Farina Pramanik, L. Epsilawati, Yurika Ambar Lita, Erna Herawati
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摘要

目的:本病例报告的目的是提供三维CBCT上疑似实体型成釉细胞瘤的放射学特征的进一步信息。病例报告:一名临床诊断为上颌前牙囊肿的患者被牙医推荐进行CBCT 3D x线摄影。CBCT三维x线检查显示,上颌前牙及右侧上颌窦可见边界清晰的放射性中间体,并伴有两颗多生牙的冲击。成釉细胞瘤的影像学表现通常为多室透光图像,隔骨内部结构不透明,如肥皂泡状或蜂窝状。该病例显示清晰的放射成像,因为实体型成釉细胞瘤包含组织学上由滤泡或丛状细胞形成的组织,来源于朗格汉斯岛中心退行性过程的结果。结论:高模态的x线检查如CBCT 3D对诊断非常重要,特别是对于有时在x线片上显示差异的病例。
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Analisis gambaran radiologis suspek ameloblastoma tipe solid pada radiograf CBCT 3D
Objectives: The aim of this case report is to provide further information on the radiological features of a solid type ameloblastoma suspected on a 3D CBCT radiograph. Case Report: A patient came referred by a dentist for CBCT 3D radiography with suspected clinical diagnosis of a maxillary anterior dentigerous cyst. The results of the CBCT 3D radiographic examination showed a radiointermediate with a clear border on the anterior maxilla and in the right maxillary sinus accompanied by the impact of two supernumerary teeth. Radiological features of ameloblastoma generally show a multilocular radiolucent picture and have a radiopaque septa bone internal structure such as a soap bubble appearance or honey combed appearance. This case showed a clearly demarcated radiointermediate image because a solid type ameloblastoma contains tissue that is histologically formed from cells hat are follicular or plexiform and derived from the results of a degenerative process at the center of the Langerhans islands. Conclusion: Radiographic examination with high modality such as CBCT 3D is very important in helping to establish a diagnosis, especially for cases that sometimes show differences in the radiographs.
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