高雄醫學大學附設中和紀念醫院口腔病理診斷科X光報告單 患者姓名：孫國成 病歷號碼：1250851 性別：男 年齡：15 送檢醫師： 攝影日期：96/01/26 報告日期：96/02/06
臨床診斷：ameloblastoma 攝影方式： ■ periapical
■ cephalometry
□ others
■ panoramic
■ occlusal
□ TMJ view
□ sialography
X光診斷：
(1) Odontogenic keratocyst, mandibular body, ramus (2) Ameloblastoma
(3) Oodontogenic myxoma Main X-ray findings：
Panoremic
There is a well-defined multilocular, soap bubble appearance radiolucent lesion with a corticated margin over right posterior mandibular area. The lesion extends from distal aspect of tooth 43 to condylar neck and from mandibular inferior border up to tooth 44, 45, 46, 47 root apex and sigmoid notch, measuring approximately 11.1㎝× 4.3㎝ in diameter.
This mass involve mandibular canal and cause bony expansion of right mandibular body.
Periapical
This mass involve adjacent teeth 45, 46, and the resorption of the root of the teeth is noted, but it doesn’t cause movement of the teeth.
Occlusal
There is a well-defined multilocular, soap bubble appearance radiolucent lesion with a corticated margin over the buccal side of the teeth,33, 34, 35, 36, 37 , and it causes bony expansion of right mandibular body, but there is no movement of the teeth.
P-A view
The lesion extends from lateral aspect of the lower teeth to the mesial aspect of mandibular border and from mandibular border up to condylar neck, measuring approximately 3.7㎝ × 7.8㎝ in diameter.
Sinus: clear, bilateral
Condyle: unremarkable, bilateral Dental findings：
□ tooth abnormality:
□ caries:
■ periodontal condition: fair
■ calculus: mild
■ missing tooth: 18, 28, 48
□ endodontic condition:
□ restoration (e.g. C & B):
■ filling (e.g. amalgam): 12, 21, 22, 14, 26, 46
□ residual root:
■ others: root resorption 45, 46
Clerk：
Intern： 陳谷銘 Resident：
V.S.：
Index： 609 - 511 - 151
