Collings S J, Harrison A
Department of Prosthetic Dentistry & Dental Care of the Elderly, Dental School and Hospital, Bristol.
Br Dent J. 1993 Mar 20;174(6):202-6. doi: 10.1038/sj.bdj.4808126.
A case is described in which a patient who was originally treated by radical mandibular surgery including rib grafting, having been told that she had a dentigerous cyst, presented 49 years later with a follicular ameloblastoma. The case is discussed in an attempt to determine whether the initial diagnosis could have been ameloblastoma (if so, this demonstrates a long-term recurrence), whether this is a follicular ameloblastoma arising from remnants of an original dentigerous cyst, or whether this is an ameloblastoma, developing subsequently and coincidentally from adjacent dental lamina. This report is of historical interest, not only because of the long period of time that has elapsed between initial treatment and the present ameloblastoma, but also because of the eminent surgeons involved and the advanced techniques that they so proficiently carried out in 1942-1943.
本文描述了一例患者，最初接受了包括肋骨移植在内的根治性下颌骨手术，当时被告知患有含牙囊肿。49年后，该患者出现滤泡性成釉细胞瘤。本文对该病例进行了讨论，试图确定最初的诊断是否可能为成釉细胞瘤（如果是，这表明存在长期复发情况），这是否是起源于原始含牙囊肿残余组织的滤泡性成釉细胞瘤，或者这是否是随后巧合地从相邻牙板发展而来的成釉细胞瘤。本报告具有历史意义，不仅因为从最初治疗到目前的成釉细胞瘤出现之间间隔了很长时间，还因为涉及的知名外科医生以及他们在1942 - 1943年熟练实施的先进技术。
