do Carmo M A, Silva E C
Department of Oral Surgery and Pathology, School of Dentistry, Minas Gerais Federal University, Belo Horizonte, Brazil.
J Oral Pathol Med. 1998 Apr;27(4):153-6. doi: 10.1111/j.1600-0714.1998.tb01932.x.
Twenty-two cases of ameloblastoma and ten cases of adenomatoid odontogenic tumour (AOT) were analyzed comparatively by the AgNOR technique. Ameloblastomas were distributed into three groups according to their clinical behaviour: primary lesions without recurrences (PLWTR), 5 cases; primary lesions with recurrences (PLWR), 4 cases; and recurrences, 13 cases. The cases were also regrouped according to their histological pattern: follicular (9 cases), plexiform (7 cases), acanthomatous (4 cases) and unicystic (2 cases). Considering histological patterns, there was a significant statistical difference only between follicular and plexiform types. There were no significant differences between the group of ameloblastomas and the group of AOTs or between the three groups of ameloblastomas with different clinical behaviour. Our results strongly suggest that the distinct clinical behaviour of ameloblastomas and AOT is not correlated with their cellular proliferation ratio. Thus, the infiltrative ability of the ameloblastomas is probably not related to the cellular proliferation index of these tumours.
采用AgNOR技术对22例成釉细胞瘤和10例腺样牙源性肿瘤(AOT)进行了对比分析。根据临床行为,成釉细胞瘤分为三组:无复发的原发性病变(PLWTR),5例;有复发的原发性病变(PLWR),4例;复发病例,13例。病例还根据组织学模式重新分组:滤泡型(9例)、丛状型(7例)、棘皮瘤型(4例)和单囊型(2例)。考虑组织学模式,仅滤泡型和丛状型之间存在显著统计学差异。成釉细胞瘤组与AOT组之间或具有不同临床行为的三组成釉细胞瘤之间无显著差异。我们的结果强烈表明,成釉细胞瘤和AOT的不同临床行为与其细胞增殖率无关。因此,成釉细胞瘤的浸润能力可能与这些肿瘤的细胞增殖指数无关。