Fukushima D, Kobayashi H, Takeda I, Yamane G, Tanaka Y
Department of Oral Medicine, Tokyo Dental College, Chiba, Japan.
Bull Tokyo Dent Coll. 1997 Aug;38(3):223-7.
A case of desmoplastic ameloblastoma of the maxilla is presented. The tumor showed characteristic radiographical and histological features. Radiographically, the tumor showed a mixed radiolucent-radiopaque lesion occupying the left maxillary sinus with undefined borders in the alveolar process. Histopathologically, the tumor was characterized by abundant, densely collagenous stroma with small nests and strands of odontogenic epithelium and bone tissues. Findings during operation suggested that the tumor arising in the alveolar process had grown upwards and almost displaced the left maxillary sinus. Complete resection is recommended for this variant because of the possibility of tumor infiltration into the surrounding bone marrow spaces.
本文报告一例上颌骨促结缔组织增生性成釉细胞瘤。该肿瘤具有典型的影像学和组织学特征。影像学上,肿瘤表现为占据左上颌窦的透射线与阻射线混合的病变,在牙槽突处边界不清。组织病理学上,肿瘤的特征为富含大量致密胶原纤维的间质,伴有小巢状和条索状牙源性上皮及骨组织。手术所见提示,起源于牙槽突的肿瘤向上生长,几乎取代了左上颌窦。鉴于该肿瘤有浸润周围骨髓腔的可能,建议对该型肿瘤进行完整切除。