Wu Y, Yu S, Zhang Z
School of Stomatology, Beijing Medical University.
Zhonghua Kou Qiang Yi Xue Za Zhi. 1995 Sep;30(5):263-5, 319.
Fifty-six cases of mural ameloblastoma were ananlyzed clinically and radiographically. They were transformed by ameloblastomous changes from keratocyst, occuring in 28.2% of ameloblastoma. The disease was often seen in patients of 10-29 years old with a mean of 21.8. Most of them were seen in mandible (53/56), especially in ramus (40/50). The radiographic appearance is divided into three subtypes: (1) ramus-mandibular body pattern, including dentigerous (31/56) and non-dentigerous (9/56); (2) sub-apical pattern (12/56); (3) inter-radicular pattern (4/56). The mainpoint of radiographic diagnosis is the appearance of unilocular or multilocular radiolucency of similar size, located in ramus-mandibular body or mandibular body region. The large lesions have a tendency to expand along the mandible. The roots of teeth are absorbed apparently, demonstrating serrated or amputated appearance.
对56例壁性成釉细胞瘤进行了临床和影像学分析。它们由角化囊肿的成釉细胞瘤样改变转化而来,占成釉细胞瘤的28.2%。该病常见于10至29岁的患者,平均年龄为21.8岁。大多数病例见于下颌骨(53/56),尤其是下颌支(40/50)。影像学表现分为三种亚型:(1)下颌支-下颌体型,包括含牙型(31/56)和非含牙型(9/56);(2)根尖下型(12/56);(3)根间型(4/56)。影像学诊断的要点是在下颌支-下颌体或下颌体区域出现大小相似的单房或多房透光区。大的病变有沿下颌骨扩展的倾向。牙齿的牙根明显吸收,呈锯齿状或截断状外观。