69.如圖所示之病灶,好發於年輕患者之顎骨,於疾病中期顎骨X光影像常呈現毛玻璃狀(ground glass appearance)且病灶周圍界線不清楚,下列何疾病最有可能?
(A)纖維性發育不良(fibrous dysplasia)
(B)增殖性骨膜炎(proliferative periostitis)
(C)蘭格罕氏細胞組織細胞增多症(Langerhans' cell histiocytosis)
(D)柏哲德氏病(Paget's disease of bone)5c515eda53c58.jpg

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統計: A(917), B(20), C(39), D(75), E(0) #1947312

詳解 (共 4 筆)

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(B)onion skin(C)punc...
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Appearance 疾病
Ground-glass Fibrous Dysplasia, Hyperparathyroidism
Onion-skin Proliferative periostitis (Garré osteomyelitis)
Cotton-wool Paget disease、Florid cemento-osseous dysplasia
Floating teeth Langerhans cell histiocytosis
Sunburst / Sunray Osteosarcoma
Soap-bubble Ameloblastoma、Central giant cell granuloma
Honeycomb Odontogenic myxoma
Tennis racket Odontogenic myxoma
Driven snow Calcifying epithelial odontogenic tumor (Pindborg tumor)
Snowflake Adenomatoid odontogenic tumor (AOT)
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補充:

Fibrous dysplasia 較好發上顎,但下顎也會有
無痛性腫脹、若影響到多處要考慮McCune-Albright

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