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1991年3月我科收治1例右下颌骨角化囊肿伴有右侧多发性肢体表皮样囊肿的病例,提示二者在发生起源方面可能存在某种联系。现报道如下。 患者,女,34岁。因右侧下颌区逐渐膨隆就诊,初步诊断为右下颌骨囊肿,收入院治疗。患者既往健康,无手术及外伤史。口腔专科检查:右侧下颌角区域及体部膨隆,以下颌体部明显,皮肤色泽正常,无压痛,质地较硬,与周围皮肤无粘连。右侧下颌牙齿(?)均有不同程度的松动。右耳前有一肿物,皮色正常,无压痛,有弹性,与基底组织无粘连,约有0.5cm×0.5cm×0.5cm大小。右手鱼际上端及右下肢腓侧中1/3处各有一皮下肿物,分别约为0.2cm×0.2cm×0.2cm和1cm×1cm×1cm大小。右耳前肿物以9号针头穿刺检查抽出少许乳白色豆渣状内容物。 右下颌骨X线侧位片显示:下颌骨体部沿长轴方向有近似椭圆形骨质吸收区,累及牙根,但无明显吸收及移位。骨吸收区下缘见有半月型切迹。下颌升支部
March 1991 admitted to our department 1 cases of right mandibular keratocyst with right sided epidermoid cyst of multiple cases, suggesting that the origin of the two may have some connection. Report as follows now. Patient, female, 34 years old. Because of the right jaw area gradually bulging treatment, the initial diagnosis of right mandibular cysts, admission hospital treatment. Past patient's health, no history of surgery and trauma. Oral specialist examination: the right mandibular angle area and body bulging, the mandibular body was clear, normal skin color, no tenderness, texture hard, no adhesion with the surrounding skin. Right mandibular teeth (?) Have varying degrees of loosening. There is a tumor in front of the right ear, skin color is normal, no tenderness, flexibility, no adhesion with basal tissue, about 0.5cm × 0.5cm × 0.5cm size. The right hand and the right lower extremity fibular mid-1/3 of a subcutaneous tumor, respectively, about 0.2cm × 0.2cm × 0.2cm and 1cm × 1cm × 1cm size. The right ear before the needle to the 9th needle puncture check out a little creamy bean residue-like content. The right mandibular X-ray films showed that the mandibular body along the long axis of the approximate elliptical bone absorption area, involving the root, but no significant absorption and displacement. See the lower edge of the bone absorption area have a half-moon notch. Mandibular ascending branch