混合牙病变:一个罕见实体的病例系列
Muhammad Raza1, Arsalan Ahmed1, Jamshid Abdul-Ghafar2
1Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi, Pakistan.
Heliyon
|May 30, 2023
概括
混合性牙病变,罕见且难以诊断,在年轻女性中经常以骨化纤维瘤或水泥骨化纤维瘤的形式出现. 保守的外科治疗通常是有效的,没有观察到复发.
科学领域:
- 口腔和面病理学 口腔和面病理学
- 牙发生性瘤 牙发生性瘤
- 手术病理学手术病理学
背景情况:
- 混合牙病变是一种罕见的实体,具有多个不同的组织学组成部分.
- 它们的复杂性质给临床医生和病理学家带来了重大诊断挑战.
- 了解它们的特征对于准确的诊断和有效的管理至关重要.
研究的目的:
- 调查混合牙病变的临床,放射和病理特征.
- 分析这些罕见病变的行为和治疗结果.
- 提高对混合牙病变的认识,提高诊断准确度.
主要方法:
- 对2012年至2020年间诊断的混合性牙病变的血素和氨酸染色幻灯片的回顾性审查.
- 从患者病历中收集人口统计和放射学数据.
- 对临床表现,放射学发现,组织学类型和治疗方式的分析.
主要成果:
- 确定了8例病例,主要影响年轻人 (平均年龄为19.1岁),女性倾向 (1:1.7比).
- 部病变更为常见,呈现为胀与相关症状,如出血和疼痛. 从放射学上看,病变大多是有界线的,放射性.
- 最常见的组织学组成部分是骨化纤维瘤/骨化纤维瘤 (62%),其次是巨细胞颗粒瘤样病变 (25%).
结论:
- 混合性牙病变最常发生在年轻的女性在他们的第二个十年,经常涉及骨化纤维瘤和水泥-骨化纤维瘤组件.
- 手术管理,包括核切除和切割,似乎充足,在随访期间没有报告复发.
- 对于这些罕见的病变,建议采取保守的治疗方法.
相关概念视频
01:15Teeth
513
The formation of teeth, also known as odontogenesis, is a complex process that begins in utero, around the sixth week of embryonic development. There are three stages to this process: the bud stage, the cap stage, and the bell stage.
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
In the bud stage, the tooth germ (an aggregation of cells) starts to form in the developing jawbone. During the cap stage, the tooth germ differentiates into enamel organ, dental papilla, and dental sac, which will later develop into the tooth's enamel, dentin...
513
01:21Tooth Anatomy
581
The human tooth enables us to eat a variety of foods, speak clearly, and even aid in shaping our faces. Teeth are composed of various elements that work together. Here's a detailed look at the anatomy of a human tooth.
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
The Crown, Neck, and Root
The visible part of the tooth is referred to as the crown. It's covered by enamel, the hardest substance in the human body. The crown is uniquely shaped for each type of tooth, allowing for different functions such as cutting, tearing, or...
581