腺性牙源性囊肿的复发:系统回顾

IF 3.2 Q2 PATHOLOGY
Alberto Peraza Labrador, Ashim Shrestha, Marianela Gonzalez, Nestor Ricardo Gonzalez Marin, Marcelo Villacis, Mathew Kesterke, Juan Pablo Lopez, John Wright
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引用次数: 0

摘要

背景:腺源性牙源性囊肿(GOC)是一种颌骨良性发育囊肿,其特点是复发率高:腺性牙源性囊肿(GOC)是一种颌骨良性发育囊肿,其特点是复发率高:方法:本文对已报道的腺性牙源性囊肿病例、系列病例和复发病例的回顾性研究进行了系统回顾,以确定总体和详细的人口统计学特征,并记录每个囊肿初次发病的具体组织学特征。通过对详细数据库的检索,确定了1988年至2023年期间发表的英文文章。变量包括人口统计学、患者症状、囊肿位置、放射学特征、组织病理学结果、治疗类型以及至少八个月的随访:共发现 18 个病例:男女比例为 50%,其中女性占 50%,男性占 50%。平均年龄为 44.7 岁。平均大小为 3.5 厘米。最常见的位置是下颌骨前部,占 50%(9 例),其次是下颌骨后部,占 27.8%(5 例)。大多数患者无症状,占 55.6%(10 例)。初诊时最常见的组织学特征是粘液细胞占88.9%(16例),厚度不一的粘液细胞占83.3%(15例),嗜酸性立方体细胞占88.9%(16例),小囊泡占83.3%(15例),透明细胞占77.8%(14例):结论:GOC 具有侵袭性。没有确凿证据表明任何单一或组合的组织学特征与复发有关,与复发相关性最强的是治疗类型。由于这是一种不常见的囊肿,因此需要更多的病例。随访至少应持续五年,因为第三和第五年的复发率较高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recurrence of Glandular Odontogenic Cysts: A Systematic Review.

Background: The glandular odontogenic cyst (GOC) is a benign developmental cyst of the jaws that is characterized by a high recurrence rate.

Methods: A systematic review is presented of reported cases, case series, and retrospective studies of recurrent cases of glandular odontogenic cysts, to determine the overall and detailed demographic features with documentation of the specific histologic features of the initial presentation of each cyst. Searches of detailed databases were carried out to identify articles published in the English language from 1988 to 2023. The variables were demographics, patient symptoms, cyst location, radiographic features, histopathological findings, type of treatment, and minimum eight months of follow-up.

Results: Eighteen cases were identified: with an equal gender presentation of 50% females and 50% males. The average age was 44.7. The mean size was 3.5 cm. The most common location was in the anterior mandible in 50% (n = 9) of cases, followed by the posterior mandible 27.8% (n = 5). Most patients were asymptomatic 55.6% (n = 10). The most common histologic features at first diagnosis were mucous cells in 88.9% (n = 16), variable thickness with 83.3% (n = 15), eosinophilic cuboidal cells 88.9% (n = 16), microcysts 83.3% (n = 15), and clear cells 77.8% (n = 14) cases.

Conclusion: GOC has an aggressive behavior. Evidence was not conclusive to link any single or combination of histologic features to recurrence, and the strongest correlation for recurrence was the type of treatment. Since this is an uncommon cyst, more cases are needed. Follow-up should continue for at least five years, because recurrences were higher between years 3 and 5.

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来源期刊
CiteScore
5.70
自引率
9.50%
发文量
99
期刊介绍: Head & Neck Pathology presents scholarly papers, reviews and symposia that cover the spectrum of human surgical pathology within the anatomic zones of the oral cavity, sinonasal tract, larynx, hypopharynx, salivary gland, ear and temporal bone, and neck. The journal publishes rapid developments in new diagnostic criteria, intraoperative consultation, immunohistochemical studies, molecular techniques, genetic analyses, diagnostic aids, experimental pathology, cytology, radiographic imaging, and application of uniform terminology to allow practitioners to continue to maintain and expand their knowledge in the subspecialty of head and neck pathology. Coverage of practical application to daily clinical practice is supported with proceedings and symposia from international societies and academies devoted to this field. Single-blind peer review The journal follows a single-blind review procedure, where the reviewers are aware of the names and affiliations of the authors, but the reviewer reports provided to authors are anonymous. Single-blind peer review is the traditional model of peer review that many reviewers are comfortable with, and it facilitates a dispassionate critique of a manuscript.
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