右上颌良性牙骨质母细胞瘤一例并文献复习  

Right upperjaw innocence cementoblastoma:a report of 1 case and review of literature

作　　者：童英[1] 卢秀芬[1] 

机构地区：[1]贵州省人民医院病理科,贵州贵阳550002

出　　处：《海南医学》2007年第11期63-64,共2页Hainan Medical Journal

摘　　要：目的探讨良性牙骨质母细胞瘤的性质、病理学特点及其鉴别诊断要点,提高对良性牙骨质母细胞瘤的认识。方法对1例右上颌良性牙骨质母细胞瘤的临床特点、CT表现、治疗、预后及病理进行观察、分析及文献复习。结果牙骨质母细胞瘤主要由成片的较厚的钙化物形成的小梁状结构构成,在边缘区和活动性生长区,肿瘤细胞丰富,细胞体积大,染色深,类似成牙骨质细胞或成骨细胞,细胞之间可见未钙化的类牙骨质。结论牙骨质母细胞瘤是少见的实体瘤,好发于下颌前磨牙区,右上颌发生该肿瘤罕见,临床术前难以诊断。需与骨母细胞瘤、化牙骨质纤维瘤、骨化性纤维瘤及造釉细胞瘤鉴别。Objective To investigate the character, pathological characteristics, the differential diagnosis main point of innocence cementoblastoma and to increase recognition of innocence cementoblastoma. Methods 1 case of right upperjaw innocence cementoblastoma waws analyzed clinical characteristics, CT display, treatment, prognosis, pathology and the relative documents were reviewed, Results cementoblastoma was composed of trabeculum construction composed of thicker and flaky calcificide. In marginal zone and active vitellarium, tumor cell big volume and deep dyeing were similar to cementoblast and osteoblast, there was uncalcified cementoid between cells. Conclusions cementoblastoma was a sort of few soild tumor. It＇s predilection site was submaxilia bicuspid tooth zone, not right upperjaw, so diagnose was very difficult before clinic operating. It need different from osteoblastoma, cementifying fibroma, ossifying fibroma, adamantionma.

关 键 词：右上颌骨 牙骨质母细胞瘤 临床病理 鉴别诊断 

分 类 号：R365[医药卫生—病理学]