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牙源性钙化囊肿共18例。原发颌骨内(中央型)16例。原发颌骨外(外周型)2例。治疗结果:外周型2例局部切除无复发,颌骨内囊肿型局部囊肿刮爬术后均无复发;肿瘤型6例中有3例术后复发,其中2例术后多次复发(1例12次复发,另1例6次复发),最后局部接受放射治疗后原发灶基本控制。作者对牙源性钙化囊肿的临床病理特点,肿瘤命名及治疗方法进行了讨论。并认为对牙源性钙化囊肿肿瘤型应看作为临界瘤,按低度恶性肿瘤处理原则。复发者应辅助术后放疗,以达到预防局部复发。
Tooth-derived calcified cysts in 18 cases. Primary jaw bone (central type) in 16 cases. Primary external jaw (peripheral type) in 2 cases. Results: There were no recurrences in 2 cases of peripheral type and no recurrence of intracranial cyst type local cyst rupture in 5 cases. Three cases of tumor recurrence occurred in 6 cases, of which 2 cases recurred after operation (1 case 12 recurrences, the other 6 cases of recurrence), and finally the basic control of the primary tumor after local radiotherapy. The author of the clinicopathological features of odontogenic calcified cysts, tumor naming and treatment were discussed. And that the odontogenic calcified cyst tumor should be seen as a critical tumor, according to the principle of low-grade malignant tumors. Recurrent patients should be assisted postoperative radiotherapy in order to achieve prevention of local recurrence.