Tsaknis P J, Nelson J F
J Oral Surg. 1980 May;38(5):336-42.
Twenty-four cases of maxillary ameloblastoma from the files of the dental and oral division of the Armed Forces Institute of Pathology and the US Army Institute of Dental Research were reviewed. Clinical findings showed an average age of 45.6 years, a male-to-female ratio of 2.4:1, and an equal racial distribution between whites and blacks. Eighty-eight percent of the tumors occurred distal to the maxillary canine. A slowly enlarging mass was the primary clinical sign in more than 90% of the cases. Recurrences were seen in eight of the 16 cases on which follow-up information was received. The majority of the tumors had a mixed follicular histologic pattern. Therapy should consist of either surgical block excision or hemimaxillectomy. The surgeon must carefully weigh the potential danger of the neoplasm against the deformity and disability caused by the surgical procedure.
回顾了来自武装部队病理研究所牙科与口腔科以及美国陆军牙科研究所档案中的24例上颌成釉细胞瘤病例。临床发现显示，平均年龄为45.6岁，男女比例为2.4:1，白人和黑人的种族分布相等。88%的肿瘤发生在上颌尖牙远中。超过90%的病例中，主要临床症状为缓慢增大的肿块。在收到随访信息的16例病例中，有8例出现复发。大多数肿瘤具有混合滤泡组织学模式。治疗应包括手术整块切除或半侧上颌骨切除术。外科医生必须仔细权衡肿瘤的潜在危险与手术操作所导致的畸形和功能障碍。
