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:何×× 病歷號碼:2056603-8 性別:女 年齡:46 送檢醫師:黃逸岳 攝影日期:95.11.14 報告日期:96.01.16 臨床診斷:Odontogenic cyst around L’t mandibular impacted tooth 38 攝影方式: □ periapical
□ cephalometry
□ others
■ panoramic
□ occlusal
□ TMJ view
□ sialography
X 光診斷:(1) Odontogenic keratocyst, left mandibular body (2) Dentigerous cyst, left lower third molar
(3) Unicystic amelblastoma, left mandibular body Main X-ray findings:
There is a well-defined unilocular scalloped shaped circumcoronal radiolucence with a smooth and thin corticated margin over the
submerged well-developed tooth 38 extending from left retromolar area down to mandibular body and from distal root of tooth 37 up to half of left ramus area, measuring approximately 3.5 x 3 cm in diameter. Root of tooth 37 is displaced toward mesial side. Tooth 37 is tilted to distal side by the lesion. Left mandibular canal cannot be identified with the lesion. Thinning of left lower cortical border as well as external oblique ridge is noted.
Sinus: Unremarkable, bilateral
Condyle: L’t condyle head is a little larger than R’t ones Dental findings:
□ tooth abnormality: Impaction 38, 48
■ caries:14, 15, 22, 34, 36, 37, 46, 47
■ periodontal condition: angular bony defect 46(M)
□ calculus:
■ missing tooth: 18, 21, 28
■ endodontic condition: 15, 16, 26, 27, 35
■ restoration (e.g. C & B): 11 21 22 (PFM), 14 15 16 17 24 25 26 (metal)
■ filling (e.g. amalgam): 37 (amalgam)
■ residual root: 27, 35
■ others:
Clerk:
Intern:歐凱捷 Resident:陳靜怡
V.S.:林立民 陳玉昆
王文岑 Index: 148 - 512 - 462