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本文报道牙源性透明细胞癌1例。患者为3岁女婴,肿瘤位于左下颌骨、并有左颌下淋巴结转移。X线检查,左下颌骨病变处呈多房性暗影,周界不清。病理检查.肿瘤细胞月包质透明,呈岛状实体巢状排列,无腺样分化。免疫组化染色瘤细胞呈上皮膜抗原阳性,皱彩蛋白和S—100蛋白阴性。系统检查无异常发现。术后随访3年无复发。并结合文献复习对该肿瘤的临床特点.诊断等进行了讨论。
This article reports 1 case of odontogenic clear cell carcinoma. The patient was a 3-year-old girl with a tumor located in the left mandible and had a submaxillary lymph node metastasis. X-ray examination, left mandibular lesion showed multi-room shadow, the perimeter unclear. Pathological examination. Tumor cells were clumsy and transparent, was island-like nested arrangement, no adenoid differentiation. Immunohistochemical tumor cells were epithelial membrane antigen positive, wrinkled protein and S-100 protein negative. No abnormal system inspection found. No recurrence after 3 years of follow-up. Combined with the literature review of the clinical features of the tumor diagnosis and so on were discussed.