Fibro-osseous lesions of the cranio-facial bones
Fibro-osseous lesions of the cranio-facial bones
复制标题
颅面骨的纤维骨病变
DOI：
10.1017/s0022215100087739
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发表时间：
1979
期刊：
影响因子：
--
通讯作者：
H. Koppang
中科院分区：
文献类型：
--
作者：
M. Boysen;J. Olving;K. Vatne;H. Koppang
本文简要回顾了15例颅面纤维骨病变的临床、影像学和组织形态学表现。经过组织学验证的纤维-骨的性质的过程中，5个病变被诊断为纤维异常增殖症的放射学基础上表现出弥漫性（混合）的边缘，而骨化纤维瘤的诊断给出了10个放射学清晰界定的病变。两组病变呈现相同的组织形态学特征，尽管程度不同。然而，球形钙化仅见于骨化性纤维瘤，而非全部。因此，纤维结构不良与骨化性纤维瘤的鉴别诊断依赖于组织病理学家证实病变的纤维组织性质后的放射学检查。观察时间从1年半到34年不等。2例骨纤维异常增殖症和3例骨化性纤维瘤复发。在一例骨纤维异常增殖症中，骨肉瘤在放射治疗后33年发生。疼痛是目前材料中常见的症状。
Summary A BRIEF review of cranio-facial fibro-osseous lesions in given and 15 cases of fibrous dysplasia and ossifying fibroma are presented with clinical, radiological and histomorphological findings. After histological verification of the fibro-osseous nature of the process, 5 lesions were diagnosed on a radiological basis as fibrous dysplasia exhibiting diffuse (blending) margins, while the diagnosis of ossifying fibroma was given to 10 radiologically sharply-demarcated lesions. Both groups of lesions presented the same histomorphological features, although to a varying degree. Spheroidal calcifications, however, were identified in ossifying fibroma only, but not in all of these. Thus, the differential diagnosis of fibrous dysplasia versus ossifying fibroma rests on a radiological creiterion after the histopathologist has verified the fibro-isseiys nature of a lesion. The observation times varied from 1 ½ to 34 years. Two cases of fibrous dysplasia and 3 cases of ossifying fibroma recurred. In one case of fibrous dysplasia an osteosarcoma developed 33 years after irradiation. Pain was a common symptom in the present material.