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Pyogenic granuloma mimicking peripheral dentinogenic ghost‐cell tumour recurrence: case report and meta‐analytic literature update

Identifieur interne : 002948 ( Main/Exploration ); précédent : 002947; suivant : 002949

Pyogenic granuloma mimicking peripheral dentinogenic ghost‐cell tumour recurrence: case report and meta‐analytic literature update

Auteurs : B. Pommer [Autriche] ; G. Dvorak [Autriche] ; K. Rappersberger [Autriche] ; R. C. K. Jordan [États-Unis] ; G. Watzek [Autriche] ; M. A. Pogrel [États-Unis]

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RBID : ISTEX:E364C4931F20A384AF611D769081550F69E85FAF

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English descriptors

Abstract

Peripheral (extraosseous) dentinogenic ghost‐cell tumours are extremely rare neoplasms, representing less than 1% of all odontogenic tumours. Only 28 cases (including the present report) are described in literature: the majority of patients (89%) are over 40 years of age (mean: 59.1 ± 20.5 years) and 63% are male. Seventy‐three per cent are located in the mandible, and anterior jaw regions are most commonly affected (74%). Erosion of the underlying bone can be observed in 53% radiographically. The present case report describes a recurrent swelling after excisional biopsy of a peripheral dentinogenic ghost‐cell tumour in the anterior maxilla of a 78‐year‐old male patient mimicking tumour recurrence. Histopathological examination of the second biopsy, however, revealed no evidence of ghost‐cell tumour recurrence but development of a pyogenic granuloma. In contrast to central dentinogenic ghost‐cell tumours, there is no evidence of recurrence of peripheral dentinogenic ghost‐cell tumours in literature to date.

Url:
DOI: 10.1111/ors.12019


Affiliations:


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<div type="abstract">Peripheral (extraosseous) dentinogenic ghost‐cell tumours are extremely rare neoplasms, representing less than 1% of all odontogenic tumours. Only 28 cases (including the present report) are described in literature: the majority of patients (89%) are over 40 years of age (mean: 59.1 ± 20.5 years) and 63% are male. Seventy‐three per cent are located in the mandible, and anterior jaw regions are most commonly affected (74%). Erosion of the underlying bone can be observed in 53% radiographically. The present case report describes a recurrent swelling after excisional biopsy of a peripheral dentinogenic ghost‐cell tumour in the anterior maxilla of a 78‐year‐old male patient mimicking tumour recurrence. Histopathological examination of the second biopsy, however, revealed no evidence of ghost‐cell tumour recurrence but development of a pyogenic granuloma. In contrast to central dentinogenic ghost‐cell tumours, there is no evidence of recurrence of peripheral dentinogenic ghost‐cell tumours in literature to date.</div>
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