口腔医学研究 ›› 2026, Vol. 42 ›› Issue (1): 77-79.DOI: 10.13701/j.cnki.kqyxyj.2026.01.015

• 病例报告 • 上一篇    下一篇

牙源性始基瘤复发1例

周艺杰, 李红*   

  1. 中南大学湘雅医学院附属海口医院病理科 海南 海口 570208
  • 收稿日期:2025-03-03 出版日期:2026-01-28 发布日期:2026-01-23
  • 通讯作者: *李红,E-mail:380388989@qq.com
  • 作者简介:周艺杰(1986~ ),女,江西铅山人,硕士,主治医师,研究方向:临床病理学。

A Case Report of Recurrent Pedunculated Odontogenic Tumor

ZHOU Yijie, LI Hong*   

  1. Department of Pathology, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, Haikou 570208, China
  • Received:2025-03-03 Online:2026-01-28 Published:2026-01-23

摘要: 牙源性始基瘤(pedunculated odontogenic tumor,POT)是一种罕见的良性肿瘤,临床易误诊。本文报道1例下颌区肿胀为首发症状,初诊为成釉细胞纤维瘤(ameloblastic fibroma,AF),后复发,终诊为POT的病例,结合文献讨论该肿瘤的临床病理特征并分析复发原因,以期为口腔颌面外科POT的临床诊治提供参考。

关键词: 牙源性始基瘤, 下颌骨, 免疫组织化学, 鉴别诊断

Abstract: Pedunculated odontogenic tumor (POT) is a rare benign tumor that is easily misdiagnosed clinically. In this paper, we reported a case of mandibular swelling as the first symptom, initially diagnosed as ameloblastic fibroma (AF), and then recurred and finally diagnosed as POT. The clinicopathological features of the tumor were discussed in relation to the reasons for recurrence, with a view to providing reference for the clinical diagnosis and treatment of POT in oral and maxillofacial surgery.

Key words: POT, mandible, immunohistochemistry, differential diagnosis