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낭종성 법랑아 세포종의 치험례: 증례 보고
Conservative therapy of extensive unicystic ameloblastoma: a case report
J Dent Rehabil Appl Sci 2018;34(3):246-250
Published online September 30, 2018
© 2018 Korean Academy of Stomatognathic Function and Occlusion.

현창림1, 송지영2*
Chang Lim Hyun1, Ji-Young Song2*

1제주대학교 의학전문대학원 병리학교실
2제주대학교 의학전문대학원 치과학교실

1Department of Pathology, Jeju National University Hospital, Jeju National University College of Medicine and Graduate School of Medicine, Jeju, Republic of Korea
2Department of Oral and Maxillofacial Surgery, School of Medicine, Jeju National University, Jeju, Republic of Korea
Ji-Young Song
Professor, Department of Oral and Maxillofacial Surgery, Jeju National University Hospital, 15, Aran 13-gil, Jeju-si, Jeju Special Self-Governing Province, 63241, Republic of Korea
Tel: +82-64-717-1845, Fax: +82-64-717-1102, E-mail: 2460song@naver.com
Received July 13, 2016; Revised September 12, 2016; Accepted February 5, 2018.
cc This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
법랑아 세포종은 치성 상피에서 기인한 양성 종양의 일종이다. 하악골에 가장 흔하게 발생하는 양성종양이며 공격적인 성장과 국소적 침범의 특징을 가진다. 그 중 단방성 법랑아 세포종은 방사선학적으로는 단방성의 특징을 가지며 병리학적으로는 낭종의 특징을 가진다. 낭종성 법랑아 세포종의 병소의 크기가 큰 경우 감압술 및 조대술이 보존적인 치료 방법으로 사용된다. 이 치료 방법의 목적은 병소의 크기를 줄여 완전 적출이 손쉽게 하며 악안면 부위 변형이나 신경 손상을 방지하는데 있다. 본 증례에서는 병소의 크기가 큰 낭종성 법랑아 세포종을 감압술 및 조대술로 성공적으로 치료한 치험례를 논문 고찰과 함께 보고하고자 한다.
Ameloblastoma is a benign neoplasm originating from odontogenic epithelium. It is the most common neoplasm in the jaws and is characterized by aggressive behavior and local invasion. Unicystic ameloblastoma (UA) has a unilocular feature in radiologic examination and a cystic feature histologically. Decompression and marsupialization are conservative method of treatment of large UA. The purpose of decompression and marsupialization are size reduction of the mass, which makes it easy to handle at total enucleation with protection of nerve damage and facial deformity. Here we report successful conservative treatment of extensive UA using decompression and marsupialization with a review of literatures.
주요어 : 낭종성 법랑아 세포종; 감압술; 조대술
Keywords : unicystic ameloblastoma; decompression; marsupialization


September 2018, 34 (3)
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