减压,多囊性髓母细胞瘤的不寻常治疗选择:概念和争议
Cinthya María Quisiguiña-Salem1, Alejandro Alonso-Moctezuma1, Carla Monserrat Martínez2
1Department of Oral and Maxillofacial Surgery, Postgraduate Studies and Research Division (DEPeI), Faculty of Dentistry, Universidad Nacional Autónoma de México, Mexico City, Mexico.
Case reports in dentistry
|October 21, 2024
概括
建议对多囊性乳腺母细胞瘤进行保守治疗. 最初的减压和核化显示出良好的结果,避免了激烈的治疗,并改善了患者的生活质量.
科学领域:
- 口腔和牙面部外科手术
- 在瘤学瘤学.
- 病理学 病理学 病理学
背景情况:
- 固体乳腺母细胞瘤是最常见的口腔瘤.
- 骨内变异导致骨逐渐破坏.
- 无症状性质往往导致诊断延迟.
研究的目的:
- 为多囊性乳腺母细胞瘤提出一种保守的治疗方法.
- 审查当前的概念,争议和治疗选择.
- 介绍一个案例研究,说明一个成功的保守管理策略.
主要方法:
- 初步诊断的单囊性乳腺母细胞瘤.
- 进行了解压和随后的核化.
- 组织病理学重新评估证实了多囊细胞母细胞瘤.
- 放射性随访和长期监测.
主要成果:
- 保守治疗 (解压和核化) 产生了充分的反应.
- 放射性证据显示,病变大小有所减少.
- 2.5年的术后随访表明了有利的结果.
- 避免侵略性的外科干预和重建.
结论:
- 固体乳腺母细胞瘤可以呈现出囊性成分,使切口活检诊断复杂化.
- 确定的诊断需要完全的病变核化.
- 解压可以促进带有囊性成分的固体乳腺母细胞瘤的核化.
- 保守的管理提供了积极治疗的可行替代方案,维护生活质量和降低成本.
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