颌骨牙源性黏液瘤的临床及影像学特征
Clinical and radiological features of odontogenic myxoma of the jaws.
作者信息
Kaffe I, Naor H, Buchner A
机构信息
Department of Oral Pathology and Oral Medicine, Maurice and Gabriela Goldschleger School of Dental Medicine, Tel Aviv University, Israel.
出版信息
Dentomaxillofac Radiol. 1997 Sep;26(5):299-303. doi: 10.1038/sj.dmfr.4600261.
OBJECTIVES
To analyse critically the clinical and radiological features of odontogenic myxoma.
METHODS
The clinical features of 164 cases of odontogenic myxoma (two new and 162 from the literature) and the radiological features of 96 cases (two new and 94 from the literature) were analysed.
RESULTS
Most of the tumors (75%) were diagnosed in the 2nd to 4th decades. The male to female ratio was 1:1.5. Tumors were located in the mandible in two-thirds and in the maxilla one-third of cases. A multilocular appearance was observed in 55% and unilocular in 36%; 9% were not loculated. There was a statistically significant correlation (P < 0.000) between the size of the lesion and its locularity with the larger lesions more likely to be multilocular. Only 5% of the tumors were associated with an unerupted tooth.
CONCLUSIONS
Odontogenic myxoma has a variable clinical and radiological appearance and it should be considered in the differential diagnosis of radiolucent and mixed radiolucent-radiopaque lesions of both jaws in all age groups.
目的
批判性分析牙源性黏液瘤的临床及影像学特征。
方法
分析164例牙源性黏液瘤的临床特征（2例为新病例，162例来自文献）以及96例的影像学特征（2例为新病例，94例来自文献）。
结果
大多数肿瘤（75%）在第二至第四十年被诊断出来。男女比例为1:1.5。三分之二的病例肿瘤位于下颌骨，三分之一位于上颌骨。55%观察到多房表现，36%为单房；9%无房。病变大小与其房性之间存在统计学显著相关性（P < 0.000），较大病变更可能为多房。仅5%的肿瘤与未萌出牙有关。
结论
牙源性黏液瘤具有多样的临床和影像学表现，在各年龄组颌骨透X线及透X线与阻射X线混合性病变的鉴别诊断中均应考虑到。
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