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Sachdev SS, Chettiankandy TJ, Adhane YB, Sardar MA, Trimukhe A, Jain R. Papilliferous Keratoameloblastoma: Systematic review. Sultan Qaboos Univ Med J 2023; 23:288-296. [PMID: 37655071 PMCID: PMC10467561 DOI: 10.18295/squmj.5.2023.021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 03/15/2023] [Accepted: 04/11/2023] [Indexed: 09/02/2023] Open
Abstract
Papilliferous keratoameloblastoma (PKA) is a rare entity, and not much is known about its clinicodemographic features or biological nature. This review aimed to provide clarity regarding the characterisation of the demographic, clinical, radiological and histopathological features of PKA. Case reports of PKA were identified through a systematic search across multiple databases. The search yielded a total of 10 cases, half of which were of Indian origin. All the cases invariably occurred in the mandibular posterior region and involved the right side; only one case primarily involved the left side of the mandible. PKA should be considered a variant of the conventional ameloblastoma that is towards the more aggressive end of the spectrum. It tends to occur in older individuals (in their fifth decade or older), with a marked propensity to occur in the right mandibular posterior region. Surgical resection with diligent follow-up is warranted in the treatment of PKA.
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Affiliation(s)
- Sanpreet S. Sachdev
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India
| | - Tabita J. Chettiankandy
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India
| | - Yogita B. Adhane
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India
| | - Manisha A. Sardar
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India
| | - Akshay Trimukhe
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India
| | - Riya Jain
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Mumbai, India
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Robinson L, Smit C, Fonseca FP, Abrahão AC, Romañach MJ, Khurram SA, Hunter KD, Speight PM, van Heerden WFP. Keratoameloblastoma: A Report of Seven New Cases and Review of Literature. Head Neck Pathol 2022; 16:1103-1113. [PMID: 35861917 PMCID: PMC9729669 DOI: 10.1007/s12105-022-01470-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 06/16/2022] [Indexed: 12/13/2022]
Abstract
BACKGROUND Keratoameloblastoma (KA) is an uncommon and controversial variant of ameloblastoma exhibiting central keratinisation. Due to their rarity, there is limited information in the literature on their clinical, radiologic and histologic features. This study adds seven additional cases of KA to the literature, and reviews the current published literature on this rare entity. METHODS KAs were retrospectively reviewed over a 20-year period from three Oral and Maxillofacial Pathology Laboratories. Included cases were examined and the diagnosis confirmed under conventional microscopy. Immunohistochemistry with the use of a monoclonal antibody against calretinin was performed on included cases. The clinical, radiologic and histologic features of the seven new cases of KA were analysed and compared to existing cases in the literature. RESULTS KAs presented at a mean age of 40 years with a nearly equal gender distribution and a mandibular predilection (65%). The majority (92%) of cases presented with localised swelling with associated pain in 32% of cases. Mixed density or internal calcifications were noted in 40% of cases. All tumours presented with bony expansion, with cortical destruction noted in 62% of cases. Histologically, all tumours consisted of solid and cystic follicles with surface parakeratinisation and lamellated accumulations of central keratin. In areas the cystic follicles had an epithelial lining suggestive of an OKC. There were focal luminal areas of loosely arranged polygonal cells reminiscent of the stellate reticulum. The basal cells consisted of columnar cells with evidence of palisading and prominent subnuclear vacuolisation. Of the cases treated via tumour resection, 27% presented with tumour recurrence. CONCLUSION This case series reports seven additional cases of KA, taking the total to 26 reported cases. The identification of subtle histologic features, including focal stellate reticulum-like central areas, subnuclear vacuolisation and lamellated-type central keratinisation, are key in diagnosing KA. The radiologic features will often indicate signs of aggressiveness such as cortical destruction, differentiating KA from OKC. All cases were completely negative for calretinin IHC, limiting its use in distinguishing KA from OKC. Further large series are needed to expand the current understanding of this rare variant of ameloblastoma.
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Affiliation(s)
- Liam Robinson
- grid.49697.350000 0001 2107 2298Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Chané Smit
- grid.49697.350000 0001 2107 2298Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Felipe Paiva Fonseca
- grid.49697.350000 0001 2107 2298Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa ,grid.8430.f0000 0001 2181 4888Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Aline Corrêa Abrahão
- grid.8536.80000 0001 2294 473XDepartment of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Mário José Romañach
- grid.8536.80000 0001 2294 473XDepartment of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Syed Ali Khurram
- grid.11835.3e0000 0004 1936 9262Academic Unit of Oral and Maxillofacial Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Keith D. Hunter
- grid.49697.350000 0001 2107 2298Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa ,grid.10025.360000 0004 1936 8470Molecular and Clinical Cancer Medicine Unit, Faculty of Health and Life Sciences, University of Liverpool, Liverpool, UK
| | - Paul M. Speight
- grid.11835.3e0000 0004 1936 9262Emeritus Professor in Oral and Maxillofacial Pathology, School of Clinical Dentistry, University of Sheffield, Sheffield, UK
| | - Willie F. P. van Heerden
- grid.49697.350000 0001 2107 2298Department of Oral Pathology and Oral Biology, School of Dentistry, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
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Should the solid variant of odontogenic keratocyst and keratoameloblastoma be classified as the same entity? A clinicopathological analysis of nine cases and a review of the literature. Pathology 2021; 53:478-486. [PMID: 33551126 DOI: 10.1016/j.pathol.2020.09.028] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2020] [Revised: 08/31/2020] [Accepted: 09/08/2020] [Indexed: 11/24/2022]
Abstract
The solid variant of odontogenic keratocyst (SOKC) is an extremely rare odontogenic lesion, which remains poorly defined even in the 2017 World Health Organization odontogenic tumour classification. It is difficult to distinguish between SOKC and so called keratoameloblastoma (KAB), both rare lesions that have similarities in clinical, histological and biological characteristics. Here, we report clinicopathological data and results of molecular analysis of nine cases with a literature review. First, they were compared to previously reported cases of SOKC and/or KAB, and many overlaps were found in clinical and pathological characteristics. Second, we performed PCR analysis for BRAF V600E mutation. Although ameloblastoma-like epithelia were often encountered, none exhibited BRAF V600E mutation, which has been reported to occur frequently in ameloblastomas but not in odontogenic keratocysts (OKCs). One of two cases of SOKC in the present series from which fresh frozen tissue specimens were available was found to harbour PTCH1 mutations, indicating that these were more likely to be a subtype of OKC. Moreover, we also examined the differences between SOKC and primary intraosseous carcinoma (PIOC) with regard to the expression of cytokeratins (pan-CK, CK5/6, CK7, CK8/18, CK10, CK14 and CK19), p53 and Ki-67. The proportions of p53-and Ki-67-positive cells were significantly higher in PIOC than in SOKC. These findings suggest that immunostaining for p53 and Ki-67 would be useful to differentiate between SOKC and PIOC. We also conducted a review of SOKC and KAB cases reported in the English language literature.
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Kaya GŞ, Özalp Ö, Özbudak İH. Synchronous occurrence of multiple distinct jaw lesions in Simpson-Golabi-Behmel Syndrome: A case report. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2018; 120:483-488. [PMID: 30553040 DOI: 10.1016/j.jormas.2018.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Revised: 10/21/2018] [Accepted: 12/04/2018] [Indexed: 10/27/2022]
Abstract
Simpson-Golabi-Behmel Syndrome (SGBS) is an X-linked overgrowth syndrome characterized by pre- and post-natal overgrowth, typical facial appearance and multiple visceral, skeletal, and neurological anomalies. There is only few information in the current literature, on clinical and particularly dentofacial findings due to recent identification of the syndrome and its clinical overlap with other overgrowth syndromes. The aim of this case report is to present dentofacial findings in a 16-year-old boy who had been diagnosed with SGBS. Following comprehensive clinical, radiographic and histopathological examinations, six pathologically distinct lesions including odontogenic keratocyst, ameloblastoma, lateral periodontal cyst, dentigerous cyst and mucous retention cyst in both mandible and maxilla were identified. The clinical report is followed by a discussion aimed to clarify unique features of this condition and how practitioners should consider similar cases.
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Affiliation(s)
- Göksel Şimşek Kaya
- Associate Professor, Department of Oral and Maxillofacial Surgery, Akdeniz University, Faculty of Dentistry, Antalya, Turkey.
| | - Öznur Özalp
- Specialist, Department of Oral and Maxillofacial Surgery, Akdeniz University, Faculty of Dentistry, Antalya, Turkey
| | - İrem Hicran Özbudak
- Associate Professor, Department of Pathology, Akdeniz University, Faculty of Medicine, Antalya, Turkey
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Parikh N, Nandini C, Jain S, Mansata AV. Peripheral keratoameloblastoma: A novel case report. J Oral Maxillofac Pathol 2018; 22:249-253. [PMID: 30158780 PMCID: PMC6097355 DOI: 10.4103/jomfp.jomfp_24_16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Keratoameloblastoma is an exceptionally rare subtype of ameloblastoma that has been reported <20 times previously in the literature. All present as intraosseous lesions. We report an unusual case of keratoameloblastoma localized in the palate without involving palatal bone, thus presenting as a peripheral lesion. To the best knowledge of the authors, no case of peripheral keratoameloblastoma has been reported in the English literature till now, probably rendering this case to be the first one. Therefore, the purpose of this article is to present a rare and the first case of peripheral keratoameloblastoma with histopathological features of this tumor.
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Affiliation(s)
- Neelampari Parikh
- Department of Oral and Maxillofacial Pathology, Karnavati School of Dentistry, Gandhinagar, India
| | - C Nandini
- Department of Oral and Maxillofacial Pathology, Karnavati School of Dentistry, Gandhinagar, India
| | - Shikha Jain
- Department of Oral and Maxillofacial Pathology, Karnavati School of Dentistry, Gandhinagar, India
| | - Anuj V Mansata
- Department of Health and Family Welfare, Government of Gujarat, Jamnagar, Gujarat, India
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Abstract
INTRODUCTION Keratoameloblastoma is an extremely rare odontogenic tumor, as only 18 cases have been reported in the literature. CASE REPORT The authors report a case of keratoameloblastoma in a 32-year-old woman and review the literature concerning the clinical features, radiological appearance, histopathological findings and treatment options. DISCUSSION Keratoameloblastoma is a rare tumor observed more frequently in males (sex ratio: 3:1) characterized by extensive keratin production in odontogenic islets and fibrous stroma.
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7
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Bedi RS, Sah K, Singh A, Chandra S, Raj V. Keratoameloblastoma or Kerato-odontoameloblastoma: report of its soft tissue recurrence with literature review. Quant Imaging Med Surg 2016; 5:898-908. [PMID: 26807371 DOI: 10.3978/j.issn.2223-4292.2015.09.01] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Keratoameloblastoma (KA) is a rare histological variant of the ameloblastoma with extensive keratin production within the odontogenic islands as well as in the fibrous stroma. Pindborg first reported it in 1970, since then only 18 cases have been reported in the literature. We report a soft tissue recurrence of KA, involving right posterior region of the lower jaw in a 27-year-old female.
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Affiliation(s)
- Ravinder S Bedi
- 1 Department of Oral & Maxillofacial Surgery, 2 Oral Pathology & Microbiology, 3 Oral Medicine and Radiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India
| | - Kunal Sah
- 1 Department of Oral & Maxillofacial Surgery, 2 Oral Pathology & Microbiology, 3 Oral Medicine and Radiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India
| | - Anil Singh
- 1 Department of Oral & Maxillofacial Surgery, 2 Oral Pathology & Microbiology, 3 Oral Medicine and Radiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India
| | - Sunira Chandra
- 1 Department of Oral & Maxillofacial Surgery, 2 Oral Pathology & Microbiology, 3 Oral Medicine and Radiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India
| | - Vineet Raj
- 1 Department of Oral & Maxillofacial Surgery, 2 Oral Pathology & Microbiology, 3 Oral Medicine and Radiology, Saraswati Dental College, Lucknow, Uttar Pradesh, India
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8
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Gamoh S, Akiyama H, Tominaga K, Nakajima M, Kakudo K, Tanaka A, Shimizutani K. Simultaneous occurrence of keratocystic odontogenic tumor and ameloblastoma in the mandible: A case report. Oncol Lett 2015; 10:785-789. [PMID: 26622570 DOI: 10.3892/ol.2015.3323] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2014] [Accepted: 05/08/2015] [Indexed: 11/05/2022] Open
Abstract
Keratocystic odontogenic tumors (KCOTs) and ameloblastomas are benign odontogenic tumors that primarily occur in the molar region of the mandible. However, it is uncommon for these tumors to arise simultaneously in a patient's jaw. The present study reported the diagnostic process and features of a rare case of the simultaneous occurrence of KCOT and ameloblastoma in the mandible of a 45-year-old male. Image-based diagnosis was challenging due to several conditions, including the intactness of the teeth and bone cortex as well as the sizes and locations of the lesions. Based on radiographic evidence, the patient was initially misdiagnosed and underwent a biopsy for a radicular cyst and a simple bone cyst prior to the correct diagnoses of KCOT and ameloblastoma, respectively. In addition, the present study discussed the diagnostic process of the present case and reviewed previous literature regarding the simultaneous occurrence of benign tumors of the jaw.
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Affiliation(s)
- Shoko Gamoh
- Department of Oral Radiology, Osaka Dental University, Osaka 540-0008, Japan
| | - Hironori Akiyama
- Department of Oral Radiology, Osaka Dental University, Osaka 540-0008, Japan
| | - Kazuya Tominaga
- Department of Oral Pathology, Osaka Dental University, Osaka 540-0008, Japan
| | - Masahiro Nakajima
- Department of Dentistry for Disability and Oral Health, Osaka Dental University, Osaka 540-0008, Japan ; Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka 540-0008, Japan
| | - Kenji Kakudo
- Department of Oral and Maxillofacial Surgery, Osaka Dental University, Osaka 540-0008, Japan
| | - Akio Tanaka
- Department of Oral Pathology, Osaka Dental University, Osaka 540-0008, Japan
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Lee C, Park BJ, Yi WJ, Heo MS, Lee SS, Huh KH. Keratoameloblastoma: a case report and a review of the literature on its radiologic features. Oral Surg Oral Med Oral Pathol Oral Radiol 2015; 120:e219-25. [DOI: 10.1016/j.oooo.2015.07.008] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2015] [Revised: 06/12/2015] [Accepted: 07/08/2015] [Indexed: 11/16/2022]
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10
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Wadhwan V, Sharma P, Bansal V. A rare case of hybrid odontogenic tumor: Calcifying epithelial odontogenic tumor combined with ameloblastoma. J Oral Maxillofac Pathol 2015; 19:268. [PMID: 26604514 PMCID: PMC4611946 DOI: 10.4103/0973-029x.164560] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Accepted: 07/27/2015] [Indexed: 11/04/2022] Open
Abstract
A hybrid odontogenic tumor comprising two distinct lesions is extremely rare. Nevertheless, such tumors have been reported in the literature for academic and research interest. However, it is still obscure whether they behave as a new entity or they solely present separate histopathologic patterns. Here, we present a true hybrid neoplasm of combined ameloblastoma and calcifying epithelial odontogenic tumor showing intermixed histopathologic patterns of both the tumors.
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Affiliation(s)
- Vijay Wadhwan
- Department of Oral Pathology and Microbiology, Subharti Dental College, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India
| | - Preeti Sharma
- Department of Oral Pathology and Microbiology, Subharti Dental College, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India
| | - Vishal Bansal
- Department of Oral and Maxillofacial Surgery, Subharti Dental College, Swami Vivekanand Subharti University, Meerut, Uttar Pradesh, India
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Palaskar SJ, Pawar RB, Nagpal DD, Patil SS, Kathuriya PT. Keratoameloblastoma a rare entity: a case report. J Clin Diagn Res 2015; 9:ZD05-7. [PMID: 25954709 DOI: 10.7860/jcdr/2015/10111.5637] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Accepted: 01/19/2015] [Indexed: 11/24/2022]
Abstract
Ameloblastoma is the second most common odontogenic tumour of oral cavity; which has several different histological variants such as follicular, plexiform, acanthomatous, granular cell, desmoplastic, basal cell, clear cell, hemangiomatous, mucous cell differentiation and keratoameloblastoma. It is common in posterior mandible and has high male predilection in the ratio of 3:1. This report presents a case of keratoameloblastoma in 65-year-old female patient in the anterior mandible region with literature review on clinical features, histopathological findings, radiological appearance and treatment options.
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Affiliation(s)
- Sangeeta J Palaskar
- Professor and Head, Department of Oral Pathology and Microbiology, Sinhgad Dental College and Hospital , Vadagaon (bk), Pune, Maharashtra, India
| | - Rasika B Pawar
- Postgraduate Student, Department of Oral Pathology and Microbiology, Sinhgad Dental College and Hospital , Vadagaon (bk), Pune, Maharashtra, India
| | - Deepakkumar D Nagpal
- Reader, Department of Oral Pathology and Microbiology, Sinhgad Dental College and Hospital , Vadagaon (bk), Pune, Maharashtra, India
| | - Swati S Patil
- Postgraduate Student, Department of Oral Pathology and Microbiology, Sinhgad Dental College and Hospital , Vadagaon (bk), Pune, Maharashtra, India
| | - Pargatsingh T Kathuriya
- Postgraduate Student, Department of Oral Pathology and Microbiology, Sinhgad Dental College and Hospital , Vadagaon (bk), Pune, Maharashtra, India
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12
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Yamazaki M, Maruyama S, Abé T, Babkair H, Fujita H, Takagi R, Koyama JI, Hayashi T, Cheng J, Saku T. Hybrid ameloblastoma and adenomatoid odontogenic tumor: report of a case and review of hybrid variations in the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 118:e12-8. [DOI: 10.1016/j.oooo.2013.08.032] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2013] [Revised: 08/23/2013] [Accepted: 08/29/2013] [Indexed: 10/26/2022]
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14
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Ravi SB, Prashanthi C, Karun V, Melkundi M, Nyamati S, Annapoorna HB. Collision lesion of mandible--coexistence of keratocystic odontogenic tumor with central giant cell granuloma: a rare case report. J Contemp Dent Pract 2013; 14:355-9. [PMID: 23811673 DOI: 10.5005/jp-journals-10024-1327] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
AIM AND BACKGROUND An odontogenic keratocyst (OKC) or keratocystic odontogenic tumor (KCOT) and giant cell granuloma (GCG) in the jaws are common lesions which have been studied extensively in detail over the years. However, a lesion showing features of both is exceptionally rare and is reported only twice in the literature till date. CASE DESCRIPTION A rare case of OKC in mandible showing foci of GCG like areas is reported in a 29 years old male patient. CONCLUSION It seems to be a collision lesion, though the possibility of KCOT showing a reactive response to form giant cells or it being a rare variant cannot be totally ruled out. CLINICAL SIGNIFICANCE This entity requires aggressive treatment since biological behavior of this unique lesion is difficult to predict unless more of such lesions are reported and followed up in future.
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Affiliation(s)
- Spoorthi B Ravi
- Department of Oral Pathology, MS Ramaiah Dental College and Hospital, Bengaluru, Karnataka, India.
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Abstract
Notch signaling is an evolutionarily conserved mechanism that enables adjacent cells to adopt different fates. Ghost cells (GCs) are anucleate cells with homogeneous pale eosinophilic cytoplasm and very pale to clear central areas (previous nucleus sites). Although GCs are present in a variety of odontogenic lesions notably the calcifying cystic odontogenic tumor (GCOT), their nature and process of formation remains elusive. The aim of this study was to investigate the role of Notch signaling in the cell fate specification of GCs in CCOT. Immunohistochemical staining for four Notch receptors (Notch1, Notch2, Notch3 and Notch4) and three ligands (Jagged1, Jagged2 and Delta1) was performed on archival tissues of five CCOT cases. Level of positivity was quantified as negative (0), mild (+), moderate (2+) and strong (3+). Results revealed that GCs demonstrated overexpression for Notch1 and Jagged1 suggesting that Notch1Jagged1 signaling might serve as the main transduction mechanism in cell fate decision for GCs in CCOT. Protein localizations were largely membranous and/or cytoplasmic. Mineralized GCs also stained positive implicating that the calcification process might be associated with upregulation of these molecules. The other Notch receptors and ligands were weak to absent in GCs and tumoral epithelium. Stromal endothelium and fibroblasts were stained variably positive.
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16
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Keratoameloblastoma: Complex Histologic Variant of Ameloblastoma. J Oral Maxillofac Surg 2012; 70:860-4. [DOI: 10.1016/j.joms.2011.03.033] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2010] [Revised: 03/21/2011] [Accepted: 03/28/2011] [Indexed: 11/18/2022]
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17
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Ameloblastoma of the Jaws: A Retrospective Analysis of 340 Cases in a Malaysian Population. J Oral Maxillofac Surg 2012; 70:608-15. [DOI: 10.1016/j.joms.2011.02.039] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2010] [Revised: 01/10/2011] [Accepted: 02/08/2011] [Indexed: 11/22/2022]
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18
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Siar CH, Nagatsuka H, Han PP, Buery RR, Tsujigiwa H, Nakano K, Ng KH, Kawakami T. Differential expression of canonical and non-canonical Wnt ligands in ameloblastoma. J Oral Pathol Med 2011; 41:332-9. [PMID: 22077561 DOI: 10.1111/j.1600-0714.2011.01104.x] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Chong Huat Siar
- Department of Oral Pathology, Oral Medicine & Periodontology, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
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Won JH, Na HY, Kim HS, Kim J, Nam W, Cha IH, Kim HJ. Keratoameloblastoma of the maxilla: a case report. J Korean Assoc Oral Maxillofac Surg 2011. [DOI: 10.5125/jkaoms.2011.37.6.520] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Ji-Hoon Won
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
| | - Hye-Young Na
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
| | - Hyun-sil Kim
- Department of Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
| | - Jin Kim
- Department of Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
| | - Woong Nam
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
- Department of Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
| | - In-Ho Cha
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
- Department of Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
| | - Hyung Jun Kim
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
- Department of Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
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20
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Siar CH, Nakano K, Han PP, Tomida M, Tsujigiwa H, Nagatsuka H, H. Ng K, Kawakami T. Co-expression of BMP-2 and -7 in the Tumoral Epithelium of CEOT with Selective BMP-7 Expression in Amyloid Materials. J HARD TISSUE BIOL 2011. [DOI: 10.2485/jhtb.20.125] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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21
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Siar CH, Nakano K, Chelvanayagam PI, Ng KH, Nagatsuka H, Kawakami T. An unsuspected ameloblastoma in the subpontic region of the mandible with consideration of pathogenesis from the radiographic course. Eur J Med Res 2010; 15:135-8. [PMID: 20452900 PMCID: PMC3352221 DOI: 10.1186/2047-783x-15-3-135] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
The purpose of this report is to document a case of unsuspected ameloblastoma involving the right man dibular subpontic region in a 38-year-old Cambodian female patient. This lesion was purportedly preceded by multiple radiolucencies which were diagnosed as radi cular cysts and treated a few times in the past years by enucleation followed by endodontic therapy of the affected teeth. Bridgework restoration of the partially edentulous area was performed. This case report de monstrates radiographic changes that occurred in the periods before and after the diagnosis of amelo blas to ma. The case may represent an example of radicular cysts and ameloblastoma occurring as a collision phenomenon, or the ameloblastoma may have arisen as a result of neoplastic transformation of the lining epi thelium in an inflammatory odontogenic epithelial cyst.
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Affiliation(s)
- C H Siar
- Department of Oral Pathology, Oral Medicine and Periodontology, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia
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Chong Huat Siar, Kee Seng Chuah, Nakano K, Rosario Santos Rivera, Tsujigiwa H, Nagatsuka H, Kok Han Ng, Kawakami T. Immunohistochemical Study of Notch Signaling Proteins in the Calcifying Epithelial Odontogenic Tumor (Pindborg Tumor). J HARD TISSUE BIOL 2010. [DOI: 10.2485/jhtb.19.167] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Squamous Cell Carcinoma Radiographically Resembling a Dentigerous Cyst: Report of a Case. J Oral Maxillofac Surg 2007; 65:2559-62. [DOI: 10.1016/j.joms.2006.06.290] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2005] [Revised: 03/22/2006] [Accepted: 06/14/2006] [Indexed: 11/21/2022]
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Whitt JC, Dunlap CL, Sheets JL, Thompson ML. Keratoameloblastoma: a tumor sui generis or a chimera? ACTA ACUST UNITED AC 2007; 104:368-76. [PMID: 17142069 DOI: 10.1016/j.tripleo.2006.07.025] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2006] [Revised: 07/24/2006] [Accepted: 07/25/2006] [Indexed: 10/23/2022]
Abstract
The term keratoameloblastoma has been used to describe a histologically heterogeneous group of ameloblastoma variants which have in common the formation of keratin by the ameloblastomatous epithelium. The English language literature contains reports of only 12 cases of keratoameloblastoma, of which 4 cases exhibited a papilliferous component. We report a unique tumor that we believe falls within the broad histopathologic spectrum of keratoameloblastoma. We review the key clinical and histopathologic features of the previously reported cases of keratoameloblastoma and present an additional case that presented as an expansile, radiolucent lesion with internal opacification between the roots of teeth in the left anterior maxillary alveolar ridge of a 45-year-old white male. There is wide variation in the histopathologic appearance of cases reported under the appellation keratoameloblastoma. Our case exhibited a histopathologic feature shared by only 2 of the previously reported cases, notably islands and anastomosing cords of epithelium forming lamellated, pacinian-like stacks of parakeratin that extruded into the collagenous tumor stroma without eliciting a foreign body response. Due to the small number of reported cases, we are unable to accurately assess whether the biologic behavior of keratoameloblastoma differs from other histologic types of ameloblastoma.
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Affiliation(s)
- Joseph C Whitt
- Associate Professor, Oral and Maxillofacial Pathology, School of Dentistry, University of Missouri School of Dentistry, Kansas City, MO 64108-6489, USA.
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Fregnani ER, da Cruz Perez DE, Soares FA, Alves FA. Synchronous ameloblastoma and orthokeratinized odontogenic cyst of the mandible. J Oral Pathol Med 2007; 35:573-5. [PMID: 16968239 DOI: 10.1111/j.1600-0714.2006.00445.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
The simultaneous occurrence of ameloblastomas with odontogenic cysts or other non-odontogenic lesions have already been described as combined lesions. However, we are unaware of any report in the English literature of simultaneous occurrence of ameloblastoma and orthokeratinized odontogenic cyst (OOC) occurring as completely distinct lesions. This report shows a case of synchronous ameloblastoma and OOC, located on posterior regions of the mandible, but in distinct sides.
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Abu El-Naaj I, Emodi O, Peled M. Metachronous ameloblastomas in the maxilla and mandible: report of a case. J Craniomaxillofac Surg 2005; 33:349-51. [PMID: 16129610 DOI: 10.1016/j.jcms.2005.04.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2004] [Accepted: 03/27/2005] [Indexed: 11/23/2022] Open
Abstract
Ameloblastoma is a locally aggressive tumour of odontogenic origin, with an unknown aetiology. Metachronous ameloblastoma in the maxilla and the mandible is rare. In this report, a case of a 63 year-old man is described with a solid ameloblastoma in the posterior part of the upper jaw. After surgical treatment, the patient returned 8 years later with a similar lesion in the anterior lower jaw. Both ameloblastomas were of the solid type but differed in their histological patterns. No evidence of recurrence was found in either of the surgical sites for the last 4 years.
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Affiliation(s)
- Imad Abu El-Naaj
- Department of Oral and Maxillofacial Surgery, Rambam Medical Centre, Bruce Rappoport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.
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Ide F, Mishima K, Saito I. Solid-cystic tumor variant of odontogenic keratocyst: an aggressive but benign lesion simulating keratoameloblastoma. Virchows Arch 2003; 442:501-3. [PMID: 12687356 DOI: 10.1007/s00428-003-0764-8] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2002] [Accepted: 12/19/2002] [Indexed: 11/30/2022]
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28
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Ide F, Horie N, Shimoyama T, Sakashita H, Kusama K. So-called Hybrid Odontogenic Tumors: Do they really exist? ACTA ACUST UNITED AC 2001. [DOI: 10.3353/omp.6.13] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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29
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Bataineh AB. Effect of preservation of the inferior and posterior borders on recurrence of ameloblastomas of the mandible. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 2000; 90:155-63. [PMID: 10936834 DOI: 10.1067/moe.2000.107971] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE The purpose of this study was to evaluate the experience and results of using a rational radical conservative approach in the surgical treatment of mandibular ameloblastomas. STUDY DESIGN A retrospective analysis of every patient with an ameloblastoma of the mandible treated in the Department of Oral Medicine and Oral Surgery at the Jordan University of Science and Technology between 1989 and 1999 was conducted. All were operated on by the author, who used a uniform surgical protocol in every case. All soft tissues in contact or overlying the lesion and a wide margin of cancellous bone related to the tumor were destroyed. The compact bone comprising the lower border of the mandible and the posterior border of the ascending ramus together with the nutrient periosteum attached to them were preserved, thus maintaining the continuity of the mandible and the facial contours. When teeth, soft tissues, or both were involved, they were destroyed. All patients were reviewed annually for a follow-up period of 3 to 10 years (mean, 6.5 years) by the same clinician. RESULTS All ameloblastomas were located in the mandible; 21 were in the angle/molar region and the ascending ramus, and 2 cases were in the anterior region. There was no clinical or radiographic evidence of recurrence observed during the follow-up period. CONCLUSION Ameloblastoma has a high rate of local recurrence if it is not adequately removed. The findings of this study to date suggest that the technique of rational radical conservative resection may have a place in the treatment of ameloblastoma of the mandible and is worthy of further trial.
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Affiliation(s)
- A B Bataineh
- Jordan University of Science and Technology, Irbid, Jordan.
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Said-al-Naief NA, Lumerman H, Ramer M, Kopp W, Kringstein GJ, Persenchino F, Torno R. Keratoameloblastoma of the maxilla. A case report and review of the literature. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1997; 84:535-9. [PMID: 9394386 DOI: 10.1016/s1079-2104(97)90270-5] [Citation(s) in RCA: 24] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The keratoameloblastoma is a rare histologic variant of the ameloblastoma. Review of the English language literature revealed five case reports of keratoameloblastoma. We report the sixth case of this tumor. The tumor developed in the right posterior maxilla of a 26-year-old African-American man and demonstrated aggressive clinical behavior, analogous to conventional ameloblastoma. The initial biopsy specimen showed extensive cyst formation, which histologically resembled odontogenic keratocyst. However, the lining epithelium varied in thickness and there was separation and edema between the basal cells and the rest of the epithelium. The basal cells were strongly adherent to the underlying stroma unlike the basal layer of the odontogenic keratocyst, where cleavage often occurs in this area. Additionally, although the basal cells were palisaded and demonstrated nuclear polarization in areas, they were cuboidal rather than columnar. The excision specimen revealed more of a solid ameloblastic component in addition to the cystic component seen on the initial biopsy. Nevertheless, it is possible that the ameloblastoma had developed in an odontogenic keratocyst. Alternatively, it can be postulated that the keratoameloblastoma consists of both cystic and solid components, the former being analogous to the cysts of the conventional ameloblastoma.
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Affiliation(s)
- N A Said-al-Naief
- Mount Sinai Medical Center, Oral and Maxillofacial Pathology & E.N.T. Pathology, New York, NY, USA
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Omura S, Kawabe R, Kobayashi S, Mizuki N. Odontogenic keratocyst appearing as a soap-bubble or honeycomb radiolucency: report of a case. J Oral Maxillofac Surg 1997; 55:185-9. [PMID: 9024360 DOI: 10.1016/s0278-2391(97)90242-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- S Omura
- Department of Oral and Maxillofacial Surgery, School of Medicine, Yokohama City University, Japan
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Gardner D. Keratinizing ameloblastomas. Br J Oral Maxillofac Surg 1994; 32:130. [PMID: 7515276 DOI: 10.1016/0266-4356(94)90151-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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