一个儿童下肌纤维瘤与受影响的牙
Junwei Wang1, Liying Chen1, Xuecai Yang1
1Department of Oral and Maxillofacial Surgery, Qingdao University Affiliated Qingdao Women and Children's Hospital.
The Journal of craniofacial surgery
|December 15, 2025
概括
肌纤维瘤是一种罕见的部良性瘤,经常被误认为是其他病变. 通过成像和通过组织病理学确认的早期诊断是有效治疗和预防复发的关键.
科学领域:
- 口腔和面病理学 口腔和面病理学
- 骨瘤学 骨瘤学
背景情况:
- 肌纤维瘤是一种来自肌纤维细胞的良性介质瘤.
- 虽然在儿科头部和部病例中很常见,但下关节干扰很少见,并且可能被误诊.
- 差异诊断包括骨髓母细胞瘤和其他骨损伤.
研究的目的:
- 报告一个罕见的下肌纤维瘤病例在一个儿科患者.
- 以突出诊断挑战,并通过组织病理学和免疫组织化学证实发现.
主要方法:
- 一个13岁的女性下下胀的案例介绍.
- 放射性评估显示了一个精确的扩展性骨损伤.
- 手术切除和组织病理学分析,包括免疫组织化学 (SMA+,Desmin-, S-100-, Ki-67低).
主要成果:
- 病变被确定为一个坚固的灰白质体.
- 组织病理学揭示了卷状细胞中的螺旋状细胞.
- 免疫组织化学证实了肌纤维瘤,使其与其他瘤区别开来.
结论:
- 部肌纤维瘤是一种罕见的实体,与其他病变具有放射学相似之处.
- 准确的诊断需要组织病理学和免疫组织化学.
- 完整的手术切除对于有利的结果和防止复发至关重要.
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