악골에 발생한 법랑아세포종의 임상적 연구
Clinical study of ameloblastoma on the jaw
김현섭, 류재영, 유민기, 서일영, Uttom Kumar Shet, 국민석, 박홍주, 유선열, 최홍란, 오희균,
소속 상세정보
김현섭 ( Kim Hyun-Syeob ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
류재영 ( Ryu Jae-Young ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
유민기 ( Yu Min-Gi ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
서일영 ( Seo Il-Young ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
( Uttom Kumar Shet ) - 전남대학교 치의학전문대학원 BK21사업단
국민석 ( Kook Min-Suk ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
박홍주 ( Park Hong-Ju ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
유선열 ( Ryu Sun-Youl ) - 전남대학교 치의학전문대학원 구강악안면외과학교실
최홍란 ( Choi Hong-Ran ) - 전남대학교 치의학전문대학원 구강악안면방사선학교실
오희균 ( Oh Hee-Kyun ) - 전남대학교 치의학전문대학원 BK21사업단
KMID : 0355620070330050535
Abstract
Ameloblastoma, a benign tumor of odontogenic type, represents 10% of all tumors of the jaw. It is localized in the mandible (80%) and in the maxilla(20%). In every case, the selection of the surgical treatment must consider some fundamental elements, including the age and general state of health the clinicopathological variant, and the localization and extent of the tumor. This study was invested the clinicopathological findings of 23 patients with ameloblastoma which had been diagnosed by biopsy during the period of 1987 to 2005 at Chonnam National University Hospital. And it contained the statistical analysis according to the treatment methods and the clinicopathological findings such as sex, age, location, chief complaints, duration, radiographic findings, histologic findings, treatment methods. The results obtained are were follows. The age of patient ranged from 10 to 91 years(means, 35.9 years) at biopsy. Thirteen(57%) of the 23 subjects were males, and 10(43%) were females. Twenty(87%) of the 23 ameloblastomas were located in the mandible. Swelling was the most common symptom and was experienced by 20(87%) patients. Radiographically, 11(48%) of the 23 tumors were unilocular with a well-demarcated border and 12(52%) were multilocular. The most common histologic pattern was plexiform and acanthomatous rather then follicular. Conservative treatment was performed 7 cases(30%), radical treatment 11 cases(48%), and combined treatment 5 cases(22%). Follow-up period ranged from 2.1 years to 22 years(mean 5.1 years). Based on the above results, surgical excision after marsupialization was found to be useful as a preliminary treatment of the large cystic ameloblastoma in children and adolescents. On the contrary, the lesion with a soap bubble appearance, the one with ineffective marsupialization was subjected to extensive excision of the tumor with a wide margin of normal bone
키워드
Ameloblastoma;Clinicopathologic finding;Treatment method
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