冷冻消融成功治疗颌骨磷化间充质肿瘤致肿瘤性骨软化1例

IF 3.1 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Yindong Liu, Mengyao Guo, Xiaoding Liu, Huanwen Wu, Yan Jiang, Zhiwei Wang, Hongli Jing, Weibo Xia, Jizhi Zhao, Lian Zhou
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引用次数: 0

摘要

背景:一名35岁男性被诊断为右上颌骨由磷化间充质肿瘤(PMT)引起的肿瘤性骨软化症(TIO)。病例总结:患者在我院接受ct引导下的冷冻消融治疗,成功地根除了肿瘤,同时保留了邻近牙齿的牙髓活力。我们描述了临床病史、体格检查结果、实验室检查、功能成像和评估治疗结果的随访方案。冷冻消融通过症状缓解、血清磷水平正常化、维持牙髓活力以及保存邻近天然牙显示出治疗效果。结论尽管广泛的手术切除仍然是颌骨pmt的标准治疗方法,但图像引导下的冷冻消融是一种微创的替代方法。这种方法在保留咬合解剖和功能方面具有显著的优势,标志着TIO管理的范式转变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Successful cryoablation for a phosphaturic mesenchymal tumor in the maxilla causing tumor-induced osteomalacia: a case report

Background

A 35-year-old man was diagnosed with tumor-induced osteomalacia (TIO) caused by a phosphaturic mesenchymal tumor (PMT) in the right maxilla.

Case Summary

The patient underwent CT-guided cryoablation at our institution, which successfully eradicated the tumor while preserving the pulpal vitality of adjacent teeth. We describe the clinical history, physical examination findings, laboratory tests, functional imaging, and follow-up protocol for evaluating treatment outcomes. Cryoablation demonstrated therapeutic efficacy through symptomatic relief, normalization of serum phosphorus levels, and maintenance of pulpal vitality, as well as preservation of neighboring natural teeth.

Conclusion

Although extensive surgical resection remains the standard treatment for PMTs in jaw bones, image-guided cryoablation presents a minimally invasive alternative. This approach offers significant advantages in preserving occlusal anatomy and functionality, marking a paradigm shift in TIO management.

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来源期刊
Archives of Osteoporosis
Archives of Osteoporosis ENDOCRINOLOGY & METABOLISMORTHOPEDICS -ORTHOPEDICS
CiteScore
5.50
自引率
10.00%
发文量
133
期刊介绍: Archives of Osteoporosis is an international multidisciplinary journal which is a joint initiative of the International Osteoporosis Foundation and the National Osteoporosis Foundation of the USA. The journal will highlight the specificities of different regions around the world concerning epidemiology, reference values for bone density and bone metabolism, as well as clinical aspects of osteoporosis and other bone diseases.
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