颌面部放射学:网状基底细胞癌综合征

Lené Merbold, Zarah Yakoob
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引用次数: 0

摘要

一位18岁的男性患者于2009年来到我们的牙科诊所进行牙科评估。采用全景x线片评估牙冠(图1)。在右上颌偶然发现,表现为一个界限清晰,圆形,单眼,透光的病变,皮质边缘从右上颌结节区延伸到16个病因的远端。18.影响。活检被诊断为牙源性角化囊肿(OKC),随后被去核。2021年,患者返回,并拍摄了另一张全景x线片(图2)和Waters视图,可见大脑镰钙化(图3)。在全景x线片上,可以看到额外的下颌病变,表现为边界清晰,圆形,单眼,透光病变,皮质边缘从46远端延伸到缺失的47,48区域。然后是CBCT。进一步分析病变(图4)。在右侧后下颌骨进行活检,诊断为OKC。2023年,患者返回并进行了CBCT检查。右上颌骨在去核病变附近显示骨密度增高(图5)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MAXILLOFACIAL RADIOLOGY Nevoid Basal Cell Carcinoma Syndrome
An 18-year-old male patient presented at our dental clinic in 2009 for a dental assessment. A panoramic radiograph was taken to evaluate dental crowning (Figure 1). An incidental finding was noted in the right maxilla, presenting as a well-demarcated, round, unilocular, radiolucent lesion with a corticated rim extending from the right maxillary tuberosity area to distal of the 16 causing. impaction of the 18. A biopsy was taken and diagnosed as an odontogenic keratocyst (OKC) that was subsequently enucleated. In 2021 the patient returned, and another panoramic radiograph (Figure 2) and a Waters view was taken where calcification of the falx cerebri was seen (Figure 3). On the panoramic radiograph an additional mandibular lesion was visible that presented as a well-demarcated, round, unilocular, radiolucent lesion with a corticated rim extending from distal of the 46 into the missing 47, 48 area. A CBCT was then. taken to further analyse the lesions (Figure 4). A biopsy was taken in the right posterior mandible and diagnosed as an OKC. In 2023 the patient returned and a CBCT was taken. The right maxilla showed increased bone density adjacent to the enucleated lesion (Figure 5).
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