Clinical and pathological examination of jaw masses: Retrospective analysis of 69 cases

S. Aydın, M. Demir, H. Baran
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Abstract

Introductıon: The aim of this study was to retrospectively evaluate the clinicopathological features of the patients who presented with a mass in the jaw. Materıals and Methods: Clinical files and histopathological records of 69 patients who presented to our clinic with complaints of swelling or mass in the upper or lower jaw between 2010 and 2018 were analyzed retrospectively. Results: Of the cysts and tumoral lesions in patients, 50.7% (35/69) were located in the maxilla and 49.3% (34/69) were located in the mandible. 23 (32.8%) odontogenic cysts, 11 (15,7%) non-odontogenic cysts, 15 (21.4%) odontogenic tumors, 12 (17,4%) local metastases from adjacent tissues to maxilla and mandible, 5 (7.1%) other distant metastases. Among the odontogenic cysts, the most common radicular cysts were 39.13% (10/23), the second had dentigerous cyst 34.78% (8/23). In our 11 patients with non-odontogenic cysts, only nasoalveolar cysts were observed. The distribution of odontogenic tumors are; 40% (6/15) odontoma, 26.6% (4/15) giant cell reparative granuloma, 20% (3/15) ameloblastoma, 6.6% (1/15) rates of cementoma and odontogenic fibroma. Conclusıon: When the etiologic causes of the patients who have complaints of mass in the jaw are examined, we can encounter many different pathologies. Although odontogenic and non-odontogenic cysts are the most common benign masses, we should consider the masses that metastasize to this region and the primary tumors originating from this region.
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69例颌骨肿块的临床病理分析
Introductıon:本研究的目的是回顾性评估颌骨肿块患者的临床病理特征。Materıals和方法:回顾性分析2010 - 2018年间69例上颌或下颌肿胀或肿块患者的临床档案和组织病理学记录。结果:患者的囊肿和肿瘤病变中,50.7%(35/69)位于上颌骨,49.3%(34/69)位于下颌骨。牙源性囊肿23例(32.8%),非牙源性囊肿11例(15.7%),牙源性肿瘤15例(21.4%),邻近组织局部转移至上颌骨12例(17.4%),其他远处转移5例(7.1%)。在牙源性囊肿中,根状囊肿以39.13%(10/23)最为常见,其次为牙源性囊肿34.78%(8/23)。在我们的11例非牙源性囊肿中,仅观察到鼻肺泡囊肿。牙源性肿瘤分布有;牙髓瘤占40%(6/15),巨细胞修复性肉芽肿占26.6%(4/15),成釉细胞瘤占20%(3/15),骨水泥瘤和牙源性纤维瘤占6.6%(1/15)。Conclusıon:当检查颌骨肿块患者的病因时,我们会遇到许多不同的病理。虽然牙源性和非牙源性囊肿是最常见的良性肿块,但我们应该考虑转移到该区域的肿块和起源于该区域的原发肿瘤。
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