エナメル上皮線維歯牙腫の1例

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A case of a 7-year-boy with ameloblastic fibro-odontoma in the mandible is reported.<BR>Ameloblastic fibro-odontoma is a rare odontogenic tumor composed of stands and nests of epitherial odontogenic cells within a mesenchymal stroma as observed in ameloblastic fibroma associated with dental hard structures as seen in complex odontoma.<BR>The patient complained of intraoral swelling.The radiographic evaluation, which included a panoramic view and a posterioanterior view, revealed a mixed radiolucent-radiopaque mass of the mandible.Radiolucent area had a sunburst configuration.As the result of the biopsy, the tumor was diagnosed ameloblastic fibro-odontoma.<BR>While he was under general anesthesia, the calcification was removed, and marsupializadon was performed via 41.transoral approach. After the first operation, the bone defect gradually decreased in size as the surrounding mandible bone regenerated.Then, total resection was performed by the second operation under general anesthesia.<BR>The clinical course is excellent, and there is no evidence of recurrence.
社団法人日本口腔外科学会の論文