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Ameloblastoma cinsiyet ayrımı gözetmeksizin genellikle genç yetişkinlerde izlenen mine dokusunun diferansiye olmamış gerçek bir neoplazmıdır ve invaziv olarak büyür. %80’i mandibular %20’si maxillar bölgede olmak üzere oral tümörlerin yaklaşık olarak %1’ini oluşturur. Klinik olarak ameloblastoma yavaş büyüyen ve yüzde şişlik gibi herhangi bir bulgu vermeyen, asemptomatik lokal agresif bir tümördür. Radyolojik görüntüsü klasik bir multiloküler kistik radyolusent lezyon şeklindedir. Sabun köpüğü ve bal peteği şeklindeki radyolusent alanlar tipik görüntüsüdür. Keratokistik odontojenik tümör dental lamina artıklarından gelişen agresif davranışlı ve çevre dokulara infiltratif özelliği ile benign odontojenik tümör sınıfına dahil edilen yüksek nüks özelliği gösteren lezyonlardır. Konik Işınlı Bilgisayarlı Tomografi (KIBT) diş hekimliğinde güncel kullanılan en yeni ve ileri görüntüleme yöntemidir. Bu çalışmanın amacı ameloblastoma ön tanısıyla tartışılan vaka serilerinin radyografik görüntüleri ve histopatolojik sonuçlarının değerlendirilmesidir. Bu çalışmada ön tanıdan farklı olarak beş vaka histopatolojik olarak keratokistik odontojenik tümör tanısı almıştır. Çoğu vakada ameloblastoma karakteristik olarak teşhis edilebilir fakat radyografik görüntü diagnostik değildir.
Ameloblastoma is a genuine neoplasm that is often observed in young adults without gender differentiation and grows invasively. 80% of the mandibules are about 1% of oral tumors, including the maxillar area, and 20% of the mandibules. Clinically, the ameloblastoma is an asymptomatic local aggressive tumor that is slowly growing and does not give any findings such as a percentage of swelling. The radiological image is in the form of a classic multilocular cystic radiolusent injury. Radiolusent fields in the form of the soap and honey pipe are typical image. Keratocistic odontogenic tumor is an aggressive behavioral and environmental tissue infiltrative that develops from dental lamina residue and high nuts that are included in the benign odontogenic tumor class with its infiltrative characteristics. Konik Wireless Computer Tomography (KIBT) is the current use and advanced visualization method in dental medicine. The aim of this study is to evaluate the radiographical images and histopathological results of the series of cases discussed with the pre-diagnosis of the ameloblastoma. In this study, five cases, unlike the pre-diagnosis, were diagnosed with a keratocistic odontogenic tumor histopathologically. Ameloblastoma can be characteristically diagnosed in most cases, but the radiographic image is not diagnostic.
Ameloblastoma is a non-differentiated real neoplasm of enamel tissue usually seen in young adults, regardless of gender. It grows invasively. Ameloblastoma accounts for approximately 1% of oral tumors with 80% in the mandibular and 20% in the maxillar region. Clinically, ameloblastoma is a locally aggressive tumor that is asymptomatic and slowly growing without swelling. Its radiological appearance is classically a multilocular cystic radiolucent lesion. The most typical appearance is the radiolucent areas in the form of soap bubbles and honeycombs. Keratocystic odontogenic tumor is derived from dental lamina residues and is included in odontogenic tumor class lesions for its aggressive behavior and infiltration to adjacent tissues. Cone Beam Computed Tomography (CBCT) is the newest imaging method used in dentistry currently. The aim of this article was to discuss a case series of ameloblastoma with a preliminary diagnosis of radiographic appearance. Histopathologically five of seven cases were diagnosed as keratocystic odontogenic tumor. In most cases, ameloblastoma can be diagnosed as characteristic, but its radiographic appearance is not diagnostic.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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