Maxillary unicystic ameloblastoma: a case report
Identifieur interne : 000960 ( Pmc/Curation ); précédent : 000959; suivant : 000961Maxillary unicystic ameloblastoma: a case report
Auteurs : Zana Agani ; Vjosa Hamiti-Krasniqi ; Jehona Recica ; Mergime Prekazi Loxha ; Fisnik Kurshumliu ; Aida RexhepiSource :
- BMC Research Notes [ 1756-0500 ] ; 2016.
Abstract
Ameloblastoma is a benign epithelial odontogenic tumor. It is often aggressive and destructive, with the capacity to attain great size, erode bone and invade adjacent structures. Unicystic ameloblastoma is a rare odontogenic lesion, with clinical, radiographic and gross features of jaw cysts. The lesion histologically shows typical ameloblastomatous epithelium lining part of the cyst cavity with or without and/or mural tumor growth. Unicystic ameloblastoma usually presents in posterior mandibular ramus region, while it is rare and atypical in posterior maxillary region. .
We report a case of 16 year old Kosovar male, Albanian ethnicity, who presented with a swelling located in right maxillary region. Clinical examination revealed a painless swelling extending from the maxillary right central incisor to the maxillary right first molar tooth. Panoramic radiograph disclosed a well corticated unilocular radiolucent lesion approximately 5 × 5 cm in diameter which was in contact with the roots of the teeth present inferiorly and with the maxillary sinus superiorly. Maxillary right canine impaction was noted and unerupted lateral incisor tooth was present inside the radiolucency. Preoperative diagnosis of the lesion was made as dentigerous cyst based on the age of the patient, location of the swelling, clinical and radiographic findings, but the unicystic ameloblastoma was also taken into consideration. The patient was treated by surgical enucleation of the lesion and extraction of lateral incisor tooth which was present inside the lesion. The histopathological examination of the lesion revealed confirmed finding for unicystic ameloblastoma mural form. No recurrence was observed in 1 year follow-up.
Maxillary region is considered a rare and atypical location for unicystic ameloblastoma. We emphasize the importance of differential diagnosis of an odontogenic lesion with common clinical and radiological features that will impact the treatment planning and follow up. As oral health providers we should be aware that the unilocular radiolucencies may be unicystic ameloblastoma.
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DOI: 10.1186/s13104-016-2260-7
PubMed: 27756334
PubMed Central: 5069782
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Zana Agani<affiliation><nlm:aff id="Aff1">Department of Oral Surgery, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">Advanced Dentistry Clinic “Identity”, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff1">Department of Oral Surgery, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Department of Maxillofacial Surgery, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff4">Department of Pathology, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff5">Department of Pedodontics, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Maxillary unicystic ameloblastoma: a case report</title><author><name sortKey="Agani, Zana" sort="Agani, Zana" uniqKey="Agani Z" first="Zana" last="Agani">Zana Agani</name><affiliation><nlm:aff id="Aff1">Department of Oral Surgery, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Hamiti Krasniqi, Vjosa" sort="Hamiti Krasniqi, Vjosa" uniqKey="Hamiti Krasniqi V" first="Vjosa" last="Hamiti-Krasniqi">Vjosa Hamiti-Krasniqi</name><affiliation><nlm:aff id="Aff2">Advanced Dentistry Clinic “Identity”, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Recica, Jehona" sort="Recica, Jehona" uniqKey="Recica J" first="Jehona" last="Recica">Jehona Recica</name><affiliation><nlm:aff id="Aff1">Department of Oral Surgery, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Loxha, Mergime Prekazi" sort="Loxha, Mergime Prekazi" uniqKey="Loxha M" first="Mergime Prekazi" last="Loxha">Mergime Prekazi Loxha</name><affiliation><nlm:aff id="Aff3">Department of Maxillofacial Surgery, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Kurshumliu, Fisnik" sort="Kurshumliu, Fisnik" uniqKey="Kurshumliu F" first="Fisnik" last="Kurshumliu">Fisnik Kurshumliu</name><affiliation><nlm:aff id="Aff4">Department of Pathology, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Rexhepi, Aida" sort="Rexhepi, Aida" uniqKey="Rexhepi A" first="Aida" last="Rexhepi">Aida Rexhepi</name><affiliation><nlm:aff id="Aff5">Department of Pedodontics, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27756334</idno><idno type="pmc">5069782</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5069782</idno><idno type="RBID">PMC:5069782</idno><idno type="doi">10.1186/s13104-016-2260-7</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000960</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000960</idno><idno type="wicri:Area/Pmc/Curation">000960</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000960</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Maxillary unicystic ameloblastoma: a case report</title><author><name sortKey="Agani, Zana" sort="Agani, Zana" uniqKey="Agani Z" first="Zana" last="Agani">Zana Agani</name><affiliation><nlm:aff id="Aff1">Department of Oral Surgery, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Hamiti Krasniqi, Vjosa" sort="Hamiti Krasniqi, Vjosa" uniqKey="Hamiti Krasniqi V" first="Vjosa" last="Hamiti-Krasniqi">Vjosa Hamiti-Krasniqi</name><affiliation><nlm:aff id="Aff2">Advanced Dentistry Clinic “Identity”, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Recica, Jehona" sort="Recica, Jehona" uniqKey="Recica J" first="Jehona" last="Recica">Jehona Recica</name><affiliation><nlm:aff id="Aff1">Department of Oral Surgery, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Loxha, Mergime Prekazi" sort="Loxha, Mergime Prekazi" uniqKey="Loxha M" first="Mergime Prekazi" last="Loxha">Mergime Prekazi Loxha</name><affiliation><nlm:aff id="Aff3">Department of Maxillofacial Surgery, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Kurshumliu, Fisnik" sort="Kurshumliu, Fisnik" uniqKey="Kurshumliu F" first="Fisnik" last="Kurshumliu">Fisnik Kurshumliu</name><affiliation><nlm:aff id="Aff4">Department of Pathology, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author><author><name sortKey="Rexhepi, Aida" sort="Rexhepi, Aida" uniqKey="Rexhepi A" first="Aida" last="Rexhepi">Aida Rexhepi</name><affiliation><nlm:aff id="Aff5">Department of Pedodontics, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</nlm:aff><wicri:noCountry code="subfield">Republic of Kosovo</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Research Notes</title><idno type="eISSN">1756-0500</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Ameloblastoma is a benign epithelial odontogenic tumor. It is often aggressive and destructive, with the capacity to attain great size, erode bone and invade adjacent structures. Unicystic ameloblastoma is a rare odontogenic lesion, with clinical, radiographic and gross features of jaw cysts. The lesion histologically shows typical ameloblastomatous epithelium lining part of the cyst cavity with or without and/or mural tumor growth. Unicystic ameloblastoma usually presents in posterior mandibular ramus region, while it is rare and atypical in posterior maxillary region. .</p></sec><sec><title>Case presentation</title><p>We report a case of 16 year old Kosovar male, Albanian ethnicity, who presented with a swelling located in right maxillary region. Clinical examination revealed a painless swelling extending from the maxillary right central incisor to the maxillary right first molar tooth. Panoramic radiograph disclosed a well corticated unilocular radiolucent lesion approximately 5 × 5 cm in diameter which was in contact with the roots of the teeth present inferiorly and with the maxillary sinus superiorly. Maxillary right canine impaction was noted and unerupted lateral incisor tooth was present inside the radiolucency. Preoperative diagnosis of the lesion was made as dentigerous cyst based on the age of the patient, location of the swelling, clinical and radiographic findings, but the unicystic ameloblastoma was also taken into consideration. The patient was treated by surgical enucleation of the lesion and extraction of lateral incisor tooth which was present inside the lesion. The histopathological examination of the lesion revealed confirmed finding for unicystic ameloblastoma mural form. No recurrence was observed in 1 year follow-up.</p></sec><sec><title>Conclusions</title><p>Maxillary region is considered a rare and atypical location for unicystic ameloblastoma. We emphasize the importance of differential diagnosis of an odontogenic lesion with common clinical and radiological features that will impact the treatment planning and follow up. As oral health providers we should be aware that the unilocular radiolucencies may be unicystic ameloblastoma.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Li, Tj" uniqKey="Li T">TJ Li</name></author><author><name sortKey="Kitano, M" uniqKey="Kitano M">M Kitano</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kramer, Irh" uniqKey="Kramer I">IRH Kramer</name></author><author><name sortKey="Pindborg, Jj" uniqKey="Pindborg J">JJ Pindborg</name></author><author><name sortKey="Shear, M" uniqKey="Shear M">M Shear</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Robinson, L" uniqKey="Robinson L">L Robinson</name></author><author><name sortKey="Martinez, Mg" uniqKey="Martinez M">MG Martinez</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gardner, Dg" uniqKey="Gardner D">DG Gardner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Philipsen, Hp" uniqKey="Philipsen H">HP Philipsen</name></author><author><name sortKey="Reichard, Pa" uniqKey="Reichard P">PA Reichard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramesh, Rs" uniqKey="Ramesh R">RS Ramesh</name></author><author><name sortKey="Manjunath, S" uniqKey="Manjunath S">S Manjunath</name></author><author><name sortKey="Ustad, Th" uniqKey="Ustad T">TH Ustad</name></author><author><name sortKey="Pais, S" uniqKey="Pais S">S Pais</name></author><author><name sortKey="Shivakumar, K" uniqKey="Shivakumar K">K Shivakumar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Isacsson, G" uniqKey="Isacsson G">G Isacsson</name></author><author><name sortKey="Andersson, L" uniqKey="Andersson L">L Andersson</name></author><author><name sortKey="Forsslund, H" uniqKey="Forsslund H">H Forsslund</name></author><author><name sortKey="Bodin, I" uniqKey="Bodin I">I Bodin</name></author><author><name sortKey="Thomsson, M" uniqKey="Thomsson M">M Thomsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ackermann, Gl" uniqKey="Ackermann G">GL Ackermann</name></author><author><name sortKey="Altini, M" uniqKey="Altini M">M Altini</name></author><author><name sortKey="Shear, M" uniqKey="Shear M">M Shear</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Eversole, Lr" uniqKey="Eversole L">LR Eversole</name></author><author><name sortKey="Leider, As" uniqKey="Leider A">AS Leider</name></author><author><name sortKey="Strub, D" uniqKey="Strub D">D Strub</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Paikkatt, Vj" uniqKey="Paikkatt V">VJ Paikkatt</name></author><author><name sortKey="Sreedharan, S" uniqKey="Sreedharan S">S Sreedharan</name></author><author><name sortKey="Kannan, Vp" uniqKey="Kannan V">VP Kannan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zainab, C" uniqKey="Zainab C">C Zainab</name></author><author><name sortKey="Vandana, S" uniqKey="Vandana S">S Vandana</name></author><author><name sortKey="Pal, Us" uniqKey="Pal U">US Pal</name></author><author><name sortKey="Pankaj, S" uniqKey="Pankaj S">S Pankaj</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chana, Js" uniqKey="Chana J">JS Chana</name></author><author><name sortKey="Chang, Ym" uniqKey="Chang Y">YM Chang</name></author><author><name sortKey="Wei, Fc" uniqKey="Wei F">FC Wei</name></author><author><name sortKey="Shen, Yf" uniqKey="Shen Y">YF Shen</name></author><author><name sortKey="Chan, Cp" uniqKey="Chan C">CP Chan</name></author><author><name sortKey="Lin, Hn" uniqKey="Lin H">HN Lin</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Handa, H" uniqKey="Handa H">H Handa</name></author><author><name sortKey="Bailoor, Dn" uniqKey="Bailoor D">DN Bailoor</name></author><author><name sortKey="Naidu, G" uniqKey="Naidu G">G Naidu</name></author><author><name sortKey="Shrivastava, K" uniqKey="Shrivastava K">K Shrivastava</name></author><author><name sortKey="Raghuvanshi, V" uniqKey="Raghuvanshi V">V Raghuvanshi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stoelinga, Pjw" uniqKey="Stoelinga P">PJW Stoelinga</name></author><author><name sortKey="Bronkhorst, Fb" uniqKey="Bronkhorst F">FB Bronkhorst</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Li, Tj" uniqKey="Li T">TJ Li</name></author><author><name sortKey="Kitano, M" uniqKey="Kitano M">M Kitano</name></author><author><name sortKey="Arimura, K" uniqKey="Arimura K">K Arimura</name></author><author><name sortKey="Sugihara, K" uniqKey="Sugihara K">K 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<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Res Notes</journal-id><journal-id journal-id-type="iso-abbrev">BMC Res Notes</journal-id><journal-title-group><journal-title>BMC Research Notes</journal-title></journal-title-group><issn pub-type="epub">1756-0500</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">27756334</article-id><article-id pub-id-type="pmc">5069782</article-id><article-id pub-id-type="publisher-id">2260</article-id><article-id pub-id-type="doi">10.1186/s13104-016-2260-7</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Maxillary unicystic ameloblastoma: a case report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Agani</surname><given-names>Zana</given-names></name><address><email>zana.agani@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Hamiti-Krasniqi</surname><given-names>Vjosa</given-names></name><address><email>vjosa.hamiti@gmail.com</email></address><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name><surname>Recica</surname><given-names>Jehona</given-names></name><address><email>jehona.ahmedi@gmail.com</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Loxha</surname><given-names>Mergime Prekazi</given-names></name><address><email>mergimeloxha@gmail.com</email></address><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Kurshumliu</surname><given-names>Fisnik</given-names></name><address><email>fisnik.kurshumliu@gmail.com</email></address><xref ref-type="aff" rid="Aff4">4</xref></contrib><contrib contrib-type="author"><name><surname>Rexhepi</surname><given-names>Aida</given-names></name><address><email>aida.rexhepi@gmail.com</email></address><xref ref-type="aff" rid="Aff5">5</xref></contrib><aff id="Aff1"><label>1</label>Department of Oral Surgery, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</aff><aff id="Aff2"><label>2</label>Advanced Dentistry Clinic “Identity”, Prishtina, Republic of Kosovo</aff><aff id="Aff3"><label>3</label>Department of Maxillofacial Surgery, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</aff><aff id="Aff4"><label>4</label>Department of Pathology, University Clinical Center of Kosova, Prishtina, Republic of Kosovo</aff><aff id="Aff5"><label>5</label>Department of Pedodontics, University Dentistry Clinical Center of Kosova, Prishtina, Republic of Kosovo</aff></contrib-group><pub-date pub-type="epub"><day>18</day><month>10</month><year>2016</year></pub-date><pub-date pub-type="pmc-release"><day>18</day><month>10</month><year>2016</year></pub-date><pub-date pub-type="collection"><year>2016</year></pub-date><volume>9</volume><elocation-id>469</elocation-id><history><date date-type="received"><day>19</day><month>1</month><year>2016</year></date><date date-type="accepted"><day>23</day><month>9</month><year>2016</year></date></history><permissions><copyright-statement>© The Author(s) 2016</copyright-statement><license license-type="OpenAccess"><license-p><bold>Open Access</bold>This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><sec><title>Background</title><p>Ameloblastoma is a benign epithelial odontogenic tumor. It is often aggressive and destructive, with the capacity to attain great size, erode bone and invade adjacent structures. Unicystic ameloblastoma is a rare odontogenic lesion, with clinical, radiographic and gross features of jaw cysts. The lesion histologically shows typical ameloblastomatous epithelium lining part of the cyst cavity with or without and/or mural tumor growth. Unicystic ameloblastoma usually presents in posterior mandibular ramus region, while it is rare and atypical in posterior maxillary region. .</p></sec><sec><title>Case presentation</title><p>We report a case of 16 year old Kosovar male, Albanian ethnicity, who presented with a swelling located in right maxillary region. Clinical examination revealed a painless swelling extending from the maxillary right central incisor to the maxillary right first molar tooth. Panoramic radiograph disclosed a well corticated unilocular radiolucent lesion approximately 5 × 5 cm in diameter which was in contact with the roots of the teeth present inferiorly and with the maxillary sinus superiorly. Maxillary right canine impaction was noted and unerupted lateral incisor tooth was present inside the radiolucency. Preoperative diagnosis of the lesion was made as dentigerous cyst based on the age of the patient, location of the swelling, clinical and radiographic findings, but the unicystic ameloblastoma was also taken into consideration. The patient was treated by surgical enucleation of the lesion and extraction of lateral incisor tooth which was present inside the lesion. The histopathological examination of the lesion revealed confirmed finding for unicystic ameloblastoma mural form. No recurrence was observed in 1 year follow-up.</p></sec><sec><title>Conclusions</title><p>Maxillary region is considered a rare and atypical location for unicystic ameloblastoma. We emphasize the importance of differential diagnosis of an odontogenic lesion with common clinical and radiological features that will impact the treatment planning and follow up. As oral health providers we should be aware that the unilocular radiolucencies may be unicystic ameloblastoma.</p></sec></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Ameloblastoma</kwd><kwd>Unicystic ameloblastoma</kwd><kwd>Tooth impaction</kwd><kwd>Enucleation</kwd></kwd-group><funding-group><award-group><funding-source><institution>Myself</institution></funding-source></award-group></funding-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2016</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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