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Singh AK, Mishra R, Jain G, Singh AK. Calcifying epithelial odontogenic tumors (Pindborg tumor) of maxilla in pediatric patients. Natl J Maxillofac Surg 2020; 11:127-131. [PMID: 33041592 PMCID: PMC7518479 DOI: 10.4103/njms.njms_75_15] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2015] [Revised: 04/28/2016] [Accepted: 02/17/2020] [Indexed: 11/29/2022] Open
Abstract
The calcifying epithelial odontogenic tumor (CEOT) was first described by Pindborg as a distinct entity in 1955. Odontogenic tumors are derived from epithelial, ectomesenchymal, and/or mesenchymal elements that are or have been a part of the tooth-forming apparatus. Of all the odontogenic tumors, CEOT accounts for 1% of the cases. There is no sex predilection, with a 2:1 predilection for the mandible, mostly in the premolar/molar region. The CEOT typically presents clinically as an intraosseous, expansile, and painless mass that exhibits slow growth. It is often locally invasive. Most often, it is associated with an impacted tooth, is asymptomatic, and requires biopsy for diagnosis. Although most of these cases are primarily intraosseous, an extraosseous tumor is also known to occur, first observed by Pindborg in 1966. The lesions were surgically enucleated, and histopathological examination confirmed CEOT. The purpose of this article is to describe one additional case of both variants of CEOT.
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Affiliation(s)
- Atul Kumar Singh
- Department of Dentistry, UPUMS, Saifai, Etawah, Uttar Pradesh, India
| | - Rahul Mishra
- Department of Dentistry, UPUMS, Saifai, Etawah, Uttar Pradesh, India
| | - Gourav Jain
- Department of Dentistry, UPUMS, Saifai, Etawah, Uttar Pradesh, India
| | - Arvind Kumar Singh
- Department of Prosthodontics, Chandra Dental College, Barabanki, Uttar Pradesh, India
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Flores IL, Schneider TRR, Vasconcelos ACU, Tarquinio SBC, Alves de Mesquita R, Gomes APN. Is Conservative Surgery the Best Approach for Peripheral Calcifying Epithelial Odontogenic Tumors? Open Dent J 2018; 12:856-863. [PMID: 30505366 PMCID: PMC6210496 DOI: 10.2174/1874210601812010856] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Revised: 09/16/2018] [Accepted: 10/05/2018] [Indexed: 11/22/2022] Open
Abstract
Background: Peripheral Calcifying Epithelial Odontogenic Tumors (CEOT) rich in clear cells are a rare entity in the oral cavity, with only 14 previous case reports in the English literature. None have discussed recommended treatment approaches for extraosseous CEOT. Objective: This brief descriptive review describes a treatment approach for peripheral CEOT including the clear cell variant. Study design: A complete review of all well-documented extraosseous case reports with an emphasis on the treatment was performed. Additionally, the present article reports a case of a 21-year-old woman with an asymptomatic swelling in the gingiva finally diagnosed as peripheral CEOT abundant in clear cells. Results: Twenty-four cases of peripheral CEOT were described; conservative surgery was the first treatment approach in approximately 80% of cases, with only one recurrence. Discussion: Clear cell finding was not associated with more aggressive behavior. Conclusion: Conservative surgery may be an advantageous approach for this group of peripheral lesions with or without clear cells, with a recurrence rate of approximately 4%.
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Affiliation(s)
- Isadora Luana Flores
- Department of Conservative Dentistry, Oral Pathology, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos 2492, Santa Cecília, Porto Alegre, RS, Brazil
| | - Tissiana Rachel Rossi Schneider
- Pelotas Dental School, Semiology and Clinic, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Bairro Centro, Pelotas, RS, Brazil
| | - Ana Carolina Uchoa Vasconcelos
- Pelotas Dental School, Semiology and Clinic, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Bairro Centro, Pelotas, RS, Brazil
| | - Sandra Beatriz Chaves Tarquinio
- Pelotas Dental School, Semiology and Clinic, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Bairro Centro, Pelotas, RS, Brazil
| | - Ricardo Alves de Mesquita
- Department of Oral Pathology and Surgery, Federal University of Minas Gerais, Belo Horizonte, Rua Prof Moacir Gomes de Freitas, 688, Bairro Pampulha, Belo Horizonte, MG, Brazil
| | - Ana Paula Neutzling Gomes
- Pelotas Dental School, Semiology and Clinic, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Bairro Centro, Pelotas, RS, Brazil
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Arruda JAA, Abreu LG, Silva LVDO, Schuch LF, Monteiro JLGC, Arantes DAC, da Costa AAS, Nóbrega KHS, Vasconcelos ACU, Andrade BAB, Romañach MJ, Sobral APV, Rivero ERC, Silva TA, Batista AC, Mesquita RA. Calcifying epithelial odontogenic tumours: Collaborative study of 32 cases and review of literature. Oral Dis 2018; 25:192-205. [DOI: 10.1111/odi.12958] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2018] [Revised: 08/10/2018] [Accepted: 08/13/2018] [Indexed: 01/08/2023]
Affiliation(s)
- José Alcides A. Arruda
- Department of Oral Surgery and Pathology, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte MG Brazil
| | - Lucas G. Abreu
- Department of Paediatric Dentistry and Orthodontics, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte MG Brazil
| | - Leni Verônica de O. Silva
- Department of Oral Surgery and Pathology, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte MG Brazil
| | - Lauren F. Schuch
- Department of Oral Surgery and Pathology, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte MG Brazil
| | - João Luiz G. C. Monteiro
- Department of Oral and Maxillofacial Surgery and Pathology, School of Dentistry Universidade de Pernambuco Camaragibe PE Brazil
| | - Diego Antônio C. Arantes
- Department of Stomatology (Oral Pathology), School of Dentistry Universidade Federal de Goiás Goiânia GO Brazil
| | - Adriana Aparecida S. da Costa
- Department of Oral Surgery and Pathology, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte MG Brazil
| | - Kaio Heide S. Nóbrega
- Diagnostic Centre for Oral Diseases, School of Dentistry Universidade Federal de Pelotas Pelotas RS Brazil
| | | | - Bruno Augusto B. Andrade
- Department of Oral Diagnosis and Pathology, School of Dentistry Universidade Federal do Rio de Janeiro Rio de Janeiro RJ Brazil
| | - Mario José Romañach
- Department of Oral Diagnosis and Pathology, School of Dentistry Universidade Federal do Rio de Janeiro Rio de Janeiro RJ Brazil
| | - Ana Paula V. Sobral
- Department of Oral and Maxillofacial Surgery and Pathology, School of Dentistry Universidade de Pernambuco Camaragibe PE Brazil
| | - Elena R. C. Rivero
- Department of Pathology, Health Sciences Centre Universidade Federal de Santa Catarina Florianópolis SC Brazil
| | - Tarcília Aparecida Silva
- Department of Oral Surgery and Pathology, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte MG Brazil
| | - Aline C. Batista
- Department of Stomatology (Oral Pathology), School of Dentistry Universidade Federal de Goiás Goiânia GO Brazil
| | - Ricardo A. Mesquita
- Department of Oral Surgery and Pathology, School of Dentistry Universidade Federal de Minas Gerais Belo Horizonte MG Brazil
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Rani V, Masthan MK, Aravindha B, Leena S. Aggressive Calcifying Epithelial Odontogenic Tumor of the Maxillary Sinus with Extraosseous Oral Mucosal Involvement: A Case Report. IRANIAN JOURNAL OF MEDICAL SCIENCES 2016; 41:145-9. [PMID: 26989286 PMCID: PMC4764965] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Calcifying epithelial odontogenic tumors are benign odontogenic neoplasms whose occurrence in the maxillary sinus is rare. Maxillary tumors tend to be locally aggressive and may rapidly involve the surrounding vital structures. We report a case of a large calcifying epithelial odontogenic tumor of the maxilla, involving the maxillary sinus in a 48-year-old woman. The tumor was largely intraosseous. In the canine and first premolar regions, the loss of bone could be palpated but the oral mucosa appeared normal. Histologically, the tumor tissue could be seen in the connective tissue below the oral epithelium. The most significant finding was the presence of an intraosseous tumor with an extraosseous involvement in a single tumor, indicating aggressive behavior and warranting aggressive treatment. In this article, we discuss the rare presentation of the tumor and its radiological appearance and histological features. We also highlight the importance of a detailed histopathological examination of the excised specimen.
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Affiliation(s)
- Vidya Rani
- Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Pallikaranai, Chennai, Tamil Nadu, India,Correspondence: Vidya Rani, MDS; Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Pallikaranai, Chennai, Tamil Nadu, 600100, India Tel: +91 9444050639
| | - Mahaboob Kadar Masthan
- Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Pallikaranai, Chennai, Tamil Nadu, India
| | - Babu Aravindha
- Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Pallikaranai, Chennai, Tamil Nadu, India
| | - Sankari Leena
- Department of Oral Pathology and Microbiology, Sree Balaji Dental College and Hospital, Pallikaranai, Chennai, Tamil Nadu, India
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Lee SK, Kim YS. Current Concepts and Occurrence of Epithelial Odontogenic Tumors: II. Calcifying Epithelial Odontogenic Tumor Versus Ghost Cell Odontogenic Tumors Derived from Calcifying Odontogenic Cyst. KOREAN JOURNAL OF PATHOLOGY 2014; 48:175-87. [PMID: 25013415 PMCID: PMC4087130 DOI: 10.4132/koreanjpathol.2014.48.3.175] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/11/2014] [Revised: 06/01/2014] [Accepted: 06/03/2014] [Indexed: 12/22/2022]
Abstract
Calcifying epithelial odontogenic tumors (CEOTs) and ghost cell odontogenic tumors (GCOTs) are characteristic odontogenic origin epithelial tumors which produce calcifying materials from transformed epithelial tumor cells. CEOT is a benign odontogenic tumor composed of polygonal epithelial tumor cells that show retrogressive calcific changes, amyloid-like deposition, and clear cytoplasm. Differentially, GCOTs are a group of transient tumors characterized by ghost cell presence, which comprise calcifying cystic odontogenic tumor (CCOT), dentinogenic ghost cell tumor (DGCT), and ghost cell odontogenic carcinoma (GCOC), all derived from calcifying odontogenic cysts (COCs). There is considerable confusion about COCs and GCOTs terminology, but these lesions can be classified as COCs or GCOTs, based on their cystic or tumorous natures, respectively. GCOTs include ameloblastomatous tumors derived from dominant odontogenic cysts classified as CCOTs, ghost cell-rich tumors producing dentinoid materials as DGCTs, and the GCOT malignant counterpart, GCOCs. Many authors have reported CEOTs and GCOTs variably express keratins, β-catenin, BCL-2, BSP, RANKL, OPG, Notch1, Jagged1, TGF-β, SMADs, and other proteins. However, these heterogeneous lesions should be differentially diagnosed to allow for accurate tumor progression and prognosis prediction.
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Affiliation(s)
- Suk Keun Lee
- Department of Oral Pathology, College of Dentistry, Gangneung-Wonju National University, Gangneung, Korea
| | - Yeon Sook Kim
- Department of Dental Hygiene, College of Health Sciences, Cheongju University, Cheongju, Korea
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Calcifying epithelial odontogenic tumor (CEOT): a clinicopathologic and immunohistochemical study and comparison with dental follicles containing CEOT-like areas. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 116:759-68. [DOI: 10.1016/j.oooo.2013.08.023] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2013] [Revised: 08/01/2013] [Accepted: 08/26/2013] [Indexed: 11/21/2022]
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Shanmuga PS, Ravikumar A, Krishnarathnam K, Rajendiran S. Intraosseous calcifying epithelial odontogenic tumor in a case with multiple myeloma. J Oral Maxillofac Pathol 2013; 13:10-3. [PMID: 21886990 PMCID: PMC3162847 DOI: 10.4103/0973-029x.48742] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Calcifying epithelial odontogenic tumor (CEOT), also known as Pindborg tumor, is a rare benign odontogenic tumor of locally aggressive behavior. It is more common in the posterior part of the mandible of adults, typically in the fourth to fifth decades. Its origin as well as its true malignant potential is not clearly known. It usually starts as a painless swelling and is often concurrent with an impacted tooth. A case of CEOT in a 55-year-old man with multiple myeloma is presented. Clinical, radiological, and pathologic findings are discussed.
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Affiliation(s)
- Priya S Shanmuga
- Department of Pathology, Sri Ramachandra University, Porur, Chennai - 600 116, India
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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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9
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Calcifying epithelial odontogenic tumour: a case report. J Maxillofac Oral Surg 2010; 9:302-6. [PMID: 22190811 DOI: 10.1007/s12663-010-0068-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2009] [Accepted: 07/10/2010] [Indexed: 10/18/2022] Open
Abstract
Calcifying epithelial odontogenic tumour (CEOT) presenting at an unusual site is rare. The characteristic cytologic findings in association with radiologic features can help the cytopathologist and the surgeon in rendering a firm preoperative diagnosis of Calcifying Epithelial Odontogenic Tumour even at atypical sites such as maxilla. The purpose of this article is to report an additional case of CEOT and discuss the radiologic appearance, histologic features, clinical behavior and surgical management.
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Gilchrist HM, Wick MR, Patterson JW. Liesegang rings in an apocrine hidrocystoma: a case report and review of literature. J Cutan Pathol 2010; 37:1064-6. [PMID: 20492082 DOI: 10.1111/j.1600-0560.2010.01559.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Liesegang rings represent an in vivo chemical precipitation phenomenon representing a potential diagnostic pitfall for misdiagnosis as parasitic infections. These acellular patterns of lamellar concretions are rare in human tissue. The authors report a case of Liesegang rings observed within an intradermal apocrine hidrocystoma and review the literature for reports of these structures, with particular emphasis on mucocutaneous lesions.
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Affiliation(s)
- Heidi M Gilchrist
- Department of Pathology, University of Virginia Health System, Charlottesville, VA, USA.
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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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Abstract
Pindborg tumor or calcifying epithelial odontogenic tumor is a rare benign neoplasm. The average age at diagnosis is 40 years without a significant prevalence for one sex. The most frequent localization is the mandibular premolar and molar area; less frequently the lesion is found in the maxilla, while other localizations like the maxillary sinus are extremely rare. Ethiology of this lesion is not clear. The complete surgical removal of the lesion is usually considered the most common type of treatment. The authors report a peculiar case of Pindborg tumor characterized by a rare localization of the lesion (maxillary incisal area) and by the young age of the patient (nine years old). The correct treatment in the case of a small mass is the surgical enucleation of the lesion. The purpose of the surgical treatment is the radical resection of the neoplasm with clean margins in order to reduce the risk of recurrence of disease. Recurrence of disease many years after surgical therapy has been reported that is why a clinical and instrumental long-term follow-up of the patient are suggested.
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Affiliation(s)
- Claudio Ungari
- Maxillo-facial Surgery Department, University La Sapienza, Rome, Italy
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Rapidis AD, Stavrianos SD, Andressakis D, Lagogiannis G, Bertin PM. Calcifying epithelial odontogenic tumor (CEOT) of the mandible: clinical therapeutic conference. J Oral Maxillofac Surg 2005; 63:1337-47. [PMID: 16122599 DOI: 10.1016/j.joms.2005.05.309] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Alexander D Rapidis
- Department of Maxillofacial Surgery, Greek Anticancer Institute, St Savvas Hospital, Athens, Greece.
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Ghali GE, Lustig JH. Treatment of Benign Lesions of the Maxillary Sinus. Oral Maxillofac Surg Clin North Am 1999. [DOI: 10.1016/s1042-3699(20)30287-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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