[上皮性牙源性肿瘤的分类]
[Classification of epithelial odontogenic tumors].
作者信息
Bednár B, Toman J, Mazánek J
出版信息
Cesk Patol. 1980 Feb;16(1):18-28.
A retrospective series of 31 purely epithelial odontogenic tumours consisted of 21 ameloblastomas, 2 adenomatoid odontogenic tumours, 2 calcifying epithelial odontogenic tumours, and 6 calcifying odontogenic cysts. Modern histological classification gives an accurate picture of some of the structural and biological differences between the above types of tumour. In spite of the, their common basis does result in some of the common features so that the precise classification of the specific tumour may pose problems or give rise to terminological disputes. For practical work it will do in the group of epithelial odontogenic tumours to insist strictly on the basic condition of the absence of either proliferating mesenchyma or hard dental tissues. This requirement naturally leads to the placing of ameloblastic odontoma outside the field of purely epithelial odontongenic tumours. Judging the biological nature of epithelial odontogenic tumours according to their structure is not reliable, a fact brought out by comparisons of ameloblastoma and adenomatoid odontogenic tumours. Rather one could rely on the nature of tumour growth. An evidently carcindependent classification pattern. Suspicion of a higher degree of malignity can be expressed by description.
回顾性分析31例纯上皮性牙源性肿瘤,其中包括21例成釉细胞瘤、2例腺样牙源性肿瘤、2例钙化上皮性牙源性肿瘤和6例牙源性钙化囊肿。现代组织学分类准确地呈现了上述类型肿瘤之间的一些结构和生物学差异。尽管如此,它们的共同基础确实导致了一些共同特征,以至于特定肿瘤的精确分类可能会带来问题或引发术语争议。对于实际工作而言,在牙源性上皮性肿瘤组中,严格坚持不存在增殖性间充质或硬牙组织这一基本条件即可。这一要求自然导致成釉细胞性牙瘤被排除在纯上皮性牙源性肿瘤范畴之外。根据结构判断牙源性上皮性肿瘤的生物学性质并不可靠,成釉细胞瘤和腺样牙源性肿瘤的比较就揭示了这一事实。相反,可以依据肿瘤生长的性质。这是一种明显的非依赖于癌的分类模式。通过描述可以表达对更高恶性程度的怀疑。