Mandibular Ameloblastoma in an Elderly Patient: A Case Report
Identifieur interne : 002A42 ( Pmc/Curation ); précédent : 002A41; suivant : 002A43Mandibular Ameloblastoma in an Elderly Patient: A Case Report
Auteurs : Kokoro Nagata [Japon] ; Kasumi Shimizu [Japon] ; Chu Sato [Japon] ; Hiroshi Morita [Japon] ; Yoshihiro Watanabe [Japon] ; Toshiro Tagawa [Japon]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2013.
Abstract
Ameloblastomas frequently occur in relatively young people, but are rarely seen in people aged 80 years or older. We report a case of mandibular ameloblastoma in an elderly patient with a review of the literature. The patient was a 82-year-old man who noticed swelling of the gingiva approximately 2 weeks prior to his initial visit. Computed tomography showed a radiolucent area with little radiopacity. Internal uniformity was observed at the site, with thinning of cortical bone which lacked continuity in some areas. The excision and curettage were performed under general anaesthesia. No recurrence has been observed 14 months after surgery.
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DOI: 10.1155/2013/145282
PubMed: 23533821
PubMed Central: 3606752
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Mandibular Ameloblastoma in an Elderly Patient: A Case Report</title><author><name sortKey="Nagata, Kokoro" sort="Nagata, Kokoro" uniqKey="Nagata K" first="Kokoro" last="Nagata">Kokoro Nagata</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Shimizu, Kasumi" sort="Shimizu, Kasumi" uniqKey="Shimizu K" first="Kasumi" last="Shimizu">Kasumi Shimizu</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Sato, Chu" sort="Sato, Chu" uniqKey="Sato C" first="Chu" last="Sato">Chu Sato</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Morita, Hiroshi" sort="Morita, Hiroshi" uniqKey="Morita H" first="Hiroshi" last="Morita">Hiroshi Morita</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Watanabe, Yoshihiro" sort="Watanabe, Yoshihiro" uniqKey="Watanabe Y" first="Yoshihiro" last="Watanabe">Yoshihiro Watanabe</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Tagawa, Toshiro" sort="Tagawa, Toshiro" uniqKey="Tagawa T" first="Toshiro" last="Tagawa">Toshiro Tagawa</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno 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University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Shimizu, Kasumi" sort="Shimizu, Kasumi" uniqKey="Shimizu K" first="Kasumi" last="Shimizu">Kasumi Shimizu</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Sato, Chu" sort="Sato, Chu" uniqKey="Sato C" first="Chu" last="Sato">Chu Sato</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Morita, Hiroshi" sort="Morita, Hiroshi" uniqKey="Morita H" first="Hiroshi" last="Morita">Hiroshi Morita</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Watanabe, Yoshihiro" sort="Watanabe, Yoshihiro" uniqKey="Watanabe Y" first="Yoshihiro" last="Watanabe">Yoshihiro Watanabe</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author><author><name sortKey="Tagawa, Toshiro" sort="Tagawa, Toshiro" uniqKey="Tagawa T" first="Toshiro" last="Tagawa">Toshiro Tagawa</name><affiliation wicri:level="1"><nlm:aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</nlm:aff><country xml:lang="fr">Japon</country><wicri:regionArea>Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507</wicri:regionArea></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Ameloblastomas frequently occur in relatively young people, but are rarely seen in people aged 80 years or older. We report a case of mandibular ameloblastoma in an elderly patient with a review of the literature. The patient was a 82-year-old man who noticed swelling of the gingiva approximately 2 weeks prior to his initial visit. Computed tomography showed a radiolucent area with little radiopacity. Internal uniformity was observed at the site, with thinning of cortical bone which lacked continuity in some areas. The excision and curettage were performed under general anaesthesia. No recurrence has been observed 14 months after surgery.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Gardner, Dg" uniqKey="Gardner D">DG Gardner</name></author><author><name sortKey="Heikinheimo, K" uniqKey="Heikinheimo K">K Heikinheimo</name></author><author><name sortKey="Shear, M" uniqKey="Shear M">M Shear</name></author><author><name sortKey="Philipsen, Hp" uniqKey="Philipsen H">HP Philipsen</name></author><author><name sortKey="Coleman, H" uniqKey="Coleman H">H Coleman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Takagi, M" uniqKey="Takagi M">M Takagi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Daley, Td" uniqKey="Daley T">TD Daley</name></author><author><name sortKey="Wysocki, Gp" uniqKey="Wysocki G">GP Wysocki</name></author><author><name sortKey="Pringle, Ga" uniqKey="Pringle G">GA 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRIM.DENTISTRY</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23533821</article-id><article-id pub-id-type="pmc">3606752</article-id><article-id pub-id-type="doi">10.1155/2013/145282</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Mandibular Ameloblastoma in an Elderly Patient: A Case Report</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Nagata</surname><given-names>Kokoro</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Shimizu</surname><given-names>Kasumi</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Sato</surname><given-names>Chu</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Morita</surname><given-names>Hiroshi</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Watanabe</surname><given-names>Yoshihiro</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib><contrib contrib-type="author"><name><surname>Tagawa</surname><given-names>Toshiro</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib></contrib-group><aff id="I1">Departments of Oral and Maxillofacial Surgery, and Clinical Sciences, Medical Life Science Mie University Graduate School of Medicine, 2-174 Edobashi, Tsu, Mie 514-8507, Japan</aff><author-notes><corresp id="cor1">*Kokoro Nagata: <email>kokoro-m@clin.medic.mie-u.ac.jp</email></corresp><fn fn-type="other"><p>Academic Editors: M. A. Polack and M. O. Sayin</p></fn></author-notes><pub-date pub-type="ppub"><year>2013</year></pub-date><pub-date pub-type="epub"><day>6</day><month>3</month><year>2013</year></pub-date><volume>2013</volume><elocation-id>145282</elocation-id><history><date date-type="received"><day>8</day><month>1</month><year>2013</year></date><date date-type="accepted"><day>5</day><month>2</month><year>2013</year></date></history><permissions><copyright-statement>Copyright © 2013 Kokoro Nagata et al.</copyright-statement><copyright-year>2013</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Ameloblastomas frequently occur in relatively young people, but are rarely seen in people aged 80 years or older. We report a case of mandibular ameloblastoma in an elderly patient with a review of the literature. The patient was a 82-year-old man who noticed swelling of the gingiva approximately 2 weeks prior to his initial visit. Computed tomography showed a radiolucent area with little radiopacity. Internal uniformity was observed at the site, with thinning of cortical bone which lacked continuity in some areas. The excision and curettage were performed under general anaesthesia. No recurrence has been observed 14 months after surgery.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Intraoral findings at the first visit. The upper and lower jaws were edentulous, with a relatively irregular border from the centre of the mandible to the gingiva of the molar region on the left side. Diffuse swelling was observed, accompanied by surface ulceration.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-145282.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Panoramic X-ray view. A polycystic radiolucent area with an irregular margin can be seen in the molar region of the mandible on the left side.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-145282.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Computed tomography view. This shows thinning of peripheral bone was observed, with the bone lacking continuity in some areas.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-145282.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>The excised tumor. It was milky-white in colour, with a slightly rough surface. The transverse section was largely cystoid, but solid portions were also observed.</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-145282.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>Histopathological findings. Alveolar cell hyperplasia with a funicular structure in the fibrosing interstitial tissue was observed, as well as a palisade arrangement (Haematoxylin and eosin staining, ×150).</p></caption><graphic xlink:href="CRIM.DENTISTRY2013-145282.005"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Intraosseous ameloblastoma.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Year</th><th align="center" rowspan="1" colspan="1">Author</th><th align="center" rowspan="1" colspan="1">Sex</th><th align="center" rowspan="1" colspan="1">Age</th><th align="center" rowspan="1" colspan="1">Location</th><th align="center" rowspan="1" colspan="1">Pathological type</th><th align="center" rowspan="1" colspan="1">Treatment</th><th align="center" rowspan="1" colspan="1">Race</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">1986</td><td align="center" rowspan="1" colspan="1">Ohyama et al. [<xref rid="B8" ref-type="bibr">8</xref>]</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">82</td><td align="center" rowspan="1" colspan="1">Maxilla</td><td align="center" rowspan="1" colspan="1">Follicular type</td><td align="center" rowspan="1" colspan="1">Excision (general anesthesia)</td><td align="center" rowspan="1" colspan="1">Japanese</td></tr><tr><td align="left" rowspan="1" colspan="1">1991</td><td align="center" rowspan="1" colspan="1">Iwata et al. [<xref rid="B9" ref-type="bibr">9</xref>]</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">83</td><td align="center" rowspan="1" colspan="1">Maxilla</td><td align="center" rowspan="1" colspan="1">Follicular type</td><td align="center" rowspan="1" colspan="1">Excision (general anesthesia)</td><td align="center" rowspan="1" colspan="1">Japanese</td></tr><tr><td align="left" rowspan="1" colspan="1">1998</td><td align="center" rowspan="1" colspan="1">John et al. [<xref rid="B10" ref-type="bibr">10</xref>]</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">80</td><td align="center" rowspan="1" colspan="1">Maxilla</td><td align="center" rowspan="1" colspan="1">Plexiform type</td><td align="center" rowspan="1" colspan="1">Excision (general anesthesia)</td><td align="center" rowspan="1" colspan="1">Black</td></tr><tr><td align="left" rowspan="1" colspan="1">1998</td><td align="center" rowspan="1" colspan="1">Lee et al. [<xref rid="B11" ref-type="bibr">11</xref>]</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">83</td><td align="center" rowspan="1" colspan="1">Mandible</td><td align="center" rowspan="1" colspan="1">Desmoplastic type</td><td align="center" rowspan="1" colspan="1">Marginal resection</td><td align="center" rowspan="1" colspan="1">Asian</td></tr><tr><td align="left" rowspan="1" colspan="1">2004</td><td align="center" rowspan="1" colspan="1">Koya et al. [<xref rid="B12" ref-type="bibr">12</xref>]</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">81</td><td align="center" rowspan="1" colspan="1">Mandible</td><td align="center" rowspan="1" colspan="1">Desmoplastic type</td><td align="center" rowspan="1" colspan="1">Marginal resection (general anesthesia)</td><td align="center" rowspan="1" colspan="1">Japanese</td></tr><tr><td align="left" rowspan="1" colspan="1">2010</td><td align="center" rowspan="1" colspan="1">This case</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">82</td><td align="center" rowspan="1" colspan="1">Mandible</td><td align="center" rowspan="1" colspan="1">Follicular type</td><td align="center" rowspan="1" colspan="1">Excision and curettage (general anesthesia)</td><td align="center" rowspan="1" colspan="1">Japanese</td></tr></tbody></table></table-wrap><table-wrap id="tab2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Peripheral ameloblastoma.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Year</th><th align="center" rowspan="1" colspan="1">Author</th><th align="center" rowspan="1" colspan="1">Sex</th><th align="center" rowspan="1" colspan="1">Age</th><th align="center" rowspan="1" colspan="1">Location</th><th align="center" rowspan="1" colspan="1">Treatment</th><th align="center" rowspan="1" colspan="1">Race</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">1977</td><td align="center" rowspan="1" colspan="1">Frankel et al. [<xref rid="B13" ref-type="bibr">13</xref>]</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">92</td><td align="center" rowspan="1" colspan="1">Maxillary gingiva</td><td align="center" rowspan="1" colspan="1">Excision (general anesthesia) </td><td align="center" rowspan="1" colspan="1">Not noted</td></tr><tr><td align="left" rowspan="1" colspan="1">1988</td><td align="center" rowspan="1" colspan="1">Takeda et al. [<xref rid="B14" ref-type="bibr">14</xref>]</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">89</td><td align="center" rowspan="1" colspan="1">Mandibular gingiva</td><td align="center" rowspan="1" colspan="1">Excision and curettage (local anesthesia)</td><td align="center" rowspan="1" colspan="1">Japanese</td></tr><tr><td align="left" rowspan="1" colspan="1">1992</td><td align="center" rowspan="1" colspan="1">Ohuchida et al. [<xref rid="B15" ref-type="bibr">15</xref>]</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">81</td><td align="center" rowspan="1" colspan="1">Maxillary gingiva</td><td align="center" rowspan="1" colspan="1">Excision (general anesthesia)</td><td align="center" rowspan="1" colspan="1">Japanese</td></tr><tr><td align="left" rowspan="1" colspan="1">2007</td><td align="center" rowspan="1" colspan="1">Yamanishi et al. [<xref rid="B16" ref-type="bibr">16</xref>]</td><td align="center" rowspan="1" colspan="1">M</td><td align="center" rowspan="1" colspan="1">80</td><td align="center" rowspan="1" colspan="1">Buccal mucosa</td><td align="center" rowspan="1" colspan="1">Excision (general anesthesia) </td><td align="center" rowspan="1" colspan="1">Japanese</td></tr><tr><td align="left" rowspan="1" colspan="1">2009</td><td align="center" rowspan="1" colspan="1">Isomura et al. [<xref rid="B17" ref-type="bibr">17</xref>]</td><td align="center" rowspan="1" colspan="1">F</td><td align="center" rowspan="1" colspan="1">88</td><td align="center" rowspan="1" colspan="1">Buccal mucosa</td><td align="center" rowspan="1" colspan="1">Excision (general anesthesia) </td><td align="center" rowspan="1" colspan="1">Japanese</td></tr></tbody></table></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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