造袋術使用於下顎腺瘤樣齒源性瘤－病例報告

造袋術是口腔內囊腫常見的保守治療方式，也適用於部分的良性腫瘤，但運用於腺瘤樣齒源性瘤的研究較少。本病例報告為一位十八歲男性，經切片後診斷為腺瘤樣齒源性瘤。行造袋術後於門診追蹤半年，期間可見腫瘤大小減少，並逐漸遠離下齒槽神經。腫瘤剜除合併刮除術後可發現莢膜完整，內含一未萌發之阻生齒。術後持續於門診追蹤，可見傷口癒合良好，新骨質逐漸生成，並沒有復發跡象。本病例報告可以發現造袋術合併刮除術是可用於腺瘤樣齒源性瘤的一種保守治療方式，且有良好癒後，然而仍需要更多的病例及研究來證明其效果。

關鍵字

腺瘤樣齒源性瘤；造袋術

並列摘要

Marsupialization, a common conservative management of intra-oral cystic lesion, is also applied to some benign tumors. However, there is limited research on the use of marsupialization as a treatment for adenomatoid odontogenic tumors. This case report focuses on an 18-year-old male patient who was diagnosed with an adenomatoid odontogenic tumor in the right lower mandible following an incisional biopsy. Within six months of follow-up at the outpatient department after marsupialization, a decrease in tumor size and separation from the inferior alveolar nerve were observed. Cystic enucleation and curettage were performed nine months after marsupialization, and the capsule was found to be thickened. The tumor was successfully removed in its entirety. After the surgery, the patient continued to be followed up at our outpatient department. The surgical wound healed well, and new bone formation was observed. There was no evidence of recurrence. This case report showed marsupialization could be one of the conservative managements of mandibular adenomatoid odontogenic tumor with a promising outcome. However, further research and more cases are needed to establish the effectiveness of marsupialization for the treatment of adenomatoid odontogenic tumors.

並列關鍵字

Adenomatoid odontogenic tumor ； Marsupialization

國際替代計量

造袋術使用於下顎腺瘤樣齒源性瘤－病例報告

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