소아에서 하악 양측 매복 견치와 연관된 치성 점액종

A CASE OF ODONTOGENIC MYXOMA RELATED TO BOTH IMPACTED CANINE TEETH IN THE MANDIBLE

  • 최세훈 (가천의과대학교 길병원 구강악안면외과) ;
  • 정종철 (가천의과대학교 길병원 구강악안면외과) ;
  • 송민석 (가천의과대학교 길병원 구강악안면외과) ;
  • 서지훈 (가천의과대학교 길병원 구강악안면외과) ;
  • 김성범 (가천의과대학교 길병원 구강악안면외과) ;
  • 전창훈 (가천의과대학교 길병원 구강악안면외과)
  • Choi, Se-Hoon (Dept. of Oral & Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Jeong, Jong-Cheol (Dept. of Oral & Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Song, Min-Soek (Dept. of Oral & Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Seo, Ji-Hoon (Dept. of Oral & Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Kim, Soeng-Boem (Dept. of Oral & Maxillofacial Surgery, Gachon Medical School, Gil Medical Center) ;
  • Jun, Chang-Hun (Dept. of Oral & Maxillofacial Surgery, Gachon Medical School, Gil Medical Center)
  • 발행 : 2003.02.28

초록

본 증례는 하악골 정중부의 종창과 미맹출 매복 견치를 주소로 내원한 12세 남아 환자로 환자의 임상 및 방사선 소견상 함치성 낭종으로 가진하였다. 그러나 정확한 진단과 환자의 조절 등의 문제로 인하여 전신마취하에 낭종성 병소의 적출을 시행하여 조직 검사를 시행하였으며 그 결과 매복 견치와 관련된 점액종으로 진단되었다. 이에 저자 등은 하악 양측 견치의 미맹출 매복치과 연관되어 매우 드물게 발생되는 점액종을 경험하였기에 문헌 고찰과 함께 보고하는 바이다.

Odontogenic myxoma is a rare tumor which occurs almost exclusively in the jaws, and seems to be of odontogenic origin. Clinically this tumor tends to appear in the second and third decades of life, and most of the lesions are located in the premolar - molar region. It is characterized grossly by mucoid or gelatinous gray-whitish tissue that replaces the cancellous bone and expands the cortex. It is invasive locally and has a high recurrence rate ranging from 10% to 33%. Radiographically, the appearance of this tumor is varied, but usually appears as a unilocular or multilocualr radioluscency of varying size. We experienced a rare case of odontogenic myxoma 12 years old patient related to mandibular bilateral impacted canines in the mandible, so we report this case with literature.

키워드

참고문헌

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