지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 29 - 37 (9page)
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Introduction: Fibrous-osseous lesions of the jaws are difficult to diagnose precisely until excised biopsy results are found, so they might be confused with malignant lesions. This clinical study focused on the diagnostic aids of lesions that demonstrate different clinical, radiologic, and histological findings.
Materials and Methods: A total of 16 patients with benign fibrous-osseous lesions on the jaws (6 fibrous dysplasias, 6 ossifying fibromas, 3cemental dysplasias, and one osteoblastoma) were reviewed. Nine patients with malignant fibrous-osseous lesions (8 osteosarcomas and one Ewing's sarcoma) were also retrospectively reviewed.
Results: Osteosarcoma patients complained of facial swelling and tooth mobility. The radiographic findings showed the irregular resorption of cortical bone and periosteal reactions. Histological features included cellular pleomorphism and atypical mitosis. An Ewing's sarcoma patient complained of tooth mobility and facial swelling. Onion-skin appearance and irregular expansile marginal bony radiolucency were seen in the radiography. Fibrous dysplasia patients complained of facial swelling and asymmetry. The radiographic features were mostly ground-glass radiopacity. Histological findings showed a bony trabeculae pattern surrounded by fibrous ground substances. Ossifying fibroma patients complained of buccal swelling and jaw pains,showing expanded cortical radiolucent lesions with a radiopaque margin. Histological findings were revealed as cellular fibrous stroma with immature woven bones. In cemental dysplasia, most of their lesions were found in a routine dental exam. Well-circumscribed radiopaque lesions were observed in the radiography, and cementum-like ossicles with fibrous stroma were seen in the microscopy. An osteoblastoma patient complained of jaw pain and facial swelling. Radiographic findings were mottled, dense radiopacity with osteolytic margin. Trabeculae of the osteoid with a vascular network and numerous osteoblasts with woven bone were predominantly found in the microscopy.
Conclusion: Our study showed similar results as other studies. We suggest the clinical parameters of diagnosis and treatment for malignant and benign fibrous-osseous lesions of the jaws.
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참고문헌 (26)
참고문헌 신청
Albright F / 1937 / Syndrome characterized by osteitis fibrosa disseminata, areas of pigmentation and endocrine dysfunction, with precocious puberty in females / N Engl J Me
Boysen ME / 1979 / Fibro-osseous lesions of the cranio-facial bones / J Laryngol Otol 93 : 793 ~ 807
Brannon RB / 2001 / Benign fibro-osseous lesions: a review of current concepts / Adv Anat Pathol 8 : 126 ~ 143
Cohen MM Jr / 1999 / Etiology of fibrous dysplasia and McCune-Albright syndrome / Int J Oral Maxillofac Surg 28 : 366 ~ 371
Dorfman HD / 1984 / Borderline osteoblastic tumors: problems in the differential di
Boysen ME / 1979 / Fibro-osseous lesions of the cranio-facial bones / J Laryngol Otol 93 : 793 ~ 807
Brannon RB / 2001 / Benign fibro-osseous lesions: a review of current concepts / Adv Anat Pathol 8 : 126 ~ 143
Cohen MM Jr / 1999 / Etiology of fibrous dysplasia and McCune-Albright syndrome / Int J Oral Maxillofac Surg 28 : 366 ~ 371
Dorfman HD / 1984 / Borderline osteoblastic tumors: problems in the differential di
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