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백악질화성섬유종에 관한 연구
A STUDY OF THE CEMENTIFYING FIBROMA

치과방사선 1998년 28권 1호 p.235 ~ 244

최향희, 고재경,

소속 상세정보

최향희 ( ) - 조선대학교 의과대학 신경외과학교실
고재경 ( ) - 조선대학교 치과대학 구강악안면방사선학교실

KMID : 0378219980280010235

Abstract

저자들은 상악 협측부의 종창을 주소로 내원한 38세 여자와 23세 남자 환자에서 임상적,
방사선학적 및 조직병리학적 검사를 통해 백악질화성섬유종의 증례를 경험하고 다음의 결과
를 얻었다.
1. 임상적으로 상악 협측 부위의 종창이 관찰되었으며. 촉진시 동통을 나타냈다.
2. 방사선학적으로 상악 좌측 소구치와 대구치 부위에 주위 정상조직과 경계가 분명한 방
사선투과성 병소나 방사선투과성 병소 내부에 방사선불투과성 석회화물이 혼합된 양상으로
관찰되었으며, 인접한 치아들의 치조백선 소실을 관찰할 수 있었고, 전위나 치근흡수가 관찰
되었다.
3. 조직병리학적으로 세포성 결체조직내에 다수의 백악질과 유사한 석회화 침착물이 관찰
되었다.
#초록#
Cementifying fibroma is an odontogenic tumor of periodontal ligament origin,
consisting of a proligeration of fibrous tissue that forms cementum. Cemento-ossifying
fibroma, cementum. Cemento-ossifying fibroma, cementifying fibroma and ossifying
fibroma are difficult to distinguish on clinical and radiographic exmination, and on
histopathology. However, when the calcified product is represented by ovoid or
curvilinear deposits, the lesion is often referred to as cementifying fibroma. Cementifying
fibromas of the jaws are well-circumscribed. generally slow-growing lesions. Although
most lesions appear to be limited to the tooth-bearing areas, a few have extended into
the angleramus area or encroached on the maxillary sinus. Radiographically, the
cementifying fibroma could present as a radiolucent, radiopaque or miked density lesion,
depending on the degree of maturity.
We have observed two cases of cementifying fibroma occurred in the left maxillary
premolar-molar area of 38-year-old woman and 35-year old man. We obtained that two
cases were shown the followed results ;
1. Clinically, main clinical symptom was facial swelling and pain at palpation.
2. Radiographically. well-circumscribed radiolucent lesion and radiolucent lesion with
radiopaqu e foci were seen on the left maxillary premolar-molar areas. Loss of lamina
dura and root resorption or divergency were also seen.
3. Histopathologically, many cementum-like calcifications were observed in the
hypercellular connective tissue.