PDF(Pubmed)
Abstract：
Ameloblastic fibro-odontoma (AFO) is a rare, slow-growing neoplastic lesion classified as a benign, epithelial odontogenic mesenchymal tumor. This tumor exhibits histological features characteristic of both ameloblastic fibromas and complex odontomas. The clinical manifestation of AFO is typically characterized by the asymptomatic enlargement of the jawbones. Radiographically, it presents as a distinct radiolucent region, indicating the presence of radiopaque substances with varying degrees of irregularities in size and morphology. Standard therapeutic intervention involves enucleation. Despite its benign nature, AFO can cause significant morbidity if left untreated. Therefore, prompt diagnosis and appropriate management are essential to ensure optimal patient outcomes. The present study describes the case (clinical presentation and management) of an 18-year-old male patient with an AFO lesion located in the posterior mandible. This particular case was treated with conservative measures involving surgical enucleation along with the extraction of the impacted tooth and the curettage of residual bone.
摘要：
成釉细胞纤维牙瘤（AFO）是一种罕见的，生长缓慢的肿瘤性病变被归类为良性，牙源性上皮间充质肿瘤。该肿瘤具有成釉细胞纤维瘤和复杂牙瘤的组织学特征。AFO的临床表现通常以无症状的颌骨增大为特征。射线照相,它呈现为一个独特的射线可透区域，表明存在不透射线的物质，其大小和形态具有不同程度的不规则性。标准治疗干预包括摘除。尽管它是良性的，如果不治疗,AFO可引起显著的发病率。因此,及时的诊断和适当的管理对于确保最佳的患者预后至关重要.本研究描述了一名18岁男性患者的病例（临床表现和治疗），该患者的AFO病变位于下颌骨后部。此特殊病例采用保守措施进行治疗，包括手术摘除术以及拔除受影响的牙齿和刮除残余骨。
