Fibro-Epithelial Polpys in Children- A Case Report

孩童口內纖維上皮息肉－病例報告

陳郁仁(Yu-Jen Chen) ； 王詩凱(Shih-Kai Wang) ； 王姻麟(Yin-Lin Wang) ； 張曉華(Hsiao-Hua Chang) ； 黃桂芬(Guay-Fen Huang) ； 郭敏光(Ming-Kuang Guo)

《臺灣兒童牙醫學雜誌》 19卷2期 (2019/06) Pp. 81-86

https://doi.org/10.6319/TJPD.201906_19(2).0006

摘要

Fibro-epithelial polyp appears as a single or multiple folds of hyperplastic tissue, most often occurs on the hard palate beneath a maxillary denture in middle-aged and older adults. This inflammatory hyperplastic lesion in response to chronic irritation due to calculus, sharp tooth edges, irregular denture borders, or overhanging restorations, rarely occurs before the fourth decade of life and its prevalence is not sex-specific. This case report presents a case which an intraoral fibro-epithelial polyp was found on the lower anterior edentulous ridge of a 7 months old girl where a natal tooth was extracted on the same day she was born. Excisional biopsy was successfully performed and histopathology revealed atrophic squamous epithelium with connective tissue stroma below. Such histologic findings conformed the fibroepithelial polyp diagnosis. At the 3 month follow-up appointment, clinical examination found uneventful healing of the site without reoccurrence of the lesion.

關鍵字

child ； natal tooth ； excisional biopsy ； fibro-epithelial polyps

並列摘要

纖維上皮息肉，臨床呈現單一或多褶皺的增生組織。可能發生在各個年齡，但較少發生在四十歲前；且患者男女性別比例相等。在口腔中較常出現在中老年人上顎硬顎，活動假牙的下方。其病因尚不明，可能與表皮長期受摩擦刺激，口內相關可能刺激包含有牙結石、牙齒切緣、不平整的假牙邊緣，或修復體的外懸部分。這篇病例報告敘述一位七個月大的女嬰，其下顎前牙區域長出軟組織腫瘤的案例。家長表示該區域在女嬰出生時，曾存在有出生牙，但在出生後便被拔除。本院處理方式為門診局部麻醉下，使用切除性組織切片移除腫瘤，並將檢體送至口腔病理科做組織病理切片。經口腔病理科醫師診斷為纖維上皮息肉。術後請家長一星期及三個月後回門診追蹤，觀察發現傷口癒合良好且沒有復發現象。

並列關鍵字

孩童 ； 出生牙 ； 切除性組織切片 ； 纖維上皮息肉