG).

Dentistry Post-Graduate Program, State University of Ponta Grossa (UEPG), Ponta Grossa, Brazil.

出版信息

J Clin Exp Dent. 2025 May 1;17(5):e599-e603. doi: 10.4317/jced.62701. eCollection 2025 May.

Abstract

This case report presents a rare instance of a Calcifying Epithelial Odontogenic Tumor (CEOT) in the maxilla of a 52-year-old male, characterized by a painless, growing mass and facial asymmetry. Imaging revealed extensive involvement of the maxillary sinus, nasal cavity, pterygoid plate, and infraorbital margin. Histopathological analysis confirmed the diagnosis, showing polyhedral odontogenic epithelium with amyloid-like material. The patient underwent conservative surgical excision, preserving function and aesthetics, with no recurrence observed at 16 months postoperatively. This case underscores the importance of a multidisciplinary approach in managing CEOT, particularly in complex anatomical regions, to achieve favorable outcomes. Long-term follow-up remains essential. Calcifying Epithelial Odontogenic; Pindborg tumor; CEOT; maxilla; odontogenic tumors.

摘要

本病例报告呈现了一名52岁男性上颌骨发生钙化上皮性牙源性肿瘤(CEOT)的罕见病例,其特征为无痛性生长肿物及面部不对称。影像学检查显示上颌窦、鼻腔、翼突板及眶下缘广泛受累。组织病理学分析确诊了该病例,显示多面体形牙源性上皮伴有淀粉样物质。患者接受了保守性手术切除,保留了功能和美观,术后16个月未观察到复发。该病例强调了多学科方法在管理CEOT中的重要性,尤其是在复杂解剖区域,以实现良好预后。长期随访仍然至关重要。钙化上皮性牙源性;平博肿瘤;CEOT;上颌骨;牙源性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9bd/12142358/1915a24893f3/jced-17-05-e599-g001.jpg

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