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患者,女,56岁,因右下颌部硬性肿块渐进性增大8年入院。患者8年前,右下颌某后牙反复疼痛,致松动脱落。两个月后脱牙区长出黄豆大硬块,不痛,渐大,并向右下颌外面部生长,使发音及进食困难。体检:右下颌肿块儿头大小,向右下面部突出,下坠,肿块前后径约22cm,左右径约15cm,上下径约8cm,突出部周径40cm;肿块质硬,表面光滑,不分叶,与周围软组织不粘连。口腔粘膜侧肿块与右上牙咬(牙合)处有溃疡和咬伤牙痕。右上牙列受肿块压迫导致牙体松动并向近中倾倒,仅牙根处软组织与牙槽软组织相连。右上颌骨亦受压凹陷变形。
The patient, female, 56 years old, was admitted to the hospital for a progressive 8-year increase in the rigid mass in his right lower jaw. 8 years ago, the patient suffered repeated pain in his right lower jaw and loosened his back. Two months after the deciduous area grew soybeans lumps, no pain, getting bigger, and to the right mandibular outer growth, so that pronunciation and eating difficulties. Physical examination: the right lower jaw mass size of the child, to the right lower part of the Ministry of prominent, falling, lump before and after the diameter of about 22cm, left and right diameter of about 15cm, the upper and lower diameter of about 8cm, prominent peripheral diameter 40cm; mass hard, smooth, Non-stick with the surrounding soft tissue. Oral mucosal lumps and upper right bite (occlusion) at the ulcer and bite marks. The upper right dentition was compressed by the mass and caused the loosening of the tooth and dumping it in the proximal direction. Only the soft tissue in the tooth root was connected with the alveolar soft tissue. The right maxillary is also depressed depression deformation.