Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제34권6호
  • /
  • Pages.649-652
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  • 2008
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

하악골에 발생한 골아세포종의 치험례

OSTEOBLASTOMA OF THE MANDIBLE : A CASE REPORT

  • 정세헌 (가톨릭대학교 성모병원 구강악안면외과) ;
  • 윤현중 (가톨릭대학교 성모병원 구강악안면외과) ;
  • 이상화 (가톨릭대학교 성모병원 구강악안면외과)
  • Jeong, Se-Heon (Department of Oral & Maxillofacial Surgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Yoon, Hyun-Joong (Department of Oral & Maxillofacial Surgery, St. Mary's Hospital, The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Department of Oral & Maxillofacial Surgery, St. Mary's Hospital, The Catholic University of Korea)
  • 발행 : 2008.12.31
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초록

Osteoblastoma is a relatively rare benign bone tumor representing less than 1% of all bone tumors. The tumor usually involves the spine and sacrum of young individuals, less than 10% being localized to the skull, and nearly half of these affect the mandible, especially the posterior segments. In clinical finding, osteoblastoma present mainly with pain, swelling, and expansion of bone cortex. Radiographic appearances are variable, but frequently a well-delineated radiolucent lesion containing varying amounts of mineral deposits is seen. Histologically, ostoeblastoma is consists of irregular trabeculeae of osteoid and immature bone present within highly vascular connective tissue matrix. Osteoblastoma must be differentiated from a number of bone-producing lesions, including osteoid osteoma, fibrous dysplasia, ossifying fibroma, fibrous dysplasia, and osteosarcoma. If diagnosis may be mistaken for osteosarcoma, there are risks of more aggressive and irreversible treatment. Differential diagnosis of osteoblastoma is important. The preferred treatment of osteoblastoma is conservative approach and surgical excision. Recurrence following surgical intervention is rare. We treated osteoblastoma located in premolar area of mandible by excision with preservation of vital structure, such as nerves and teeth. So we report our clinical treatment with literature review

키워드

참고문헌

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