Schulz P, von Skerst H, Rummel H H, Wurster K
J Maxillofac Surg. 1981 Feb;9(1):35-41. doi: 10.1016/s0301-0503(81)80009-4.
The early diagnosis of a malignant or premalignant change in cyst epithelium in the follow-up control of fenestrated odontogenic cysts can easily be made using exfoliative cytology. This investigation reveals the findings in 408 cyto-smears of 89 patients. Only in one case was the cyst epithelium free of pathological signs. 405 cyto-smears showed very variable inflammatory changes. The smears of one patient were typical for an ameloblastoma, microscopically smears of three patients showed keratinised epithelium. If the radical removal of an odontogenic cyst is not possible, cyto-smears should be applied and randomly repeated. Thus the possible change of cyst epithelium via inflammation or dysplasia to malignancy can be detected and treated earlier.
在有孔型牙源性囊肿的随访控制中，使用脱落细胞学检查可轻松实现对囊肿上皮恶性或癌前病变的早期诊断。本研究揭示了89例患者408份细胞涂片的检查结果。仅1例囊肿上皮无病理迹象。405份细胞涂片显示出非常多样的炎症变化。1例患者的涂片在显微镜下为成釉细胞瘤典型表现，3例患者的涂片显示有角化上皮。如果无法对牙源性囊肿进行根治性切除，应进行细胞涂片检查并随机重复。这样可以更早地检测和治疗囊肿上皮可能因炎症或发育异常而转变为恶性的情况。
