诊断

成釉细胞瘤的诊断可从以下检查开始:

  • 影像学检查。X 线、计算机断层扫描(CT)磁共振成像(MRI) 扫描可帮助医生确定成釉细胞瘤分期。有时,在牙医诊所的常规 X 线检查中会发现肿瘤。
  • 组织检查。为了确认诊断,医生可能会提取组织样本或细胞样本,来送至实验室进行检查。

治疗

成釉细胞瘤治疗可能取决于肿瘤大小、位置以及受累细胞的类型与形态。治疗方法可包括:

  • 手术切除肿瘤。成釉细胞瘤治疗通常包括手术切除肿瘤。成釉细胞瘤经常会扩散至临近的颚骨,因此医生需要切除累及的部分颚骨。积极的手术治疗可降低成釉细胞瘤复发的风险。
  • 手术修复颚骨。如果手术需要切除部分颚骨,医生可以对颚骨进行修复和重建。颚骨重建手术可改善术后的颚骨外观和功能。手术还可以帮助患者进食和说话。
  • 放射疗法。术后或如果不选择手术,需要使用高能能量束进行放疗。
  • 修复。口腔修复专科医师可为缺失牙齿或口腔内其他自然结构受损进行人工修复。
  • 支持性治疗。各学科专家可帮助患者解决治疗中和治疗后出现的说话、吞咽和进食方面的问题。这些专家可能包括营养师、言语和语言治疗师以及理疗师。

由于治疗后有复发风险,终身定期复诊很重要。

Oct. 12, 2024

Living with 成釉细胞瘤?

Connect with others like you for support and answers to your questions in the Head & Neck Cancer support group on Mayo Clinic Connect, a patient community.

Head & Neck Cancer Discussions

johnschaar
HPV Tonsil cancer: I'm very nervous about chemo and radiation

133 Replies Mon, Jan 19, 2026

srm
Getting frustrated with throat pain post radiation

67 Replies Mon, Jan 19, 2026

See more discussions
  1. Effiom OA, et al. Ameloblastoma: Current etiopathological concepts and management. Oral Diseases. 2018; doi:10.1111/odi.12646.
  2. Flint PW, et al., eds. Odontogenesis, odontogenic cysts, and odontogenic tumors. In: Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Aug. 2, 2021.
  3. Shi HA, et al. Ameloblastoma: A succinct review of the classification, genetic understanding and novel molecular targeted therapies. The Surgeon. 2021; doi:10.1016/j.surge.2020.06.009.
  4. Flint PW, et al., eds. Benign tumors and tumor-like lesions of the oral cavity. In: Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Aug. 2, 2021.
  5. Gnepp DR, et al. Odontogenic cysts and tumors. In: Gnepp's Diagnostic Surgical Pathology of the Head and Neck. 3rd ed. Elsevier; 2021. https://www.clinicalkey.com. Accessed Aug. 2, 2021.
  6. Neagu D, et al. Surgical management of ameloblastoma. Review of literature. Journal of Clinical and Experimental Dentistry. 2019; doi:10.4317/jced.55452.
  7. Jensen NA. Allscripts EPSi. Mayo Clinic. Sept. 9, 2021.
  8. Medical review (expert opinion). Mayo Clinic. Sept. 22, 2021.
  9. Bi L, et al. A retrospective study of 158 cases on the risk factors for recurrence in ameloblastoma. International Journal of Medical Sciences. 2021; doi:10.7150/ijms.61500.

相关

产品与服务