上颌骨牙源性纤维瘤:一种罕见的临床实体

S. Pol, A. Dass, N. Gupta
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引用次数: 0

摘要

牙源性纤维瘤(OF)是一种罕见的起源于中胚层的良性肿瘤,其特征是在成熟的纤维间质中嵌有不同数量的看起来不活跃的牙源性上皮。当纤维瘤发生在上颌骨时,病变经常累及前区,而当纤维瘤发生在下颌骨时,病变往往位于后区,累及前磨牙区和磨牙区。我们报告一个36岁的女性患者,她有脸颊肿胀和面部毁容1年。活检提示牙源性肿瘤。经口经唇下入路完全切除,组织病理学上称为良性牙源性肿瘤,与牙源性纤维瘤一致。患者随访6个月无症状。在鉴别诊断时应考虑到纤维瘤和骨内纤维原性黏液瘤。肿瘤应保守处理,切除和刮除。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Odontogenic Fibroma of Maxilla: A Rare Clinical Entity
The odontogenic fibroma (OF) is a rare benign tumour of mesodermal origin characterized by varying amounts of inactive looking odontogenic epithelium embedded in a mature, fibrous stroma. The lesion appears frequently involving the anterior region, when fibroma occurs in the maxilla, whereas they tends to be located in the posterior area, involving the premolar and molar areas, when fibroma occurs in the mandible. We are presenting a case of 36 year old female patient who had cheek swelling and facial disfigurement for 1 year. Biopsy was suggestive of odontogenic tumor. Complete excision was done transorally with sublabial approach and was histopathologically called out as benign odontogenic tumour consistent with an Odontogenic Fibroma. Patient was asymptomatic till 6 months of followup. Desmoplastic fibroma and intra-osseous fibrogenic myxoma should be considered in the differential diagnosis. The tumour should be managed conservatively with enucleation and curettage.
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