Maxillary dentigerous cyst showing squamous odontogenic tumor-like proliferation: surgical approach and literature review
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Data
2021-07-02
Autores
Barbeiro, Camila De Oliveira [UNESP]
Barbeiro, Roberto Henrique [UNESP]
Silveira, Heitor Albergoni Da [UNESP]
Almeida, Luciana Yamamoto De [UNESP]
León, Jorge Esquiche
Bufalino, Andreia [UNESP]
Título da Revista
ISSN da Revista
Título de Volume
Editor
Hospital Universitário da Universidade de São Paulo
Resumo
Squamous odontogenic tumor (SOT) is a rare benign neoplasm of the jaw that likely arises from remnants of the dental lamina. It is a slow-growing lesion, with a radiolucent appearance in the central variant. Microscopically, SOT shows islands of squamous epithelium supported by fibrous stroma. In rare cases, squamous odontogenic tumor-like proliferation (SOT-LP) can be observed arising from odontogenic cysts (SOT-LPOC). Herein, we describe the case of a 42-year-old man who presented with discreet bleeding in the maxillary gingiva. Imaging revealed a well-defined, ovoid-shaped lesion with sclerotic margins involving tooth #18 in the intraosseous location. Fine needle aspiration supported the cystic nature of the lesion. After surgery, microscopy revealed a dentigerous cyst showing SOT-LP features. There was no recurrence after a 3-year follow-up. To the best of our knowledge, this is the first report of a dentigerous cyst showing SOT-LP features in the maxilla. Such cysts should be identified to avoid misdiagnosis, with the finding having therapeutic and prognostic implications.
Descrição
Palavras-chave
Squamous odontogenic tumor, odontogenic cysts, dentigerous cyst, histology
Como citar
Autopsy and Case Reports. Hospital Universitário da Universidade de São Paulo, v. 11, p. -, 2021.