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骨化性纤维瘤——一种疾病还是六种?对39例颌骨纤维-骨病变的分析。

Ossifying Fibroma-one disease or six? An analysis of 39 fibro-osseous lesions of the jaws.

作者信息

Langdon J D, Rapidis A D, Patel M F

出版信息

Br J Oral Surg. 1976 Jul;14(1):1-11. doi: 10.1016/0007-117x(76)90087-1.

DOI:10.1016/0007-117x(76)90087-1
PMID:821512
Abstract

Thirty-nine cases of benign fibro-osseous lesions of the jaws of which ten cases were reported as central ossifying fibromata are reviewed. Such lesions usually present in young adults with the exception of classical fibrous dysplasia which is normally first diagnosed in the second decade of life. All the lesions appear to be more common in females and with the exception of the peripheral ossifying fibroma show a prediliction for the mandible. It is argued that as there is no absolute histological distinction between bone and cementum and as cementum-like areas of calcification are seen in fibro-osseous lesions of all membrane bones the distinction between ossifying and cementifying lesions should be discontinued. It is also suggested that the benign fibro-osseous jaw lesions may represent different stages in the evolution of a single disease process.

摘要

本文回顾了39例颌骨良性纤维-骨病变,其中10例曾被报告为中央性骨化性纤维瘤。除经典型骨纤维异常增殖症通常在生命的第二个十年首次诊断外,此类病变多见于年轻人。所有病变在女性中似乎更为常见,除周边性骨化性纤维瘤外,均好发于下颌骨。有人认为,由于骨与牙骨质之间没有绝对的组织学区别,且在所有膜性骨的纤维-骨病变中均可见到类牙骨质样钙化区域,因此应停止使用骨化性病变与牙骨质化性病变的区分。还有人提出,颌骨良性纤维-骨病变可能代表单一疾病过程演变的不同阶段。

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