模拟成釉细胞瘤的骨化纤维瘤的影像学表现

J. Tenório, Solange Kobayashi-Velasco, F. Nunes, M. Cavalcanti
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引用次数: 0

摘要

影像学检查是对记忆和体格检查的补充,以达到诊断、预后和治疗计划的目的。在本病例报告中,一位48岁男性白人患者在全景x线摄影后被全科医生推荐给口腔颌面外科医生进行治疗计划;植体手术随访显示左侧后下颌骨多房放射透光图像。仅根据全景x线摄影,诊断假设为成釉细胞瘤。外科医生决定进行切口活检。然而,在手术过程中,专业人员注意到病变很容易与相邻骨分离,并选择完全切除病变,从而将其诊断假设改为中央骨化性纤维瘤(COF)。组织病理学结果证实了医生提供的诊断假设,即COF。虽然多房表现并不常见,但在颌骨多房放射性病变的范围内,应考虑COF。此外,计算机断层成像检查应辅以手术和组织病理学方面,以确定最终诊断和指导治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Radiographic imaging pattern of ossifying fibroma mimicking ameloblastoma
Radiographic examinations complement the anamnesis and physical exam with the purpose of reaching diagnosis, prognosis and treatment planning. In this case report, a 48 year-old male Caucasian patient was referred to an oral and maxillofacial surgeon by a general practitioner after a panoramic radiography for treatment planning; the implant surgery follow-up portrayed a multilocular radiolucent image at the left posterior mandible. Based solely on the panoramic radiography, the diagnostic hypothesis was ameloblastoma. The surgeon decided to perform an incisional biopsy. However, during the procedure, the professional noted that the lesion was easily detached from the adjacent bone and opted for the total removal of the lesion, thus altering its diagnostic hypothesis to central ossifying fibroma (COF). The histopathological result confirmed the diagnostic hypothesis provided by the surgeon, i.e. COF. Although multilocular presentation is not common, COF should be considered in the scope of multilocular radiolucent lesions of the jaws. In addition, computerized tomography imaging exam complemented by surgical and histopathological aspects should be considered for establishing the final diagnosis and conducting the therapeutic approach.
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