医学临床研究
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医学临床研究  2025, Vol. 42 Issue (2): 197-199    DOI: 10.3969/j.issn.1671-7171.2025.02.006
  论著 本期目录 | 过刊浏览 | 高级检索 |
先天性颗粒细胞牙龈瘤的临床影像特征分析*
王芮a, 袁理b, 曹亚先a, 周宁a, 张笑春a**
广州医科大学附属妇女儿童医疗中心,a:放射科;b:病理科,广东 广州 510623
Clinical Imaging Analysis of Congenital Granular Cell Epulis
WANG Rui, YUAN Li, CAO Yaxian, et al
Department of Radiology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou Guangdong 510623
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摘要 【目的】探讨新生儿先天性颗粒细胞牙龈瘤(CGCE)的临床影像特点。【方法】回顾性分析2017年6月至2023年2月在本院经手术病理确诊为CGCE的6例患儿的临床资料,分析其临床及影像学特征。【结果】6例患儿肿瘤最大直径1.3~3.4 cm,4例为多发病灶,其中3例累及上下颌牙槽嵴,1例累及上颌牙槽嵴及舌下。2例为单发病灶,分别累及上颌牙槽嵴、下颌牙槽嵴,6例肿瘤内均无出血、坏死囊变及钙化灶。增强扫描由边缘向中央填充式强化2例,逐渐强化3例,扩散加权成像(DWI)上呈稍高信号,表观扩散系数(ADC)图上呈低信号,6例均无邻近骨质受累。【结论】CGCE的影像学表现具有一定的特征,确诊需经病理和免疫组织化学检查。
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关键词 牙龈肿瘤婴儿, 新生体层摄影术, 螺旋计算机磁共振成像    
Abstract:【Objective】To analyze the clinical and imaging finding of in congenital granular cell epulis, and improve the recognition of the disease.【Methods】The clinical data of 6 children diagnosed with CGCE by surgical pathology from June 2017 to February 2023 in our hospital were retrospectively analyzed, and their clinical and imaging characteristics were analyzed.【Results】The maximum tumor diameter of 6 cases was 1.3-3.4 cm, and 4 cases had multiple lesions, of which 3 cases involved both maxillary and mandibular alveolar crista, and 1 case involved both maxillary alveolar crista and sublingual. 2 cases had single lesions involving maxillary anterior alveolar ridge and mandibular alveolar ridge, respectively. Necrosis、cystic change and hemorrhage was not seen in 6 cases. Two cases showed filling enhancement from the edge to the center, and 3 cases showed gradual enhancement. The tumors had high signal on DWI, and low signal on ADC map. No adjacent bone was involved in 6 cases.【Conclusions】The imaging findings of CGCE have certain characteristics, and the diagnosis needs to be confirmed by pathological and immunohistochemical examination.
Key wordsGingival Neoplasms    Infant, Newborn    Tomography, Spiral Computed    Magnetic Resonance Imaging
收稿日期: 2023-12-25     
中图分类号:  R788.3  
基金资助:*广州市卫生健康科技项目(编号:20231A011036、20221A011024)
通讯作者: **E-mail:zxcylxyr@163.com   
引用本文:   
王芮, 袁理, 曹亚先, 周宁, 张笑春. 先天性颗粒细胞牙龈瘤的临床影像特征分析*[J]. 医学临床研究, 2025, 42(2): 197-199.
WANG Rui, YUAN Li, CAO Yaxian, et al. Clinical Imaging Analysis of Congenital Granular Cell Epulis. JOURNAL OF CLINICAL RESEARCH, 2025, 42(2): 197-199.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.02.006     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I2/197
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