Thirteen Synchronous Multifocal Calcifying Epithelial Odontogenic Tumors (CEOT): Case Report and Review of the Literature
Autor: | Jerry E. Bouquot, Hiba Qari, Patrick Bacaj, Ryan McCloy |
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Rok vydání: | 2022 |
Předmět: |
Pathology
medicine.medical_specialty Connective tissue Pathology and Forensic Medicine Lesion 03 medical and health sciences 0302 clinical medicine Eosinophilic medicine Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) business.industry West virginia Odontogenic tumor 030206 dentistry medicine.disease Calcifying epithelial odontogenic tumor Odontogenic medicine.anatomical_structure Otorhinolaryngology 030220 oncology & carcinogenesis Oral and maxillofacial surgery Surgery medicine.symptom Oral Surgery business |
Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 133:e136 |
ISSN: | 2212-4403 |
Popis: | Background Calcifying epithelial odontogenic tumor (CEOT, Pindborg tumor) is a rare, benign, locally aggressive neoplasm of the jaws that accounts for approximately 1% of all odontogenic tumors. It was first defined by Pindborg in 1955 and has been reported approximately 350 times in the literature; 7 reported multiple (up to 4) synchronous lesions. Materials and Methods We report an individual with the largest number of CEOTs reported to date and provide a literature review of multifocal CEOT cases. Results A 30-year-old male presented to the Oral and Maxillofacial Surgery Department of the West Virginia University School of Dentistry (WVU SoD) to extract multiple impacted teeth previous to construction of a complete denture. A pantograph showed 15 impacted teeth, almost all associated with well-demarcated cyst-like radiolucencies, some with small, ill-defined radiopaque flecks. Microscopically, the lesions showed sheets and strands of polygonal epithelial cells with eosinophilic cytoplasm. Spread throughout the epithelium and connective tissue were small, spherical, amorphous, pale purplish calcifications. Each lesion was similar and consistent with a diagnosis of CEOT. Conclusion We report a patient with 13 independent CEOTs scattered throughout all quadrants. This case represents the largest number of Pindborg tumors or any other type of odontogenic tumor yet reported in a single individual. |
Databáze: | OpenAIRE |
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