Central odontogenic fibroma, granular cell variant

Peter A. Reichart , Hans Peter Philipsen , Alexander Moegelin , Uwe Thalmann
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引用次数: 23

Abstract

A case of central odontogenic fibroma (COF) of the epithelium-rich type (granular cell variant) is reported. A 46-year-old female, demonstrated a multilocular, septated radiolucency below and between the roots of the teeth in 44–47 region. On microscopy the lesion revealed an odontogenic fibroma of the epithelium-rich type with areas characterized by lobules of spherical cells of varying size containing fine S-100 negative granules. In addition, scattered foci of cementoid/osteoid calcified material occurred. Based on several studies, the present authors entertain the hypothesis that supports a histiocystic origin the granular cells. Therapy consisted of curettage of the lesion. The defect was filled with spongeous bone. No recurrence occurred after follow-up of two years.

中枢性牙源性纤维瘤,颗粒细胞变异
报告一例富上皮型(颗粒细胞变异)的中枢性牙源性纤维瘤(COF)。46岁女性,44-47区牙根下方及牙根之间有多室、分离的透光。显微镜下病变显示为富上皮型牙源性纤维瘤,其区域特征为不同大小的球形细胞小叶,含有细小的S-100阴性颗粒。此外,骨质样钙化物质散在灶发生。基于几项研究,本文作者提出了支持颗粒细胞起源于组织囊性的假设。治疗包括病灶的刮除。缺损处填以海绵状骨。随访2年无复发。
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