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Jot K, Nayyar V, Surya V, Kakkar A, Satapathy S, Roychoudhury A, Mishra D. Assessment of MUC5AC and MUC2 Immunoexpression in Glandular Odontogenic Cysts, Dentigerous Cysts, and Mucoepidermoid Carcinomas. Appl Immunohistochem Mol Morphol 2024; 32:183-188. [PMID: 38478391 DOI: 10.1097/pai.0000000000001192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 02/14/2024] [Indexed: 04/05/2024]
Abstract
Glandular odontogenic cysts (GOCs) and dentigerous cysts may show mucous metaplasia. Central mucoepidermoid carcinoma is very rare and mostly associated with dental cysts. It is hypothesized that odontogenic cysts showing mucus differentiation in their lining, have a propensity to transform into MEC. The present study is the first attempt to explore the relationship between odontogenic cysts [GOCs and dentigerous cysts with mucus metaplasia (DCMM)] and MEC by evaluating immunoexpression of MUC5AC and MUC2. Immunoexpression of MUC5AC and MUC2 was evaluated semiquantitatively in GOCs (20 cases), DCMMs (20 cases), and MECs (20 cases). The percentage of positive cells, intensity, and localization of immunoexpression were assessed for each marker in all cases. Of GOCs, DCMMs, and MECs cases, 85%, 70%, and 80%, respectively, were immunopositive for MUC5AC. Strong cytoplasmic immunoreactivity for MUC5AC was noted, particularly in mucous cells present diffusely within MECs. However, the immunoreactivity was limited to the epithelial lining of GOCs and DCMMs. Most of the MECs (60%) showed more than 25% positivity for MUC5AC, followed by GOCs, and the least in DMMCs. Mild cytoplasmic and nuclear positivity of MUC2 was noted only in epithelial lining cells of 70% GOCs and 45% DCMMs. Whereas, 55% of MECs displayed moderate to strong cytoplasmic and membranous immunopositivity for MUC2 exclusively within mucous cells. As MECs showed strong MUC5AC immunoreactivity in mucous cells, immunoexpression of MUC5AC in odontogenic cysts with mucus cells can possibly explain the pathogenesis of MEC from cysts. However, the variable expression of MUC2 did not give any strong evidence regarding its role as a marker.
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Affiliation(s)
- Kiran Jot
- Departments of Oral Pathology and Microbiology, Centre for Dental Education and Research
| | - Vivek Nayyar
- Departments of Oral Pathology and Microbiology, Centre for Dental Education and Research
| | - Varun Surya
- Departments of Oral Pathology and Microbiology, Centre for Dental Education and Research
| | - Aanchal Kakkar
- Department of Pathology, All India Institute of Medical Sciences
| | | | - Ajoy Roychoudhury
- Department of Oral and maxillofacial Surgery, Centre for Dental Education and Research, New Delhi, India
| | - Deepika Mishra
- Departments of Oral Pathology and Microbiology, Centre for Dental Education and Research
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Teixeira LN, Perez EG, Rosa ACG, Lima SRR, Soares MQS, Passador-Santos F, de Araújo VC, Soares AB. Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion. Case Rep Dent 2023; 2023:5714099. [PMID: 37799173 PMCID: PMC10550484 DOI: 10.1155/2023/5714099] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Revised: 06/29/2023] [Accepted: 09/05/2023] [Indexed: 10/07/2023] Open
Abstract
Central mucoepidermoid carcinoma (CMEC) is a rare pathological entity with only a few case reports in the literature. The present case reported an uncommon occurrence of CMEC mimicking an odontogenic lesion in a young patient. A 17-year-old female patient sought dental care due to a slight swelling located in the posterior region of the mandible on the left side. Radiographic exams revealed an osteolytic lesion with defined limits in relation to proximity to the pericoronal follicle of tooth #38. The clinical and radiographic diagnostic hypothesis was an odontogenic lesion. Histological sections showed the presence of a neoplasm of glandular origin, not encapsulated, with a predominantly cystic growth pattern. The neoplasm consisted of mucous, intermediate, and squamous cells. In the immunohistochemical staining, the neoplastic cells were positive for cytokeratin 7. Mucous cells were positive for PAS with diastase digestion. The final diagnosis consisted of mucoepidermoid carcinoma. The tumor was removed surgically, and the patient has shown no signs of relapse nor recurrence. In conclusion, CMEC may mimic radiographic features of various pathologies, but despite its rarity, clinicians and oral radiologists should consider CMEC as a diagnostic hypothesis for jaw lesions.
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Unicystic Mucoepidermoid Carcinoma: A Pitfall for Clinical and Pathologic Diagnosis. JOURNAL OF ONCOLOGY 2022; 2022:2676367. [PMID: 36147445 PMCID: PMC9489395 DOI: 10.1155/2022/2676367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Accepted: 08/30/2022] [Indexed: 11/17/2022]
Abstract
Unicystic mucoepidermoid carcinoma (UC-MEC) is a rare MEC variant, and its diagnosis is frequently problematic. This study is aimed at summarizing its clinicopathologic characteristics, treatment, and prognosis and proposing key points to avoid missed diagnosis and misdiagnosis in clinical and pathological conditions. This retrospective study included 30 UC-MEC cases, and the clinical findings were collected from the clinical medical records. Radiographic features, histologic behaviors, MAML2 rearrangement by fluorescence in situ hybridization (FISH), and follow-up data were analyzed. Moreover, glandular odontogenic cyst (GOC) and cytadenoma (CA) were used as controls. In the UC-MEC group, 19 patients were female (63%), and 11 were male (37%). The mean patient age was 39.5 (range, 7–72 years). The affected locations included the jaw (8 maxillary, 3 mandibular) and salivary glands (7 parotid, 11 palates, and 1 floor of the mouth). The chief complaint was swelling; the lesions were all cystic, among which 66.7% were well circumscribed and 33.3% poorly defined. Microscopic examination showed two UC-MEC histologic subtypes. Type A presented as a single cyst with mural thickening (8/30, 27%) lined predominantly by epidermoid cells with interspersed intermediate and mucinous cells, and type B (22/30, 73%) showed infiltrative tumor islands in the cystic wall or the surrounding tissue. FISH analysis suggested that approximately 66.7% of UC-MEC harbored a MAML2 rearrangement. During the median follow-up period of 42 months (range, 6–120 months), all type A patients and 68% of type B patients who underwent complete surgical resection lived without relapse. Seven cases with type B cancer that underwent curettage initially had local recurrence. Clinicians and pathologists hardly recognize UC-MEC owing to its cystic architecture. Specific epidermoid, mucous, and intermediate tumor cells, and MAML2 fusion testing, are essential to avoid potential diagnostic pitfalls. Prompting and completing resection surgery with negative margins would have a favorable prognosis.
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Morsi Abdeldayem MA. A case report of maxillary dentigerous cyst transforms into mucoepidermoid carcinoma and systematic review of literature. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2021. [DOI: 10.1016/j.adoms.2021.100072] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Vaidya K, Sarode GS, Sengupta N, Sarode SC, Gadre K, Gadre P, Patil S. Central mucoepidermoid carcinoma associated with impacted tooth mimicking as dentigerous cyst. Oral Oncol 2021; 121:105333. [PMID: 34130907 DOI: 10.1016/j.oraloncology.2021.105333] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2021] [Revised: 05/03/2021] [Accepted: 05/05/2021] [Indexed: 11/20/2022]
Affiliation(s)
- Kedar Vaidya
- Department of Oral and Maxillofacial Surgery, Yogita Dental College and Hospital, Khed, Maharashtra, India
| | - Gargi S Sarode
- Department of Oral Pathology and Microbiology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Sant-Tukaram Nagar, Pimpri, Pune 411018, MH, India
| | - Namrata Sengupta
- Department of Oral Pathology and Microbiology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Sant-Tukaram Nagar, Pimpri, Pune 411018, MH, India.
| | - Sachin C Sarode
- Department of Oral Pathology and Microbiology, Dr. D.Y. Patil Dental College and Hospital, Dr. D.Y. Patil Vidyapeeth, Sant-Tukaram Nagar, Pimpri, Pune 411018, MH, India
| | - Kiran Gadre
- Ruby Hall Clinic, 40, Sasoon Road, Sangamvadi, Pune 411001, MH, India; Poona Hospital and Research Centre, Shivram Matre Road, Sadashiv Peth, Pune 411030, MH, India; MJM Hospital, Janardhan Sadan, Ghole Road, Shivajinagar, Pune 411005, MH, India
| | - Pushkar Gadre
- Ruby Hall Clinic, 40, Sasoon Road, Sangamvadi, Pune 411001, MH, India; Poona Hospital and Research Centre, Shivram Matre Road, Sadashiv Peth, Pune 411030, MH, India; MJM Hospital, Janardhan Sadan, Ghole Road, Shivajinagar, Pune 411005, MH, India
| | - Shankargouda Patil
- Department of Maxillofacial Surgery and Diagnostic Sciences, Division of Oral Pathology, College of Dentistry, Jazan University, Jazan, Saudi Arabia
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Hauer L, Seidlová P, Merglová V, Hrusak D, Böhmová H, Posta P, Gencur J, Netolicky J. Complete removal of dentigerous cysts with preservation of associated teeth as an alternative to marsupialization in children and preadolescents. J Craniomaxillofac Surg 2020; 48:808-814. [PMID: 32593630 DOI: 10.1016/j.jcms.2020.05.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2019] [Revised: 03/15/2020] [Accepted: 05/31/2020] [Indexed: 11/25/2022] Open
Abstract
The aim of this study is to evaluate the results of dentigerous cysts enucleation with preservation of cyst-associated teeth as a single procedure in a group of children and preadolescents. A retrospective case series of seven patients with 15 unerupted developing teeth associated with or adjacent to dentigerous cysts was conducted. Patients were treated using the uniform surgical protocol (cystectomy, preservation of cyst-associated teeth, without use of orthodontic traction, primary wound closure). The metric analysis of the cysts and unerupted teeth on CBCT and an evaluation of the state of involved teeth after the treatment was performed. The mean age of patients was 9.0 ± 2.1 years (range 5-12 years, median = 9 years). All teeth erupted spontaneously. No serious postoperative complications or recurrences of lesions were detected. The mean follow-up was 53.1 ± 15.7 months (range 25-71 months, median = 52 months). The cystectomy of dentigerous cysts with preservation of associated teeth may be considered an alternative to marsupialization in children and preadolescents.
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Affiliation(s)
- Lukas Hauer
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic.
| | - Petra Seidlová
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Vlasta Merglová
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Daniel Hrusak
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Hana Böhmová
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Petr Posta
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Jiri Gencur
- Department of Oral and Maxillofacial Surgery (Head of Department: Dr. Daniel Hrusak, Ph.D.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
| | - Jan Netolicky
- Department of Dentistry (Head of Department: As. Prof. Dr. Antonin Zicha, CSc.), University Hospital and Faculty of Medicine in Pilsen, Charles University, Alej Svobody 80, 304 60, Pilsen, Czech Republic
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Matsubara M, Ito M, Kataura T, Matsubara Y, Iinuma M, Sumitomo S. Report of a large dentigerous cyst residing within the maxillary sinus for nine years. PEDIATRIC DENTAL JOURNAL 2019. [DOI: 10.1016/j.pdj.2019.01.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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The reliability of MAML2 gene rearrangement in discriminating between histologically similar glandular odontogenic cysts and intraosseous mucoepidermoid carcinomas. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 127:e136-e147. [PMID: 30692056 DOI: 10.1016/j.oooo.2018.12.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Revised: 11/28/2018] [Accepted: 12/06/2018] [Indexed: 11/24/2022]
Abstract
OBJECTIVE MAML2 expression is proven in the majority of mucoepidermoid carcinomas (MECs) arising in salivary glands. MEC can also occur intraosseously (IMEC). Glandular odontogenic cyst (GOC) is an odontogenic cyst with histologic overlap with IMEC. This study aimed to determine the reliability of MAML2 in distinguishing IMEC cases from GOC cases. STUDY DESIGN An institutional review board-approved retrospective search of IMEC, GOC, and IMEC with prior history of GOC was performed within the archives of the University of Florida and the University of Alberta Oral Pathology Biopsy Services. Nine cases from 5 patients were selected. Break-apart fluorescent in situ hybridization analysis was performed on 7 cases for the presence of MAML2 rearrangement. RESULTS Four cases had negative MAML2 gene rearrangement, and 3 cases had positive MAML2 gene rearrangement. CONCLUSIONS Although it can be concluded that the 3 cases with positive translocation for MAML2 were IMECs, the same conclusion could not be drawn for the 4 cases with negative translocation. Whether the cases that were negative for translocation were GOCs with MEC-like islands or were MAML2-negative IMECs could not be ascertained. Therefore, MAML2 rearrangement is not always reliable in differentiating IMECs from GOCs with overlapping histology.
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Li X, Wang F, Wang Y, Sun S, Yang H. An unusual case of intraosseous mucoepidermoid carcinoma of the mandible: A case report and literature review. Medicine (Baltimore) 2018; 97:e13691. [PMID: 30572495 PMCID: PMC6320197 DOI: 10.1097/md.0000000000013691] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
RATIONALE Mucoepidermoid carcinoma (MEC) is the most common primary salivary gland malignancy. Ectopic MEC can occur in any part of the body, however, only 2% to 4% of MEC could be detected in the jaw, which is named intraosseous mucoepidermoid carcinoma (IMC). IMC is usually a low-grade carcinoma. Uni- or multilocular radiographic lesions should be differential diagnosed with ameloblastoma, odontogenic cysts, and glandular odontogenic cyst (GOC). Radical surgery may prefer for a favorable prognosis. Whereas IMC can recur long after the operation, a long-term follow-up system should be implemented. Owing to its rarity and controversial issues, we report a case report and review the literature to discuss its clinical features, treatments, radiological, and histological characteristics. PATIENT CONCERNS The patient presented with a 2-month history of mild pain in the lower left posterior jaw without history of surgery or trauma to the mandible. DIAGNOSES Routine postoperative pathology showed that the mass was consistent with a mandibular mucoepidermoid carcinoma. INTERVENTION Radical surgery and digital mandibular reconstruction were performed. OUTCOME Postoperative imaging showed that the height of the mandible and the symmetry of the mandible were satisfactory. The patient was also satisfied with her appearance. Follow-up has been established. LESSONS Effective surgical treatment allows patients to have a favorable prognosis. A long-term follow-up system should be practiced, because local recurrences and regional metastasis could happen even after decades.
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Affiliation(s)
- Xiang Li
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province
- Graduate Department, Anhui Medical University, Hefei, Anhui Province, P.R. China
| | - Feng Wang
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province
| | - Yufan Wang
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province
| | - Shuai Sun
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province
| | - Hongyu Yang
- Department of Oral and Maxillofacial Surgery, Peking University Shenzhen Hospital, Shenzhen, Guangdong Province
- Graduate Department, Anhui Medical University, Hefei, Anhui Province, P.R. China
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10
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Merna C, Kita A, Wester J, Diaz-Aguilar D, Goldstein JD, Palma Diaz F, Blackwell K, St John MA. Intraosseous mucoepidermoid carcinoma: Outcome review. Laryngoscope 2017; 128:1083-1092. [PMID: 28833169 DOI: 10.1002/lary.26832] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2016] [Revised: 06/27/2017] [Accepted: 07/05/2017] [Indexed: 11/09/2022]
Abstract
OBJECTIVE Identify the effect of patient characteristics, disease traits, and treatment modality on patient outcomes in the rare disease process of intraosseous mucoepidermoid carcinoma. STUDY DESIGN Retrospective review of institutional case records and literature. METHODS This study includes one case report, a literature review of the MEDLINE database from 1950 through June 2017 using keywords "intraosseous" and "mucoepidermoid," and a query of the University of California, Los Angeles, Department of Pathology database for all documented cases of intraosseous mucoepidermoid carcinoma of the head and neck. RESULTS Indicators of poorer prognosis were male gender (P = 0.0071) and higher histological grade (P = 0.0095). Lesion site, size, association with odontogenic cyst, and treatment type did not have a statistically significant correlation with patient outcomes. There also was no statistically significant correlation observed between treatment modality and recurrent or progressive disease when stratified by histological grade of the cancer. CONCLUSION This study identified male gender and high histological tumor grade as poor prognostic indicators; however, it did not reveal a statistically significant relationship between treatment modality and patient outcomes. Data regarding patient outcomes following treatment was limited due to loss to follow-up, suggesting that further investigation is required. Based on this review, decisions regarding treatment should be clinically guided and individually tailored to the patient's baseline health, disease severity, and the patient's treatment goals. A multi-disciplinary conference, as was utilized in the presented case report, may be the best approach to treatment planning for these patients at this time. LEVEL OF EVIDENCE 4. Laryngoscope, 128:1083-1092, 2018.
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Affiliation(s)
- Catherine Merna
- David Geffen School of Medicine, University of California Irvine, Irvine.,Department of Head and Neck Surgery, University of California Irvine, Irvine
| | - Ashley Kita
- Department of Head and Neck Surgery, Los Angeles, California, U.S.A.,Head and Neck Cancer Program, Los Angeles, California, U.S.A
| | - Jacob Wester
- Department of Head and Neck Surgery, Los Angeles, California, U.S.A.,Head and Neck Cancer Program, Los Angeles, California, U.S.A
| | | | - Jeffrey D Goldstein
- Head and Neck Cancer Program, Los Angeles, California, U.S.A.,Department of Pathology and Laboratory Medicine, University of California Los Angeles, Los Angeles, California, U.S.A
| | - Fernando Palma Diaz
- Head and Neck Cancer Program, Los Angeles, California, U.S.A.,Department of Pathology and Laboratory Medicine, University of California Los Angeles, Los Angeles, California, U.S.A
| | - Keith Blackwell
- Department of Head and Neck Surgery, University of California Irvine, Irvine.,Department of Head and Neck Surgery, Los Angeles, California, U.S.A.,Head and Neck Cancer Program, Los Angeles, California, U.S.A.,Jonsson Comprehensive Cancer Center, Los Angeles, California, U.S.A
| | - Maie A St John
- Department of Head and Neck Surgery, University of California Irvine, Irvine.,Department of Head and Neck Surgery, Los Angeles, California, U.S.A.,Head and Neck Cancer Program, Los Angeles, California, U.S.A.,Jonsson Comprehensive Cancer Center, Los Angeles, California, U.S.A
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Razavi SM, Yahyaabadi R, Khalesi S. A case of central mucoepidermoid carcinoma associated with dentigerous cyst. Dent Res J (Isfahan) 2017; 14:423-426. [PMID: 29238382 PMCID: PMC5713067 DOI: 10.4103/1735-3327.218564] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Mucoepidermoid carcinoma (MEC) is the most common malignant salivary gland neoplasm. Central MEC (CMEC) is a rare primary intraosseous bony lesion with an incidence of 2%–4.3% of all MECs reported. In this article, we present a rare case of a CMEC in the anterior region of maxilla at a 43-year-old female patient that was arising from a dentigerous cyst. CMECs are extremely rare tumor. They are usually low-grade lesions with favorable prognosis. Odontogenic cysts are one of the origins of this lesion. Treatment of impacted tooth is necessary in the early stage for prevention of this neoplasm.
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Affiliation(s)
- Sayed Mohammad Razavi
- Dental Implant Research Center and Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Roya Yahyaabadi
- Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
| | - Saeedeh Khalesi
- Dental Materials Research Center and Department of Oral and Maxillofacial Pathology, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran
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12
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Borrás-Ferreres J, Sánchez-Torres A, Gay-Escoda C. Malignant changes developing from odontogenic cysts: A systematic review. J Clin Exp Dent 2016; 8:e622-e628. [PMID: 27957281 PMCID: PMC5149102 DOI: 10.4317/jced.53256] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2016] [Accepted: 05/28/2016] [Indexed: 11/23/2022] Open
Abstract
The aim of this study was to systematically review scientific literature in orderto describe the characteristics and prognosis of malignant entities developing from odontogenic cysts. A search in Pubmed (MEDLINE) and Cochrane databases was conducted. The inclusion criteria were articles published in English related to the malignisation of odontogenic cysts in humans. The exclusion criteria were articles that do not specify the type of odontogenic cyst, malignisation of parakeratinised keratocysts, the presence of an ameloblastic carcinoma and metastasis from distant primary tumours. The selected articles were classified according to Strength of Recommendation Taxonomy criteria. Statistical analysis of the data was carried out using statistical package software SPSS version 22.0. From the 1,237 articles initially obtained, the authors included 3 case series and 45 case reports in the end. Descriptive analysis showed that men have a disposition for malignisation from odontogenic cysts and they frequently appear at the posterior mandible, with pain and swelling being the most frequent signs and symptoms. Follicular cysts were the entities that underwent the most malignant changes with well differentiated squamous cell carcinomas being the most prevalent type of malignancy. The real prognosis of this malignancy is not known because of the heterogeneity of available studies.
Key words:Odontogenic cysts, squamous cell carcinoma, neoplastic cell transformation, oral cancer.
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Affiliation(s)
- Jordi Borrás-Ferreres
- DDS. Fellow of the Master's Degree Program in Oral Surgery (EHFRE International University/FUCSO)
| | - Alba Sánchez-Torres
- DDS. Fellow of the Master of Oral Surgery and Orofacial Implantology. School of Dentistry, University of Barcelona, Spain
| | - Cosme Gay-Escoda
- MD, DDS, MS, PhD, EBOS. Chairman and Professor of the Oral and Maxillofacial Surgery Department, School of Dentistry, University of Barcelona. Director of Master's Degree Program in Oral Surgery and Implantology (EHFRE International University/FUCSO). Coordinator/Researcher of the IDIBELL Institute. Head of Oral and Maxillofacial Surgery and Implantology Department of the Teknon Medical Centre, Barcelona, Spain
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da Silva LP, Serpa MS, da Silva LAB, Sobral APV. Central mucoepidermoid carcinoma radiographically mimicking an odontogenic tumor: A case report and literature review. J Oral Maxillofac Pathol 2016; 20:518-522. [PMID: 27721620 PMCID: PMC5051303 DOI: 10.4103/0973-029x.190957] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Central mucoepidermoid carcinoma (CMC) of the jaw bones is a rare malignant salivary gland tumor of unknown pathogenesis, comprising about 4% of all mucoepidermoid carcinomas (MECs). Most cases are histologically classified as a low-grade tumor and radiographically appear as a well-defined unilocular or multilocular radiolucent lesion. Block resection or wide local excisions are the treatment of choice and patients usually show a good overall prognosis although a long-term follow-up is necessary. This report describes a case of a 28-year-old male with MEC in the posterior region of the mandible and discusses its clinical, radiographic and histopathological findings. Although rare, CMC may be considered a differential diagnosis in cases of proliferative and osteolytic lesions in the oral cavity even when its clinical and/or radiographic findings do not suggest malignancy.
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Affiliation(s)
| | | | | | - Ana Paula Veras Sobral
- Department of Oral Pathology, School of Dentistry, University of Pernambuco, Recife-PE, Brazil
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Majumdar S, Uppala D, Rao AK, Talasila S, Babu M. Dentigerous Cyst Associated with Adenomatoid Odontogenic Tumour. J Clin Diagn Res 2015; 9:ZD01-4. [PMID: 26155575 DOI: 10.7860/jcdr/2015/12516.5865] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2014] [Accepted: 03/26/2015] [Indexed: 11/24/2022]
Abstract
Adenomatoid odontogenic tumour (AOT), a tumour composed of odontogenic epithelium, is an uncommon tumour of odontogenic origin that accounts for only 2.2- 7.1% of all odontogenic tumours. Very few cases of AOT associated with Dentigerous cyst (DC) have been reported till date, most cases are in females and have a striking tendency to occur in the anterior maxilla. The present case is that of a 14-year-old female who revealed a large radiolucent lesion associated with the crown of an unerupted canine located in the left maxillary anterior region. The microscopic examination revealed the presence of AOT in the fibrous capsule of a DC. In this paper, we describe the importance of grossing, sectioning and complete examination of the slide to diagnose such hybrid lesions.
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Affiliation(s)
- Sumit Majumdar
- Head of the Department, Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital , Rushikonda, Visakhapatnam, India
| | - Divya Uppala
- Senior Lecturer, Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital , Rushikonda, Visakhapatnam, India
| | - Ayyagari Kameswara Rao
- Post Graduate Student, Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital , Rushikonda, Visakhapatnam, India
| | - Sunil Talasila
- Reader, Department of Oral and Maxillofacial Surgery, GITAM Dental College and Hospital , Rushikonda, Visakhapatnam, India
| | - Mahesh Babu
- Reader, Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital , Rushikonda, Visakhapatnam, India
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Suojanen J, Lehtonen N, Färkkilä E, Hietanen J, Teronen O, Sorsa T, Hagström J. Common Matrix Metalloproteinases (MMP-8, -9, -25, and -26) Cannot Explain Dentigerous Cyst Expansion. J Clin Diagn Res 2014; 8:ZC82-5. [PMID: 25386530 DOI: 10.7860/jcdr/2014/9221.4899] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2014] [Accepted: 07/02/2014] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Mechanisms of the dentigerous cyst formation from the normal eruption follicle is unknown but disturbances in the proteolytic activity have been suspected, since the growth of these cysts is accompanied by local bone destruction. The aim of the present study was to evaluate the expression of matrix metalloproteinases (MMP) in human dental dentigerous cysts and healthy dental follicles. MATERIALS AND METHODS We studied 10 patients with dentigerous cysts and 10 healthy dental follicles from the lower jaw in respect to their immunoexpression of MMPs -8, -9, -25, and -26 and tissue inhibitor of metalloproteinases -1 (TIMP-1). RESULTS MMP-8 was expressed slightly more in cyst epithelium than in odontogenic epithelium of healthy controls dental follicle but the difference lacked statistical difference. Other MMPs and TIMP-1 did not differ regarding the studied specimens. CONCLUSION Differences in MMP expression cannot solely explain the cyst expansion suggesting the potential involvement of other osteolytic mechanisms.
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Affiliation(s)
- Juho Suojanen
- Faculty, Department of Cell Biology of Oral Diseases, Institute of Dentistry, University of Helsinki, Finland and Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital , Finland
| | - Niko Lehtonen
- Faculty, Department of Cell Biology of Oral Diseases, Institute of Dentistry, University of Helsinki, Finland and Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital , Finland
| | - Esa Färkkilä
- Faculty, Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital , Finland
| | - Jarkko Hietanen
- Faculty, Department of Oral Pathology, Institute of Dentistry, University of Helsinki , Finland and HUSLAB
| | - Olli Teronen
- Faculty, Department of Cell Biology of Oral Diseases, Institute of Dentistry, University of Helsinki, Finland and Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital , Finland
| | - Timo Sorsa
- Faculty, Department of Cell Biology of Oral Diseases, Institute of Dentistry, University of Helsinki, Finland and Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital, Finland and Division of Periodontology, Department of Dental Medicine, Karolinska Institutet , Huddinge, Sweden
| | - Jaana Hagström
- Faculty, Department of Oral Pathology, Institute of Dentistry, University of Helsinki, Finland and HUSLAB and Department of Pathology, at the Haartman Institute and HUSLAB, Helsinki University Central Hospital , Finland
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