外周牙本质鬼细胞瘤--牙龈脓肿的诊断难题:病例报告及英文文献中所有牙源性幽灵细胞病例的更新。

Pub Date : 2024-04-01 Epub Date: 2024-05-24 DOI:10.4103/ijabmr.ijabmr_506_23
S Nithya, Susmita Saxena, Jitin Kharbanda
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引用次数: 0

摘要

牙本质鬼细胞瘤(DGCT)是钙化性牙本质囊肿的一种变体,被认为是一种良性上皮和间质肿瘤,含有异常上皮角化、鬼细胞和球形钙化。虽然这种肿瘤有周围型和中心型之分,但骨外型较为罕见,临床表现通常无害。本文旨在报告一例上颌前区周围型 DGCT 病例,患者为一名 14 岁女性,病程长达 5 年,旨在强调牙龈增生组织病理学检查的重要性,以避免诊断误区。为了更好地了解这种罕见肿瘤的生物学特性,我们对迄今为止所有英文文献中报道的病例进行了汇编,并详细介绍了病例的部位、大小、年龄、性别、症状、放射学特征、治疗随访和复发情况。
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Peripheral Dentinogenic Ghost Cell Tumor- Diagnostic Challenge in a Gingival Epulis: Report of a Case with Update of all Dentinogenic Ghost Cell Cases Reported in English Literature.

Dentinogenic ghost cell tumor (DGCT), a variant of the calcifying odontogenic cyst, is considered to be a benign epithelial and mesenchymal neoplasm containing aberrant epithelial keratinization, ghost cells, and spherical calcifications. While there can be peripheral and central variants of this entity, the extraosseous type is rarer and usually innocuous in its clinical presentation. The aim of this article is to report a case of peripheral DGCT on the maxillary anterior region in a 14-year-old female evolving for 5 years and to emphasize the importance of histopathologic examination of gingival growths to avoid diagnostic pitfalls. A compilation of all reported cases in the English literature till date with details on the site, size, age sex, symptoms radiographic features, treatment follow-up, and recurrences has been attempted for better understanding of the biologic nature of this rare neoplasm.

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