Recurrent ameloblastoma following osseous reconstruction--a review of twenty years.
J Craniomaxillofac Surg
; 37(1): 36-41, 2009 Jan.
Article
em En
| MEDLINE
| ID: mdl-19022680
ABSTRACT
BACKGROUND:
The adequate therapy of ameloblastoma may require a compromise between the least destructive treatment possible of a benign tumour and a sufficiently radical method to prevent recurrences. Frequently recurrences appear after 10 years or longer, therefore regular follow-up visits even after more than 5 years are recommended. The primary reconstruction of bones and/or soft tissues, which is likely to be performed especially for benign processes is threatened by recurrences.METHODS:
A retrospective analysis of our patient group during the past 20 years has shown that a differentiated pretherapeutic securing of the histology as well as a radical surgical policy are the most important criteria, influencing the likelihood of recurrences. Three representative case histories are described below.RESULTS:
The rate of cumulative relapses with regard to various observation time amounted to 17% after 5 years and 19% after 10 years, respectively.CONCLUSION:
Ameloblastomas carry a certain risk of developing local recurrences depending on histology and the type of surgical treatment. Long-term follow-up should be arranged.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Ameloblastoma
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Neoplasias Maxilomandibulares
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Procedimentos de Cirurgia Plástica
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Recidiva Local de Neoplasia
Tipo de estudo:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article