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題名 | 下顎單囊造釉母細胞瘤--病例報告=Unicystic Ameloblastoma at Mandible--A Case Report |
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作者 | 徐允中; 吳契璁; 許博智; 蔣孟達; 葉筱雯; 林佑俊; 李曉屏; 陳元武; | 書刊名 | 臺灣口腔顎面外科學會雜誌 |
卷期 | 23:1 2012.03[民101.03] |
頁次 | 頁45-54 |
分類號 | 416.954 |
關鍵詞 | 單囊造釉母細胞瘤; 細針抽吸; 復發率; Unicystic ameloblastoma; Fine needle aspiration; Recurrence; |
語文 | 中文(Chinese) |
中文摘要 | 顎骨囊狀病灶中,將造釉母細胞瘤作出鑑別診斷相當重要,因其具有較高的復發率.傳統X光檢查輔以電腦斷層或核磁共振攝影,可協助診斷造釉母細胞瘤.本病例利用傳統X光及電腦斷層,搭配細針抽吸細胞學檢查,初步排除惡性腫瘤後,診斷出單囊造釉母細胞瘤.使用改良技術後腫瘤摘除,並保留其下齒槽神經之完整.病理檢驗結果,顯示腫瘤包含囊腔內增生及囊壁間侵犯.經多次追蹤,目前為術後33個月,腫瘤無復發跡象.本篇報告回顧文獻,分別在影像、細針抽吸細胞學檢查上,及單囊造釉母細胞瘤之病理分類與術式的選擇作描述討論. |
英文摘要 | Differentiating ameloblastomas from other cystic lesions in the maxillomandibular region is important because of their high recurrence rates. We report a case of a large unicystic ameloblastoma in a 20-year-old male, as diagnosed by conventional radiography, CT image, and fine-needle aspiration cytology. The tumor was treated by modified technique of enucleation, and we retained the integrity of the inferior alveolar nerve successfully. Microscopically the tumor showed two histologic types of intraluminal proliferation and intramural invasion. After several follow-up visits, there has been no evidence of recurrence for 33 months after surgery. We reviewed the literatures, and discussed the images, fine-needle aspiration cytology, and the subtypes and surgical options of unicystic ameloblastoma, respectively. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。