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首页> 外文期刊>Journal of Dental Sciences >Glandular odontogenic cyst in the anterior mandible
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Glandular odontogenic cyst in the anterior mandible

机译:下颌前腺牙源性囊肿

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摘要

Glandular odontogenic cyst (GOC) is a rare and aggressivedevelopmental odontogenic cyst with a strong predilectionfor the anterior region of the jaws. This report presented acase of GOC in the anterior region of the mandible.This 62-year-old female patient visited the oral andmaxillofacial surgery department of our hospital for treat-ment of a mucoepidermoid carcinoma in the anteriormandible, which was confirmed histopathologically inanother hospital. Oral examination showed no definiteswelling of the anterior mandible (Fig. 1A), but mobility ofteeth 31, 41, 42, and 43 and percussion pain of tooth 42were noted. Panoramic and periapical radiographs revealeda multilocular radiolucent lesion at the anterior mandibularregion from tooth 31 to tooth 44 (Fig. 1B and C). Becausethe initial biopsy of the lesion showed a mucoepidermoidcarcinoma, marginal mandibulectomy from tooth 31 totooth 45 was performed to remove the tumor. Histopatho-logical examination of the specimen showed a cystic lesionlined by non-keratinized stratified squamous epithelium ofvarying thickness and papillary surface. Mucin-secretingcells and microcysts were discovered in the lining epithe-lium (Fig. 1D). Moreover, small satellite cysts with mucouscells and microcysts in the lining epithelium and a row ofeosinophilic cuboidal cells on the lining epithelial surfacewere found in the fibrous cystic wall (Fig. 1E and F).
机译:腺牙源性囊肿(GOC)是一种罕见且具有侵略性的发育性牙源性囊肿,对下颌前部区域有强烈的偏爱。本报告介绍了下颌骨前部区域的一例GOC病例。这名62岁的女性患者前往我们医院的口腔颌面外科治疗了前颌骨中的黏液表皮样癌,并在另一家医院进行了组织病理学证实。口腔检查未见前颌骨明显肿胀(图1A),但记录了31、41、42和43牙齿的活动性以及牙齿42的敲击疼痛。全景和根尖部X线片显示在下颌前牙区域从牙齿31到牙齿44的多房射线可透过性病变(图1B和C)。因为病变的最初活检显示为粘液表皮样癌,所以从牙齿31到牙齿45进行了边缘下颌骨切除术以去除肿瘤。标本的组织病理学检查显示,囊性病变处有非角质化的分层鳞状上皮,其厚度和乳头状表面各不相同。在衬里上皮中发现了粘蛋白分泌细胞和微囊(图1D)。此外,在纤维性囊壁中发现了衬里上皮具有粘液细胞和微囊的小卫星囊肿,以及衬里上皮表面上有一排嗜酸性的立方细胞(图1E和F)。

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