下顎骨中心性巨細胞肉芽腫の1例 A case of central giant cell granuloma in the mandible

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著者

    • 馬杉 亮彦 BASUGI Akihiko
    • 九州歯科大学口腔顎顔面外科学講座病態制御学分野 Department of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Science, Kyushu Dental College
    • 吉岡 泉 YOSHIOKA Izumi
    • 宮崎大学医学部感覚運動医学講座顎顔面口腔外科学分野 Division of Oral and Maxillofacial Surgery, Medicine of Sensory and Motor Organs, University of Miyazaki
    • 鶴島 弘基 [他] TSURUSHIMA Hiroki
    • 九州歯科大学口腔顎顔面外科学講座病態制御学分野 Department of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Science, Kyushu Dental College
    • 石川 文隆 ISHIKAWA Ayataka
    • 九州歯科大学生命科学講座口腔病態病理学分野 Division of Oral Pathology, Department of Biosciences, Science of Health Improvement, Kyushu Dental College
    • 松尾 拡 MATSUO Kou
    • 九州歯科大学生命科学講座口腔病態病理学分野 Division of Oral Pathology, Department of Biosciences, Science of Health Improvement, Kyushu Dental College
    • 冨永 和宏 TOMINAGA Kazuhiro
    • 九州歯科大学口腔顎顔面外科学講座病態制御学分野 Department of Oral and Maxillofacial Surgery, Division of Maxillofacial Diagnostic and Surgical Science, Kyushu Dental College

抄録

Central giant cell granuloma (GCG) is a relatively rare lesion.<br>We present a case of central giant cell granuloma of mandible in which segmental resection was performed, immediately followed by reconstruction with titanium mesh and transplantation of iliac particulate cancellous bone and marrow (PCBM). <br>The patient was a 49-year-old man. He presented with a sharp pain in the right lower third molar region. Orthopantomography revealed multilobular radiolucent areas from the right mandibular angle to the ramus, with partially absorbed dental roots of the third molar. The tentative diagnosis on an incisional biopsy was giant cell tumor (GCT) or GCG of the mandible. Segmental resection of the mandible and immediate reconstruction with a titanium mesh plate and iliac PCBM transplantation were a performed. A histological specimen showed proliferations of spindle-shaped cells and multinuclear giant cells, which were scattered heterogeneously. The final diagnosis of the resected specimen was GCG. Excellent bone regeneration in the reconstructed region was observed, with no recurrence on postoperative follow-up at 14 months.

Central giant cell granuloma (GCG) is a relatively rare lesion.<br>We present a case of central giant cell granuloma of mandible in which segmental resection was performed, immediately followed by reconstruction with titanium mesh and transplantation of iliac particulate cancellous bone and marrow (PCBM). <br>The patient was a 49-year-old man. He presented with a sharp pain in the right lower third molar region. Orthopantomography revealed multilobular radiolucent areas from the right mandibular angle to the ramus, with partially absorbed dental roots of the third molar. The tentative diagnosis on an incisional biopsy was giant cell tumor (GCT) or GCG of the mandible. Segmental resection of the mandible and immediate reconstruction with a titanium mesh plate and iliac PCBM transplantation were a performed. A histological specimen showed proliferations of spindle-shaped cells and multinuclear giant cells, which were scattered heterogeneously. The final diagnosis of the resected specimen was GCG. Excellent bone regeneration in the reconstructed region was observed, with no recurrence on postoperative follow-up at 14 months.

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 57(5), 294-298, 2011-05-20

    社団法人 日本口腔外科学会

参考文献:  19件中 1-19件 を表示

各種コード

  • NII論文ID(NAID)
    10030272069
  • NII書誌ID(NCID)
    AN00189163
  • 本文言語コード
    JPN
  • 資料種別
    NOT
  • ISSN
    00215163
  • NDL 記事登録ID
    11131999
  • NDL 雑誌分類
    ZS44(科学技術--医学--歯科学・口腔外科学)
  • NDL 請求記号
    Z19-145
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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