成釉细胞纤维牙瘤的临床特点及治疗

›› 2016, Vol. 36 ›› Issue (3): 253-256.

成釉细胞纤维牙瘤的临床特点及治疗

徐峰¹,王炳超¹,孔丽²,王科¹,贾暮云³,袁荣涛¹

1. 青岛大学附属医院
2. 青岛大学附属医院口腔颌面外科
3. 青岛大学医学院附属医院口腔颌面外科

收稿日期:2015-01-29 修回日期:2015-05-31 出版日期:2016-03-28 发布日期:2016-03-22
通讯作者: 徐峰 E-mail:lwxufeng@126.com

Clinical features and treatment of ameloblastic fibroodontoma

Received:2015-01-29 Revised:2015-05-31 Online:2016-03-28 Published:2016-03-22
Contact: Feng Xu E-mail:lwxufeng@126.com

摘要/Abstract

摘要： 成釉细胞纤维牙瘤是一种少见的牙源性肿瘤，多发生于20岁以下，男性多于女性，上下颌骨均可发生，多发生于下颌骨，生长缓慢，无自觉症状，常表现为颌面部的肿胀、牙齿迟萌。X线片常见单房改变，表现为边界清楚的囊性透射影，不易与牙源性肿瘤鉴别。组织学表现，软组织成分为牙源性上皮和胚胎性的结缔组织，类似成釉细胞纤维瘤的形态，硬组织成分为牙本质、釉质样组织，类似牙瘤。恶变可能性低，治疗方式为手术摘除，一般不易复发。该文结合我科收治的成釉细胞纤维牙瘤病例，探讨成釉细胞纤维牙瘤的临床特点及治疗与预后。

关键词: 成釉细胞纤维牙瘤, 牙源性肿瘤, 临床特点

Abstract: Ameloblastic fibroodontoma (AFO) is a rare odontogenic tumor. It often occurrs at the age under twenty, male more than in female. It is mostly located in the maxilla and mandible, and more common in the mandible. It grows slowly with no symptoms. There is asymptomatic swelling in the maxillofacial region and it delays tooth eruption in the case with AFO. Xray examination always shows a cystic cavity in the jaw, with clear boundary. It is not easy to be differentiated from odontogenic tumors, such as ameloblastoma and keratocystic odontogenic tumor. Pathological examination shows that neoplasm was composed of proliferating odontogenic epithelium in a cellular ectomesenchymal tissue, similar to ameloblastic fibroma in form. Hard tissue component is similar to odontoma, dental structures resembling dentine and enamellike tissues. It has a low probability of malignancy. The most common treatment is surgical removal with low potential for recurrence. In this paper, one case with ameloblastic fibroodontoma was reported and the clinical features and treatment of ameloblastic fibroodontoma were investigated.

Key words: ameloblastic fibroodontoma, odontogenic tumor, clinical feature

中图分类号:

　R739.82

徐峰王炳超孔丽王科贾暮云袁荣涛. 成釉细胞纤维牙瘤的临床特点及治疗[J]. , 2016, 36(3): 253-256.

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