Smith R A, Hansen L S, DeDecker D
J Am Dent Assoc. 1980 May;100(5):706-9. doi: 10.14219/jada.archive.1980.0214.
A case of atypical calcifying epithelial odontogenic tumor is reported to show that many different lesions can cause periapical radiolucent areas and to contribute to the expanding histologic spectrum of the calcifying epithelial odontogenic tumor. Methods used in differential diagnosis of radiolucent lesions in the jaws include: comprehensive history, clinical and radiographic examination, tooth vitality tests, laboratory tests, aspiration, and biopsy. To prevent hemorrhage, precautions should be taken before biopsy or surgery to rule out a vascular lesion. Proper treatment of odontogenic tumors requires thorough removal of the tumor for initial therapy and close, long-term, follow-up observation to check for recurrence.
报告了一例非典型钙化上皮性牙源性肿瘤病例,以表明许多不同病变可导致根尖周透射区,并有助于扩大钙化上皮性牙源性肿瘤的组织学谱。颌骨透射性病变鉴别诊断中使用的方法包括:全面病史、临床和影像学检查、牙齿活力测试、实验室检查、抽吸和活检。为防止出血,活检或手术前应采取预防措施以排除血管病变。牙源性肿瘤的恰当治疗需要在初始治疗时彻底切除肿瘤,并进行密切、长期的随访观察以检查是否复发。