自体移植骨中复发性成釉细胞瘤2例报告及文献复习

中国口腔颌面外科杂志 ›› 2015, Vol. 13 ›› Issue (1): 94-96.

• 病例报告 • 上一篇

自体移植骨中复发性成釉细胞瘤2例报告及文献复习

翦新春^{1, 2}, 周超¹, 朱蓉², 刘德裕², 郑廉¹, 李宁¹, 卓群豪¹, 吴立萌¹

1.中南大学湘雅医院口腔医学中心,口腔颌面外科,湖南长沙 410008; 2.中南大学湘雅医学院附属海口医院口腔颌面外科,海南海口 570208

收稿日期:2014-07-11 出版日期:2015-02-10 发布日期:2015-03-12
通讯作者: 翦新春,E-mail：jianxinchun@hotmail.com
作者简介:翦新春（1951-）,男,主任医师,教授,博士研究生导师

Recurrences of ameloblastoma in bone grafts: Report of two cases and literature review

JIAN Xin-chun^{1, 2}, ZHOU Chao¹, ZHU Rong², LIU De-yu², ZHENG Lian¹, LI Ning¹, ZHUO Qun-hao¹, WU Li-meng¹

1.Department of Oral and Maxillofacial Surgery, Xiangya Hospital, Central South University. Changsha 410008, Hunan Province; 2.Department of Oral and Maxillofacial Surgery, Haikou Hospital, Central South University. Haikou 570208, Hainan Province, China

Received:2014-07-11 Online:2015-02-10 Published:2015-03-12

摘要/Abstract

摘要： 报告2例因右下颌骨成釉细胞瘤行右侧下颌骨部分切除或半侧下颌骨切除术后即刻分别行自体髂骨或肋骨移植的病例,2例病例在行X线检查时分别于术后16年和14年在移植骨中发现成釉细胞瘤复发。例1行术中冷冻切片活检,病理学诊断为滤泡型成釉细胞瘤。结合本组2例病例,并对已发表的文献进行复习,认为成釉细胞瘤发生在肿瘤切除植骨后的骨中属于罕见病例,应对其复发机制进行深入研究。

关键词: 成釉细胞瘤, 肿瘤, 移植骨

Abstract: Two cases of recurrence of an ameloblastoma in autogenous rib or iliac bone graft many years after the initial operation for a mandibular ameloblastoma with evidence of soft or hard tissue invasion were presented. A review of the literature disclosed only 13 cases of recurrence of ameloblastoma in bone grafts. The initial operation in the 2 cases presented was hemimandibulectomy followed by autogenous rib or iliac bone graft. Sixteen years or fourteen years after surgery there was clinical and radiographic signs of recurrence. It was concluded that extensive resection including bone as well as adjacent soft tissues is critical because recurrence seems to come from the soft tissues, especially from the adjacent periosteum or bone.

Key words: Ameloblastoma, Dentogenic tumor, Bone grafts

中图分类号:

R739.8

翦新春, 周超, 朱蓉, 刘德裕, 郑廉, 李宁, 卓群豪, 吴立萌. 自体移植骨中复发性成釉细胞瘤2例报告及文献复习[J]. 中国口腔颌面外科杂志, 2015, 13(1): 94-96.

JIAN Xin-chun, ZHOU Chao, ZHU Rong, LIU De-yu, ZHENG Lian, LI Ning, ZHUO Qun-hao, WU Li-meng. Recurrences of ameloblastoma in bone grafts: Report of two cases and literature review[J]. China J Oral Maxillofac Surg, 2015, 13(1): 94-96.

参考文献

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自体移植骨中复发性成釉细胞瘤2例报告及文献复习

Recurrences of ameloblastoma in bone grafts: Report of two cases and literature review

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