Hussain K, Edmondson H D, Browne R M
Department of Oral and Maxillofacial Surgery, Dental Hospital and School, Birmingham, UK.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995 May;79(5):593-602. doi: 10.1016/s1079-2104(05)80101-5.
Four cases of glandular odontogenic cyst are reported. Review of these and 13 previously reported cases indicates that they present as slowly growing, painless, radiolucent swellings with a predilection for the anterior part of the mandible. An incisional biopsy is essential to establish a definitive preoperative diagnosis. The unpredictable and potentially aggressive nature of these lesions is suggested by their extensive nature, penetration of cortical bone, locally invasive potential, and high incidence of recurrence after conservative treatment. In view of this behavior we suggest en bloc excision and primary reconstruction to ensure cure and reduce the operative morbidity.
本文报告了4例腺牙源性囊肿。对这些病例以及之前报告的13例病例进行回顾后发现，它们表现为生长缓慢、无痛的透射性肿胀，好发于下颌前部。切开活检对于术前明确诊断至关重要。这些病变具有广泛的范围、皮质骨穿透、局部侵袭潜能以及保守治疗后高复发率，提示其具有不可预测且潜在侵袭性的本质。鉴于此，我们建议整块切除并一期重建，以确保治愈并降低手术并发症。
