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牙的表皮性血管内皮瘤:一个具有挑战性的诊断
Luis Ortiz-Peces1, María Álvaro-Martínez1, Marta de Uribe-Viloria1
1Medical Resident. Oral and Maxillofacial Surgery Department. Hospital Universitario La Paz. Madrid, Spain.
Journal of clinical and experimental dentistry
|October 14, 2024
概括
皮质状血管内皮瘤 (EHE) 是一种罕见的血管瘤. 这项研究详细介绍了下牙上独特的痛苦EHE病例,强调了这种罕见的口腔瘤的诊断挑战和管理策略.
科学领域:
- 在瘤学瘤学.
- 口腔病理学 口腔病理学
- 血管生物学 血管生物学
背景情况:
- 皮质状血管内皮瘤 (EHE) 是一种罕见的血管新生瘤,报告的口腔发生情况有限.
- 在口腔中诊断具有挑战性,通常模仿良性病变.
研究的目的:
- 报告一个独特的病例,在下牙上出现疼痛的表皮状血管内皮瘤.
- 在口腔中对EHE进行全面的文献综述,重点关注牙和下部位.
- 提高对牙EHE的诊断,临床表现和管理策略的理解.
主要方法:
- 一个47岁的女性患有痛苦的下牙损伤的病例报告.
- 在PubMed (1975年至2024年6月) 的系统文献搜索中,搜索了"表皮状血管内皮瘤"",血管瘤"",口腔"和"下牙".
- 分析了38例报告的口腔EHE病例,比较了临床特征,成像发现和结果.
主要成果:
- 报告的病例呈现为一种痛苦的,的下牙病变,不典型的典型无痛的EHE胀.
- 在38例口腔EHE病例中,有16例涉及牙,大多数发生在下.
- 上牙EHE病例在成像上显示了70%的骨再吸收率,而上牙EHE的比例为50%. 在2个下病例中发现了复发,其中一个病例发生结节转移.
结论:
- 在口腔内诊断出表皮状血管内皮瘤需要仔细的组织学检查和免疫组织化学确认 (例如CD31).
- 有明显边缘的外科切除是推的治疗方法.
- 长期跟踪至关重要,因为EHE有可能在当地和远处复发.
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