구강저에 발생한 거대한 유피낭종
Giant Dermoid Cyst in Mouth Floor
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초록
일반적으로 구강 내에 발생하는 유피낭종은 드문 질환으로 알려져 있다. 1778년 Jourdain이 그의 저술에서 가장 처음 발표하였으며, New등이 1495명의 전신에 발생한 유피낭종 환자에서 두경부에 발생한 예는 103명, 구강저에 발생한 예는 24명(1.6%)으로 보고한 바가 있다. 유피낭종은 피지선 분비물과 유사한 물질로 채워져 있으며 배자의 발육부진으로 인한 피부부속물 등을 함유하는 낭종으로서, 1859년 Roger에 의해 설하부에 발생한 증례들이 하마종 혹은 피지선낭종과 혼돈되어 보고되었으나, 1891년 Cham가 이들 중 태생기에 상피세포의 함몰에 의해 발생된 경우를 보고한 이래 유피낭종이 별도의 질환으로 인식되면서 많은 증례들이 발표되었다.
Abstract
Dermoid cyst is a benign neoplasm, so called by teratoma that is derived from both ectoderm and mesoderm during embryonic period. The majority of dermoid cysts are found in the ovaries and approximately only 7% of dermoid cysts are found in the head and neck. The growth of dermoid cysts in the floor of the mouth is considered a rare condition. We report one case of huge dermoid cyst in the floor of mouth suffered with double chin appearance and difficulty in pronunciation and respiration. The cyst was excised successfully only intra-oral incision. Clinical progress was uneventful and postoperative recovery excellent without recurrence.
참고문헌 (19)
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