牙源性角化囊肿的手术治疗：保守性或根治性方法

Surgical Management of Odontogenic Keratocysts:Conservative or Radical Approach?

牙源性角化囊肿(odontogenic keratocyst,OKC)因其侵袭性行为、组织学和遗传学方面的新发现,在WHO的分类中已命名为牙源性角化囊性瘤(keratocystic odontogenic tumour,KCOT)。本文复习了这种病变的生物学特点,并结合笔者的研究经验和相关文献资料分别介绍保守性和根治性治疗策略。

The odontogenic keratocyst （OKC） is reclassified as the keratocystic odontogenic tumour （KCOT） by the World Health Organization （WHO） based on the well-known aggressive behaviour of this lesion, its histology and new information regarding its genetics.The purpose of this paper is to review the biological features of the odontogenic keratocyst （OKC）, and its appropriate surgical management：conservative modalities-enueleation alone or marsupialization followed by enucleation and more aggressive or radical treatment-resection.