翼突窩部에 發生된 粘液腫의 治驗例 및 文獻考察 = MYXOMA; A CASE REPORT AND REVIEW OF LITERATURE

다국어 초록 (Multilingual Abstract)

Myxomas are rare tumor that probably arise from the mesenchymal portion of the dental papilla, dental follicle, or periodontal membrane.
This is to report a case of myxoma occurred in the left maxillary alveolar portion, maxillary sinus and pterygomaxillary fossa.
The patient, 28 years-old female, was admitted to Dept, of Oral & Maxillofacial Surgery, Kyung Hee University Medical Center with the chief complaint of painless mass on the upper left molar area.
In this case, the roentgenographic findings revealed sun-ray appearance, root resorption, displacement of involved tooth and destruction of lateroposterior wall of maxillary sinus.
The histopathological findings revealed a soft tissue covered by hyperplastic stratified squamous epithelium with prominent rate ridge and no cellular atypia, The upper portion of underlying connective tissue is composed of fibrous collagenous tissue with numerous proliferating fibroblasts and infiltration of large numbers of chronic inflammatory cells and deep portion is made up of loosely arranged, spindle shaped and stellate cells with long fibrillar process.
Conservative local curettage is the preferred treatment.
Removal of the maxilla or mandible should be avoided if at all possible. Removal should be done only when pathologic fracture or extension of the tumor into the vital anatomical structures is inevitable.
In this case, we performed curettagement of the tumor via intraoral approach.

목차 (Table of Contents)

• ABSTRACT
• Ⅰ. 緖論
• Ⅱ. 症例報告
• Ⅲ. 總括 및 考察
• Ⅳ. 結論
• 參考文獻