治疗大型牙源性角化囊肿:5 年随访

Gülin Acar, Selen Adi̇loğlu, Alper Aktaş
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引用次数: 0

摘要

牙源性角化囊肿(OKC)给牙科和口腔病理学领域带来了独特的挑战。这种局部侵袭性病变一直是文献中争论的主题,讨论围绕着它是囊肿还是肿瘤的分类展开。作为颌骨中第三大最常见的囊肿,它的突出地位吸引了临床医生和研究人员的关注。鉴于其侵袭性临床表现和高复发率,人们提出了各种治疗方法来解决 OKC 问题并降低复发风险,但理想的治疗方法和手术切缘仍然难以确定。本病例报告重点介绍了大面积环形 OKC 的治疗方法,并强调了对患者进行长期随访的重要性。患者经过 5 年的严密监测,没有出现任何复发迹象。最终,本病例强调了采用个性化治疗方法的重要性,即考虑患者的具体需求和病变特征。通过优先考虑以患者为中心和以病变为导向的决策,本病例为临床医生提供了宝贵的见解,并为今后类似病例的治疗提供了参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TREATMENT OF A LARGE ODONTOGENIC KERATOCYST: A 5-YEAR FOLLOW-UP
The Odontogenic Keratocyst (OKC) presents a unique challenge in the field of dentistry and oral pathology. This locally aggressive lesion has been a subject of debate in the literature, with discussions revolving around its classification as either a cyst or a tumor. Its prominence as the third most common cyst in the jaw bones has captured the attention of clinicians and researchers alike. Given its aggressive clinical behavior and high recurrence rate, various treatment methods have been proposed to address OKC and mitigate the risk of recurrence, yet the ideal treatment approach and surgical margins remain elusive. This case report highlights the management of a large circumscribed OKC and underscores the importance of long-term patient follow-up. The patient has undergone 5 years of vigilant monitoring without any signs of recurrence. Ultimately, this case underscores the significance of adopting a personalized treatment approach that considers the patient's specific needs and lesion characteristics. By prioritizing patient-centered and lesion-oriented decision-making, this case offers valuable insights for clinicians and serves as a reference for future similar cases.
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