快速扩张的牙源性黏液瘤:一个具有诊断挑战的实体- 1例报告。

IF 0.7 Q4 DENTISTRY, ORAL SURGERY & MEDICINE
Case Reports in Dentistry Pub Date : 2025-04-14 eCollection Date: 2025-01-01 DOI:10.1155/crid/5741422
Suwarna Dangore-Khasbage, Rajanikanth Kambala, Hanadi Sabban, Aakanksha Tiwari, Monika Khubchandani
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引用次数: 0

摘要

牙源性黏液瘤是一种罕见的良性牙源性肿瘤,具有局部侵袭性。它经常影响女性在第二或第三十年的生活,通常发生在下颌后区域作为一个缓慢增长的病变。上颌病变常出现侵袭性行为。然而,这个病例报告描述了牙源性黏液瘤在几个月内具有侵略性或迅速扩张的行为,占据了下颌骨的分支和角度。一个18岁的女孩报告的主诉逐渐增加无痛性肿胀在下颌骨后区域4个月。口腔外检查显示左侧下颌后区弥漫性,坚硬,无痛性肿胀,下颌左第三磨牙缺失,下颌后区颊部和舌部扩张。x线表现为大而清晰的多房透光度和下颌左第三磨牙阻生。基于临床特征和影像学表现,成釉纤维瘤、牙性囊肿、单囊性成釉细胞瘤和牙源性角化囊肿是鉴别诊断的考虑因素。然而,组织病理学检查证实它是牙源性黏液瘤,然后手术治疗。这表明,虽然影像学检查是诊断的第一步,但牙源性黏液瘤表现出多种影像学特征,需要进行组织病理学检查才能确诊。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Rapidly Expanding Odontogenic Myxoma: An Entity With Diagnostic Challenges-A Case Report.

Odontogenic myxoma is a rare benign odontogenic tumor having locally aggressive behavior. It frequently affects the females in the second or third decade of life and commonly occurs in the mandibular posterior region as a slow-growing lesion. The aggressive behavior is often seen in maxillary lesions. However, this case report describes odontogenic myxoma with aggressive or rapidly expanding behavior occupying the ramus and angle of the mandible in few months. An 18-year-old girl reported with a chief complaint of gradually increasing painless swelling in the posterior region of the mandible for 4 months. Extraoral examination revealed diffuse, firm to hard, nontender swelling on the left mandibular posterior region and intraorally missing mandibular left third molar with expansion in the buccal and lingual aspect in the mandibular posterior region. Radiographic features depicted large well-defined multilocular radiolucency and impacted mandibular left third molar. Based on clinical features and radiographic findings, ameloblastic fibroma, dentigerous cyst, unicystic ameloblastoma, and odontogenic keratocyst were the entities considered in differential diagnosis. However, the histopathological examination confirmed it as odontogenic myxoma which was then treated surgically. This concludes that though radiographic examination is the first step meant for diagnosis, odontogenic myxoma depicts variety of radiographic features mandating histopathological examination for confirmation of the diagnosis.

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来源期刊
Case Reports in Dentistry
Case Reports in Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.40
自引率
12.50%
发文量
107
审稿时长
14 weeks
期刊介绍: Case Reports in Dentistry is a peer-reviewed, Open Access journal that publishes case reports and case series in all areas of dentistry, including periodontal diseases, dental implants, oral pathology, as well as oral and maxillofacial surgery.
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