下顎骨緻密纖維瘤－病例報告

Desmoplastic Fibroma of the Mandible-Case Report

陳玟秀(Wen-Hsiu Chen) ； 郭英雄(Ying-Shiung Kuo) ； 劉步遠(Bu-Yuan Liu) ； 江俊斌(Chun-Pin Chiang) ； 李正喆(Jang-Jaer Lee)

《中華牙醫學雜誌（中文版）》 25卷4期 (2006/12) Pp. 281-287

https://doi.org/10.7106/CJD.200612.0281

摘要

緻密纖維瘤(desmoplastic fibroma)是一種罕見的良性骨頭腫瘤，在組織學和生物行為上和軟組織的硬纖維瘤很相像，多半發生在小於30歲的年輕人，男女比例均等，好犯下顎骨或身體其它的長骨。它在臨床上的表現是局部侵犯性、浸潤性和破壞性，多半會侵入周圍的組織，但不會轉移。顎骨緻密纖維瘤由於較為少見，目前對其治療方式仍有一些爭議。本文將提出一例發生在下顎骨的緻密纖維瘤病例報告，藉由其症狀、治療方式及術後追蹤結果的呈現，提供臨床醫師爾後面對相同病例時的參考。

關鍵字

緻密纖維瘤 ； 顎骨 ； 刮除術

並列摘要

Desmoplastic fibromas are rare, benign bone tumors that histologically resemble desmoid tumors of the soft tissue. Most examples of desmoplastic fibromas of the bone are discovered in patients younger than 30 years, and there is no gender predilection. A desmoplastic fibroma may involve any bone but is most frequent in the mandible. It often behaves in a locally aggressive fashion with extensive bone destruction and soft-tissue extension. Metastases do not occur, and the long-term prognosis is good. The surgical approach to the tumor has been a source of controversy. The following is a report of a case of desmoplastic fibroma of the mandible. We present the features, treatment, and prognosis of the lesion which can be used as a reference.

並列關鍵字

desmoplastic fibroma ； mandible ； curettage