上顎洞に広範に進展した腺様歯原性腫瘍の1例 A case of adenomatoid odontogenic tumor extending widely in the maxillary sinus

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著者

    • 川村 信五 KAWAMURA Shingo
    • 医療法人渓仁会手稲渓仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Teine Keijinkai Hospital
    • 関口 隆 SEKIGUCHI Takashi
    • 医療法人渓仁会手稲渓仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Teine Keijinkai Hospital
    • 原田 雅史 HARADA Masashi
    • 医療法人渓仁会手稲渓仁会病院歯科口腔外科 Department of Dentistry and Oral Surgery, Teine Keijinkai Hospital
    • 永井 格 NAGAI Itaru
    • 札幌医科大学医学部口腔外科学講座 Department of Oral Surgery, Sapporo Medical University School of Medicine
    • 賀来 亨 KAKU Tohru
    • 北海道医療大学歯学部口腔病理学講座 Department of Oral Pathology, Health Sciences University of Hokkaido School of Dentistry

抄録

Adenomatoid odontogenic tumor (AOT) is an uncommon odontogenic lesion characterized histologically by ductal structures of epithelial cells and foci of calcification. Typically, these lesions arise in the lateral incisor/canine region in alveolar bone of the maxilla. Rarely, the lesion exhibits aggressive behavior, such as becoming large or extending into the paranasal sinuses. This article describes a case of AOT that extended widely in the maxillary sinus.<BR>A 18-year-old woman was referred to our clinic for evaluation of a mixed radiolucent-radiopaque lesion with a well defined border in the right maxillary sinus. A computerized tomographic evaluation demonstrated a defined large lesion that had extended widely in the right maxillary sinus, with thinning the cortical bone of the maxilla. The lesion was associated with an unerupted tooth on the corresponding region of the nasal cavity.<BR>An incisional biopsy was performed under local anesthesia. The pathological diagnosis was AOT. Surgery was performed with the patient under general anesthesia. The tumor was enucleated completely via an intraoral approach. There has been no recurrence as of 5 months after surgery.

収録刊行物

  • 日本口腔外科学会雑誌

    日本口腔外科学会雑誌 49(7), 458-461, 2003-07-20

    Japanese Society of Oral and Maxillofacial Surgeons

参考文献:  13件中 1-13件 を表示

被引用文献:  2件中 1-2件 を表示

各種コード

  • NII論文ID(NAID)
    10012629699
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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