15歳男子の下顎骨に生じた原発型エナメル上皮癌の1例
A case of primary ameloblastic carcinoma of the mandible is reported. The patient was a 15-year-old boy with a complaint of swelling of the gingiva adjacent to the lower left canine. He visited our department to receive further examination of the lesion. A bone-like hard swelling was detected in the...
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| Published in | 日本口腔外科学会雑誌 Vol. 61; no. 12; pp. 682 - 686 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
社団法人 日本口腔外科学会
20.12.2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.61.682 |
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| Abstract | A case of primary ameloblastic carcinoma of the mandible is reported. The patient was a 15-year-old boy with a complaint of swelling of the gingiva adjacent to the lower left canine. He visited our department to receive further examination of the lesion. A bone-like hard swelling was detected in the area from the buccal gingiva adjacent to the lower left canine to the mucobuccal fold. On the basis of the results of biopsy, an ameloblastic carcinoma was diagnosed. After confirming the absence of systemic metastasis, we performed a segmental mandibulectomy with metal plate reconstruction with the patient under general anesthesia in May 2013. The diagnosis of primary ameloblastic carcinoma was confirmed on examination of the excised specimen. After 1-year follow-up, titanium mesh-assisted autogenous iliac bone grafting was performed to reconstruct the mandible in March 2014. One year 8 months have elapsed since the initial surgery. The patient has made satisfactory progress, with no signs of recurrence or metastasis. |
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| AbstractList | A case of primary ameloblastic carcinoma of the mandible is reported. The patient was a 15-year-old boy with a complaint of swelling of the gingiva adjacent to the lower left canine. He visited our department to receive further examination of the lesion. A bone-like hard swelling was detected in the area from the buccal gingiva adjacent to the lower left canine to the mucobuccal fold. On the basis of the results of biopsy, an ameloblastic carcinoma was diagnosed. After confirming the absence of systemic metastasis, we performed a segmental mandibulectomy with metal plate reconstruction with the patient under general anesthesia in May 2013. The diagnosis of primary ameloblastic carcinoma was confirmed on examination of the excised specimen. After 1-year follow-up, titanium mesh-assisted autogenous iliac bone grafting was performed to reconstruct the mandible in March 2014. One year 8 months have elapsed since the initial surgery. The patient has made satisfactory progress, with no signs of recurrence or metastasis. |
| Author | 齋藤, 大嗣 阿部, 亮輔 八木, 正篤 水城, 春美 武田, 泰典 阿部, 亜希 |
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| References | 13) 槻木恵一：診断に役立つ免疫組織化学. 顎口腔領域 病理と臨床 25 (臨時増刊号): 28-33, 2007. 15) Kusafuka K, Hirobe K, et al : CD56 expression is associated with neuroectodermal differentiation in ameloblastomas, an immunohistochemical evaluation in comparison with odontogenic cystic lesions. Med Mol Morpphol 44: 79-85, 2011. 12) 矢田直美, 加島健司, 他：原発型エナメル上皮癌の1例. 診断病理 26: 199-203, 2009. 16) Nin N, Chen L, et al : Multiple organ metastases from ameloblastoma detected by FDG PET/CT imaging. Clin Nucl Med 38: 1009-1011, 2013. 7) Hall LM, Weathers DR, et al : Ameloblastic carcinoma: An analysis of 14 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: 799-807, 2007. 9) Devenney-Cakir B, Dunfee B, et al : Ameloblastic carcinoma of the mandible with metastasis to the skull and lung: advanced imaging appearance including computed tomography, magnetic resonance imaging and positron emission tomography computed tomography. Dentomaxillofac Radiol 39: 449-453, 2010. 5) Nadimi H, Toto PD, et al : Basement membrane defect in ameloblastic carcinoma: A case study. J Oral Med 41: 79-81, 1986. 1) Sciubba JJ, Eversole LR, et al : Odontogenic ameloblastic carcinomas. In Barnes L, Eveson JW, et al, eds ; WHO Classification of Tumors, Pathology and Genetics of Head and Neck Tumors. IARC Press, Lyon, 2005, p287-289. 14) Kawai S, Ito E, et al : Immunohistochemical characteristics of odontogenic carcinomas, thier use in diagnosing and elucidating histogenesis. Oral Med Pathol 13: 55-63, 2009. 6) Corio RL, Goldblatt LI, et al : Ameloblastic carcinoma: A clinicopathologic study and assessment of eight cases. Oral Surg Oral Med Oral Pathol 64: 570-576, 1987. 19) 多田圭希, 村上重人, 他：原発病巣切除13年後に多発性肺転移を認めた悪性エナメル上皮腫の一例. 日内科誌 87: 1376-1378, 1998. 17) Benlyazid A, Lacroix-Triki M, et al : Ameloblasitic carcinoma of maxilla: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104: e17-e24, 2007. 18) 佐藤 (栗林) 和代, 小野貢伸, 他：多発性肺転移を伴った巨大な下顎エナメル上皮癌の1例. 日口外誌 58: 137-141, 2012. 3) 北所弘行, 永易裕樹, 他：下顎骨に発生した二次型エナメル上皮癌の1例. 日口外誌 53: 553-557, 2007. 11) Reichart PA, Philipsen HP, et al : Ameloblastic carcinoma. Odontogenic tumors and allied lesions: Quintessence Publishing Company; 215-220, 2004. 2) 石川梧朗, 秋吉正豊：口腔病理学II, 改訂版, 永末書店, 東京, 1970, 932-935頁. 4) Kramer IRH, Pindborg JJ, et al : World Health Organization Classification of Tumors, No. 5. Histopathological Typing of Odontogenic Tumors. Springer-Verlag, Heidelberg, 1992. 8) Yazici N, Karagöz B, et al : Maxillary ameloblastic carcinoma in a child. Pediatr Blood Cancer 50: 175-176, 2008. 10) Horváth A, Horváth E, et al : Mandibular ameloblastic carcinoma in a young patient. Rom J Morphol Embryol 53: 179-83. 2012. |
| References_xml | – reference: 7) Hall LM, Weathers DR, et al : Ameloblastic carcinoma: An analysis of 14 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 103: 799-807, 2007. – reference: 14) Kawai S, Ito E, et al : Immunohistochemical characteristics of odontogenic carcinomas, thier use in diagnosing and elucidating histogenesis. Oral Med Pathol 13: 55-63, 2009. – reference: 8) Yazici N, Karagöz B, et al : Maxillary ameloblastic carcinoma in a child. Pediatr Blood Cancer 50: 175-176, 2008. – reference: 5) Nadimi H, Toto PD, et al : Basement membrane defect in ameloblastic carcinoma: A case study. J Oral Med 41: 79-81, 1986. – reference: 19) 多田圭希, 村上重人, 他：原発病巣切除13年後に多発性肺転移を認めた悪性エナメル上皮腫の一例. 日内科誌 87: 1376-1378, 1998. – reference: 17) Benlyazid A, Lacroix-Triki M, et al : Ameloblasitic carcinoma of maxilla: case report and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 104: e17-e24, 2007. – reference: 3) 北所弘行, 永易裕樹, 他：下顎骨に発生した二次型エナメル上皮癌の1例. 日口外誌 53: 553-557, 2007. – reference: 6) Corio RL, Goldblatt LI, et al : Ameloblastic carcinoma: A clinicopathologic study and assessment of eight cases. Oral Surg Oral Med Oral Pathol 64: 570-576, 1987. – reference: 1) Sciubba JJ, Eversole LR, et al : Odontogenic ameloblastic carcinomas. In Barnes L, Eveson JW, et al, eds ; WHO Classification of Tumors, Pathology and Genetics of Head and Neck Tumors. IARC Press, Lyon, 2005, p287-289. – reference: 15) Kusafuka K, Hirobe K, et al : CD56 expression is associated with neuroectodermal differentiation in ameloblastomas, an immunohistochemical evaluation in comparison with odontogenic cystic lesions. Med Mol Morpphol 44: 79-85, 2011. – reference: 16) Nin N, Chen L, et al : Multiple organ metastases from ameloblastoma detected by FDG PET/CT imaging. Clin Nucl Med 38: 1009-1011, 2013. – reference: 2) 石川梧朗, 秋吉正豊：口腔病理学II, 改訂版, 永末書店, 東京, 1970, 932-935頁. – reference: 18) 佐藤 (栗林) 和代, 小野貢伸, 他：多発性肺転移を伴った巨大な下顎エナメル上皮癌の1例. 日口外誌 58: 137-141, 2012. – reference: 11) Reichart PA, Philipsen HP, et al : Ameloblastic carcinoma. Odontogenic tumors and allied lesions: Quintessence Publishing Company; 215-220, 2004. – reference: 13) 槻木恵一：診断に役立つ免疫組織化学. 顎口腔領域 病理と臨床 25 (臨時増刊号): 28-33, 2007. – reference: 9) Devenney-Cakir B, Dunfee B, et al : Ameloblastic carcinoma of the mandible with metastasis to the skull and lung: advanced imaging appearance including computed tomography, magnetic resonance imaging and positron emission tomography computed tomography. Dentomaxillofac Radiol 39: 449-453, 2010. – reference: 4) Kramer IRH, Pindborg JJ, et al : World Health Organization Classification of Tumors, No. 5. Histopathological Typing of Odontogenic Tumors. Springer-Verlag, Heidelberg, 1992. – reference: 10) Horváth A, Horváth E, et al : Mandibular ameloblastic carcinoma in a young patient. Rom J Morphol Embryol 53: 179-83. 2012. – reference: 12) 矢田直美, 加島健司, 他：原発型エナメル上皮癌の1例. 診断病理 26: 199-203, 2009. |
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| SubjectTerms | 下顎骨再建 原発型エナメル上皮癌 歯原性腫瘍 |
| Title | 15歳男子の下顎骨に生じた原発型エナメル上皮癌の1例 |
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