头部和部形腺瘤的骨变化:范围审查
C De Vriese1,2,3, E Van Hul4, D Loose5
1Department of Otolaryngology, Head and Neck Surgery, General Hospital Vitaz, Sint-Niklaas, Belgium. Casper.DeVriese@ugent.be.
Oral radiology
|April 3, 2025
概括
形腺瘤可以导致头部和部的骨破坏,但这种情况很少见. 较大的或长期存在的瘤增加了这种风险,尽管恶性瘤仍然更有可能破坏骨.
科学领域:
- 在瘤学瘤学.
- 口腔和牙面部外科手术
- 病理学 病理学 病理学
背景情况:
- 与唾液腺瘤相邻的骨破坏通常表明恶性瘤.
- 形腺瘤是最常见的唾液腺瘤.
- 了解与形腺瘤相关的骨变化对于诊断至关重要.
研究的目的:
- 为了探索与头部和部形腺瘤相关的骨变化.
- 为了确定形腺瘤病例中骨损伤的危险因素.
主要方法:
- 根据PRISMA-ScR指南进行了范围审查.
- 在PubMed,Scopus和Scholar中搜索了关于头部和部形腺瘤骨变化的文章.
- 包括经组织病理学确认的病例,提取瘤特征和骨质侵蚀的数据.
主要成果:
- 确定了145种具有邻近骨变化的多形腺瘤.
- 扩张性骨变化,如皮质侵蚀 (61.4%) 和皮 (31.0%) 是最常见的.
- 在11个病例中发生了广泛的骨损伤;瘤大小和症状持续时间是积极破坏的重要风险因素.
结论:
- 虽然骨质侵蚀和皮是典型的,但较大或长期存在的多形腺瘤可以在没有恶性瘤的情况下引起广泛的骨质破坏.
- 形腺瘤中的骨损伤很少见,需要仔细评估,因为它可能表明恶性瘤.
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