关键词: case report multilocular myxoma odontogenic tumor surgery

来  源:   DOI:10.1097/MS9.0000000000000805   PDF(Pubmed)

Abstract:
The odontogenic myxoma is a tumor of the jaws which arises from the mesenchymal portion of the tooth germ, either the dental papilla, the follicle, or the periodontal ligament. It is a slow-growing, painless, nonmetastasizing, central tumor of the jaws, chiefly the mandible. Radiographically, the classic presentation may vary from a unilocular radiolucency to a multilocular lesion with well-defined or diffuse margins. On histological study, it is composed of triangular or stellate connective cells, anastomosed by fine extensions, and embedded in abundant mucoid material.
UNASSIGNED: We present the unusual case of an odontogenic myxoma involving a 37-year-old female patient, which had acquired large dimensions and involved the right half of the mandible, including the ramus; the patient was treated with large resection surgery, with satisfying medium-term results.
UNASSIGNED: Early diagnosis of such lesions is very important, as the patient avoids extensive surgical procedures that involve losing a large part of the jawbones and their subsequent impact on the patient\'s quality of life.
UNASSIGNED: Although there is no fixed treatment plan for the management of odontogenic myxoma, treatment includes surgical management that may range from simple enucleation and curettage to surgical excision; wide surgical resection is appropriate for cases of large size to avoid recurrence.
摘要:
牙源性粘液瘤是颌骨的肿瘤,起源于牙胚的间质部分,要么是牙齿乳头,卵泡,或者牙周韧带.这是一个缓慢增长的,无痛,非转移,颌骨的中央肿瘤,主要是下颌骨。射线照相,经典的表现可能会有所不同,从单眼的放射透明度到边缘明确或弥漫性的多房性病变.在组织学研究中,它由三角形或星状结缔组织细胞组成,通过精细的延伸吻合,并嵌入丰富的粘液物质中。
我们介绍了一例罕见的牙源性粘液瘤,涉及一名37岁的女性患者,已经获得了很大的尺寸,涉及下颌骨的右半部分,包括支;患者接受了大切除手术治疗,中期结果令人满意。
此类病变的早期诊断非常重要,因为患者避免了大量的外科手术,包括失去大部分的颌骨及其对患者生活质量的影响。
虽然牙源性粘液瘤的治疗没有固定的治疗方案,治疗包括手术治疗,从简单的摘除和刮宫到手术切除;广泛的手术切除适用于大尺寸病例,以避免复发。
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