2014, Number 1
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Rev Cubana Estomatol 2014; 51 (1)
Calcifying cystic odontogenic tumour associated with odontoma
Lopes DS, Alves PM, Queiroz VOG, Matos PG, Nunes SJ, Sampaio QC
Language: Portugués
References: 23
Page: 121-129
PDF size: 149.39 Kb.
ABSTRACT
The calcifying cystic odontogenic tumor is a rare lesion, described as benign
neoplasm of odontogenic origin, which has variable clinical behavior. The aim of this
paper is to present a case of calcifying cystic odontogenic tumor associate to
odontoma. This is an 11 year male patient, who was treated at Maxillofacial
Surgery Service, Hospital Santo Antônio-OSID/Salvador-BA and who presented
intraoral swelling with no pain in the mandibular body region. The imaging
examination revealed a well-defined unilocular radiolucent lesion, which extended
from the lateral region of the lower left first premolar to the incisor, associated with
a radiopaque mass within the unit, displaced supernumerary mandibular basilar.
Excisional biopsy of the lesion was performed, and it confirmed the diagnosis of
cystic odontogenic tumor associated with odontoma calcifying. At present, the
patient is with no signs of recurrence during this two year follow-up orthodontic
treatment. Knowledge of the calcifying cystic odontogenic tumor characteristics,
detailed clinical examination and additional tests are the basis for accurate
diagnosis in order to offer patients the most appropriate treatment, which currently consists of total enucleation of the lesion achieving good prognosis, and rare
recurrence.
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