齒源性角質化囊腫反覆復發十年長期追蹤病例報告

Odontogenic Keratocyst - Multiple Times Recurrence and 10 Years Long Terms Follow up Case Report

謝潤華(Y.W. Tse) ； 雷文天(M.T. Lui) ； 高壽延(S.Y. Kao) ； 李永賢(W.S. Li) ； 張哲壽(C.S. Chang)

《中華民國口腔顎面外科學會雜誌》 12卷1期 (2001/03) Pp. 36-44

https://doi.org/10.7104/CJOMS.200103.0036

摘要

齒源性角質化囊腫是一常見而無明顯臨床表徵之齒源性囊腫，較常見的症狀為無疼通之骨膨脹。放射線影像上此囊腫為單室或多室性，邊緣清晰，呈放射線射度。文獻記載此囊腫大部份（約79%）發生於下顎，小部份（約21%）發生於上顎，而最常見的部份在下顎骨體與下顎枝處，治療上應以外科手術切除為主。本文報告一個病灶位於上下顎多處及多次復發的齒源性角質化囊腫病例，患者為二十五歲女性，最初於民國八十年八月因於牙科診所接受矯正治療時，在環口放射照片中發現上及下顎骨有多處囊腫，而經轉診到本院口腔顎面外科門診並入院接受手術治療，病理切片診斷為齒源性角質化囊腫，後因復發及多次再手術後長期在間診追蹤。

關鍵字

齒源性角質化囊腫 ； 局部復發

並列摘要

Odontogenic keratocysts (OKC) is a specific form of odontogenic cysts. Well-marginated radiolucency with a propensity for root divergency and cortical expansion are showed in radiography. Surgical enucleation is indicated. Small OKC has 20% recurrence rate but large expansile lesion is much easier to recur. This report described a young female patient with multiple times recurrence of OKC in different locations. She had already received operations for 7 times and kept on follow up in our OPD for 10 years. She was absent for the follow up since two years ago. Recently, a new lesion was found in right mandible ramus, so the patient had to undergo another operation. In case of the common recurrence, long terms clinical & X-ray follow up is necessary for this type of patient.

並列關鍵字

odontogenic keratocyst ； local recurrence