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患者,男,20岁。1年前始,左下后牙区肿痛不适,肿胀波及同侧面颊部,全身抗炎治疗,效果不佳,肿胀区渐进性增大,在当地医院拍片以“下颌骨囊肿”转入我院。于1994年9月6日以“下颌骨肿瘤”收治入院。 即往史,家族史无特殊,全身检查无异常发现。口腔、颌面部情况,面部外观不对称,左侧面颊明显隆起,同侧磨牙后区下颌骨体部有大约5.5×5×3.5厘米大小包块,质硬、无活动度,无“乒乓”样感,与皮肤无明显粘连,张口中度受限,左下磨牙后区龈颊沟消失,该部磨牙不松动,轻度叩痛。 口腔颌面部其余器官组织未见异常。 X线片表现:左下后磨牙区的颌骨体部有—4×4.4厘米大小圆形病变区,密度增高,未见正常骨
Patient, male, 20 years old. A year ago, the lower left posterior teeth area swelling and pain discomfort, swelling spread to the ipsilateral cheek, systemic anti-inflammatory treatment, the effect is not good, swelling area gradually increased, in the local hospital film “mandibular cyst” into our hospital . On September 6, 1994 to “mandibular tumor” admitted to hospital. The past history, family history is no exception, no abnormalities found in the whole body examination. Oral and maxillofacial region, the facial appearance was asymmetrical, the left cheek was apparently raised. The mandibular body in the posterior region of the ipsilateral molar had a size of about 5.5 × 5 × 3.5 cm, with hard, no activity and no “ping-pong” Sense, no obvious adhesion with the skin, mouth moderately limited, the left gingival cheek groove after the molar disappeared, the Ministry of molars do not loose, mild percussion pain. Oral and maxillofacial other organs and tissues were normal. X-ray findings: the lower left posterior molar area of the jaw body with a size of -4 × 4.4 cm round lesions, increased density, no normal bone