诊断
为了更详细地了解您的颚部肿瘤或囊肿,医务人员可能会建议您在治疗之前接受一些检查。这些检查可能包括:
- 影像学检查,例如 X 线、CT 或磁共振成像(MRI)
- 活检,切除肿瘤或囊肿细胞样本以进行实验室分析
借助这些信息,医务人员将能够制定最适合您的治疗计划和最有效的肿瘤或囊肿治疗方案。
治疗
颌骨肿瘤和囊肿的治疗方法各不相同,这取决于病灶的类型、生长阶段和您的症状。治疗团队在给出治疗建议时,还会考虑您的治疗目标和个人偏好。
颌骨肿瘤和囊肿的治疗通常包括手术。在有些病例中,治疗方案可以是药物治疗,也可以是手术和药物治疗相结合。
在手术中,外科医生会切除颌骨肿瘤或囊肿,这可能包括切除附近的牙齿、组织和颌骨,然后将其送到实验室进行检查。在手术过程中,病理医生会检查切除的组织并报告诊断结果,以便外科医生根据这些信息立即采取行动。
其他治疗方案可能包括:
- 重建颌骨和其他结构
- 针对特定类型的颌骨肿瘤和囊肿进行药物治疗
- 帮助保持生活质量的支持性护理,包括营养、言语和吞咽协助以及镶牙
治疗后的长期随访检查有助解决任何颌骨肿瘤和囊肿的复发问题。及早发现复发很重要,以便可以得到适当的治疗。
Jan. 12, 2022
- Wright JM, et al. Update from the 4th edition of the World Health Organization Classification of head and neck tumours: Odontogenic and maxillofacial bone tumors. Head and Neck Pathology. 2017; doi:10.1007/s12105-017-0794-1.
- Rajendra Santosh AB. Odontogenic cysts. Dental Clinics of North America. 2020; doi:10.1016/j.cden.2019.08.002.
- Flint PW, et al., eds. Odontogenesis, odontogenic cysts, and odontogenic tumors. In: Cummings Otolaryngology: Head & Neck Surgery. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 21, 2021.
- Gnepp DR, et al. Odontogenic cysts and tumors. In: Gnepp's Diagnostic Surgical Pathology of the Head and Neck. 3rd ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Oct. 21, 2021.
- Rioux-Forker D, et al. Odontogenic cysts and tumors. Annals of Plastic Surgery. 2019; doi:10.1097/SAP.0000000000001738.
- Tumor. Dorland's Medical Dictionary Online. https://www.dorlandsonline.com. Accessed Oct. 22, 2021.
- Cyst. Dorland's Medical Dictionary Online. https://www.dorlandsonline.com. Accessed Oct. 22, 2021.
- Shah JP, et al. Bone tumors and odontogenic lesions. In: Jatin Shah's Head and Neck Surgery and Oncology. 5th ed. Elsevier; 2020. https://www.clinicalkey.com. Accessed Oct. 21, 2021.
- Bender-Heine A, et al. Advances in oromandibular reconstruction with three-dimensional printing. Facial Plastic Surgery. 2020; doi:10.1055/s-0040-1721110.
- Phasuk K, et al. Maxillofacial prosthetics. Oral and Maxillofacial Surgery Clinics of North America. 2018; doi:10.1016/j.coms.2018.06.009.
- Jeyaraj P. Management of central giant cell granulomas of the jaw: An unusual case report with critical appraisal of existing literature. Annals of Maxillofacial Surgery. 2019; doi:10.1016/j.coms.2018.06.009.
- da Silva Rocha OKM, et al. Peripheral compound odontoma: A rare case report and literature review. Journal of Cutaneous Pathology. 2020; doi:10.1111/cup.13676.
- Wang Y, et al. An aggressive central giant cell granuloma in a pediatric patient: Case report and review of the literature. Journal of Otolaryngology — Head and Neck Surgery. 2019; doi:10.1186/s40463-019-0356-5.
- Ettinger KS (expert opinion). Mayo Clinic. Nov. 15, 2021.