Odontogenic Tumours in Taiwanese Children and Adolescents-A Retrospective Study of 286 Cases

齒源性腫瘤在台灣的兒童及青少年之族群的臨床病理研究－回溯病歷分析

許茗琁(Ming-Hsuan Hsu) ； 蔣孟玲(Meng-Ling Chiang) ； 謝育佳(Yuh-Jia Hsieh) ； 徐雅嬪(Va-Pin Hsu)

《臺灣口腔顎面外科學會雜誌》 26卷3期 (2015/09) Pp. 175-186

摘要

齒源性腫瘤的發生率，在不同種族及地域性之間存在著不少的差異。2005年WHO最新訂定的齒源性腫瘤之分類加入了齒源性角化囊性瘤，然而台灣針對兒童及青少年族群的齒源性腫瘤的研究頗為稀少，多數相關文獻皆不合齒源性角化囊性瘤的探討及統計。因此，此研究的目的在於探討台灣兒童及青少年族群的齒源性腫瘤之特性，並與先前的文獻資料相互比較與討論。

關鍵字

齒源性腫瘤 ； 兒童 ； 青少年

並列摘要

Objective: The demographic distribution of odontogenic tumours varies among different countries worldwide. With the revision of World Health Organization classification in 2005, the character of odontogenic tumours in Taiwanese children and adolescents is undetermined. The aim of this study was to determine the character of odontogenic tumours in a population of Taiwanese children and adolescents, and to compare our data with results from previous studies. Materials and methods: All cases of odontogenic tumours in patients aged up to 20 years diagnosed between January 2001 and November 2013 were retrieved from the Department of Pathology, Chang Gung Memorial Hospital, Linko, Taiwan. The medical records were reviewed and the data concerning gender, age, and tumour location were recorded and analysed. Results: A total of 286 cases of odontogenic tumours were reported, accounting for 53.4% of the total number of odontogenic tumours diagnosed. All tumours were benign, and odontoma was the most frequent type (61.2%), followed by ameloblastoma (10.8%) and keratocystic odontogenic tumour (7.3%). The overall male to female ratio was 1:0.91. The mean age of the patients was 11.48±3.91years (range 3-19 years). The maxilla to mandible ratio was 1:0.72. Conclusions: Odontogenic tumours in children and adolescents are relatively common in Taiwan compared with the data from other countries. Malignant odontogenic tumours, however, rarely occur in this age population.

並列關鍵字

Odontogenic tumours ； Children ； Adolescents