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患者叶×,男,49岁,农民。1982年1月31日因左上颌无痛性肿块三年,增大加快三个月而入院。三年来左上颌缓慢膨胀,无自觉症状,近三个月因面部肿胀增快及畸形明显而就诊。检查:发育及营养中等,全身系统检查无明显异常。面部畸形,以左鼻翼为中心是弥散性肿胀,其范围直径约4—5厘米,边缘不太清楚,皮肤正常,唇颊沟困肿胀由交钱至消失,波及范围由3至6,牙齿稳固。45颊侧牙龈有一明显突起之黄色肿块,范围约1.5×2.0厘米,表面呈红黄相混的小颗粒状,质较硬,边界清楚。全身皮肤均未发现有同样性质之损害。X线片检查:1-5根尖区有4×5厘米大小之椭圆形透射区。123根尖有吸收现象,边缘硬板线尚清楚,透射区内有一多生牙。化验检查:血常规、尿常规、肝、肾功能、血及胆固醇均在正常范围。诊断:1.左上颌骨含牙囊肿。
Patient leaf ×, male, 49 years old, farmer. On January 31, 1982, due to a painless mass in the left maxilla for three years, the increase was accelerated by three months and admitted to hospital. In the past three years, the left upper jaw slowly swelled without any subjective symptoms. In the past three months, the patient experienced facial swelling and increased deformity. Inspection: Moderate development and nutrition, systemic system examination no obvious abnormalities. Facial deformity, centered on the left alar area, is diffusely swollen. Its range is about 4-5 cm in diameter. The edges are not clear. The skin is normal. The lips and cheeks are swollen and swollen and the pain disappears. The spread range is from 3 to 6, and the teeth are firm. . 45 buccal gingiva has a prominent protruding yellow mass, a range of about 1.5 × 2.0 cm, the surface was red and yellow mixed with small particles, the quality is hard, the boundary is clear. No damage to the same nature was found on the whole body skin. X-ray examination: 1-5 apex area has 4 × 5 cm oval-shaped transmission area. There is absorption at the tip of 123, the edge of the hard plate line is still clear, and there is more than one tooth in the transmission area. Laboratory tests: Blood routine, urine routine, liver, kidney function, blood and cholesterol are all in the normal range. Diagnosis: 1. The maxillary bone contains cysts.