Histological characteristics of benign jaw tumours in Cameroon; A 10-year appraisal

Zilefac Brian Ngokwe , Ntep Ntep David Bienvenue , Bola Antoine Siafa , Nokam Kamdem Stephane , Kouamou Audrey Tchiekou , Bengondo Charles Messanga , Sando Zacharie
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Abstract

Introduction

The diagnosis of jaw tumours is histological. Jaw tumours can be classified as benign or malignant. Benign jaw tumours can be classified as epithelial, mesenchymatous or epithelio-mesenchymatous based on their origin or with respect to their relation to the development of the dental organ into odontogenic and non -odontogenic.

Methods

A retrospective study was conducted from the period from January 2010 to April 2020 in the Stomatology and maxillofacial surgery units and pathology units of 4 hospitals in Yaoundé. Participants who had been operated for a benign jaw tumour with available and exploitable histopathological workups were retained in this study. The histological slides found were examined by a team of pathologists in accordance with the 2005 World Health Organization classification of head and neck tumours.

Results

We retained 62 participants, ameloblastoma was the most represented tumour (25.81 %) followed by fibrous dysplasia (12.9 %) and Keratocystic odontogenic tumour (12.9 %). Ameloblastoma had 5 recurrences with a recurrence rate of 31.25 %.

Conclusion

Ameloblastoma was the most common benign jaw tumour and odontogenic tumour with Fibrous dysplasia being the most frequent non odontogenic tumour. Better description of histological characteristics and typing would help to prevent recurrence and complications such as malignant transformation. Digital recording of histopathological slides could help improve conservation and permit the carrying out long term retrospective studies in our settings.
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喀麦隆颌骨良性肿瘤的组织学特征;10 年评估
导言:颌骨肿瘤的诊断是组织学诊断。颌骨肿瘤可分为良性和恶性。良性颌骨肿瘤可根据其起源或与牙器官发育的关系分为上皮性、间充质性或上皮-间充质性,分为牙源性和非牙源性。本研究保留了曾因颌骨良性肿瘤接受过手术且有可用和可利用的组织病理学检查的参与者。病理学家小组根据 2005 年世界卫生组织的头颈部肿瘤分类标准对所发现的组织病理切片进行了检查。结论釉母细胞瘤是最常见的颌骨良性肿瘤和牙源性肿瘤,纤维发育不良是最常见的非牙源性肿瘤。更好地描述组织学特征和分型有助于预防复发和并发症,如恶性转化。组织病理学切片的数字化记录有助于改善保存,并允许在我们的环境中进行长期的回顾性研究。
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