Kozlowski K, Masel J, Sprague P, Tamaela L, Kan A, Middleton R
Pediatr Radiol. 1981;11(4):183-92. doi: 10.1007/BF00972049.
Sixteen cases of mandibular tumors or paramandibular soft tissue tumors with mandibular involvement are reported. These include such rare mandibular tumors or tumor-like conditions as melanotic progonoma, intraosseous haematoma secondary to von Willebrand's disease, post-irradiation osteosarcoma, monostotic eosinophilic granuloma, aneurysmal bone cyst and osseous hemangiopericytoma. Three cases of cherubism, one of fibrous dysplasia or aggressive fibromatosis and one of central giant cell reparative granuloma are also reported. The soft tissue tumors comprise round cell sarcoma, parotid adeno-carcinoma with generalised metastases, embryonal rhabdo-myo-sarcoma, neuro-fibro-sarcoma and congenital cystic hygroma. In all the cases the disease was well advanced when the patient presented for X-ray examination. The specific X-ray diagnosis of mandibular and paramandibular tumors in childhood is more difficult than that of similar tumors in other parts of the body.
报告了16例下颌骨肿瘤或累及下颌骨的下颌旁软组织肿瘤。这些包括罕见的下颌骨肿瘤或肿瘤样病变，如黑素性促性腺瘤、继发于血管性血友病的骨内血肿、放疗后骨肉瘤、单发性嗜酸性肉芽肿、动脉瘤样骨囊肿和骨血管外皮细胞瘤。还报告了3例 cherubism、1例纤维发育异常或侵袭性纤维瘤病以及1例中央巨细胞修复性肉芽肿。软组织肿瘤包括圆形细胞肉瘤、伴有全身转移的腮腺腺癌、胚胎性横纹肌肉瘤、神经纤维肉瘤和先天性囊状水瘤。所有病例在患者前来进行X线检查时病情都已发展到晚期。儿童下颌骨和下颌旁肿瘤的X线特异性诊断比身体其他部位类似肿瘤的诊断更困难。
