Multiple Cementoblastoma: A Rare Case Report
Identifieur interne : 004980 ( Ncbi/Merge ); précédent : 004979; suivant : 004981Multiple Cementoblastoma: A Rare Case Report
Auteurs : G. Iannaci [Italie] ; R. Luise [Italie] ; G. Iezzi [Italie] ; A. Piattelli [Italie] ; A. Salierno [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2013.
Abstract
Benign cementoblastoma is a rare ectomesenchymal odontogenic tumor that originates from the root of the tooth and that is characterized by the formation of cementum-like tissue. A 60-year old man was referred to us complaining of pain in his right jaw. The patient underwent TC dental scan of the mandible, which highlighted the presence of three well-circumscribed, round, unilocular neoformations of radiopaque appearance with a radiotransparent edge, one of which was in close contact with the roots of the lower right second molar. Microscopic examination of the greater sample consisted, in its central portion, of dense mineralized acellular trabeculae of basophilic tissue cement-like, devoid of vessels, adhering to the root of the tooth, while peripherally was observed a zone of vascularized osteoid surrounded, occasionally, by a thin rim of cementoblasts mixed with fibrous tissue and inflammatory elements. This lesion was diagnosed as cementoblastoma. The second lesion appeared radiologically and histologically entirely identical to cementoblastoma, but it did not show the intimate association with the root of involved tooth. After a careful review of the literature, the diagnosis of residual cementoblastoma was made. The clinicopathologic features, treatment, and prognosis of this rare tumor are here discussed for the young dental practitioner.
Url:
DOI: 10.1155/2013/828373
PubMed: 24027644
PubMed Central: 3763579
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<front><div type="abstract" xml:lang="en"><p>Benign cementoblastoma is a rare ectomesenchymal odontogenic tumor that originates from the root of the tooth and that is characterized by the formation of cementum-like tissue. A 60-year old man was referred to us complaining of pain in his right jaw. The patient underwent TC dental scan of the mandible, which highlighted the presence of three well-circumscribed, round, unilocular neoformations of radiopaque appearance with a radiotransparent edge, one of which was in close contact with the roots of the lower right second molar. Microscopic examination of the greater sample consisted, in its central portion, of dense mineralized acellular trabeculae of basophilic tissue cement-like, devoid of vessels, adhering to the root of the tooth, while peripherally was observed a zone of vascularized osteoid surrounded, occasionally, by a thin rim of cementoblasts mixed with fibrous tissue and inflammatory elements. This lesion was diagnosed as cementoblastoma. The second lesion appeared radiologically and histologically entirely identical to cementoblastoma, but it did not show the intimate association with the root of involved tooth. After a careful review of the literature, the diagnosis of residual cementoblastoma was made. The clinicopathologic features, treatment, and prognosis of this rare tumor are here discussed for the young dental practitioner.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id>
<journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id>
<journal-id journal-id-type="publisher-id">CRIM.DENTISTRY</journal-id>
<journal-title-group><journal-title>Case Reports in Dentistry</journal-title>
</journal-title-group>
<issn pub-type="ppub">2090-6447</issn>
<issn pub-type="epub">2090-6455</issn>
<publisher><publisher-name>Hindawi Publishing Corporation</publisher-name>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24027644</article-id>
<article-id pub-id-type="pmc">3763579</article-id>
<article-id pub-id-type="doi">10.1155/2013/828373</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Multiple Cementoblastoma: A Rare Case Report</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Iannaci</surname>
<given-names>G.</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Luise</surname>
<given-names>R.</given-names>
</name>
<xref ref-type="aff" rid="I1"><sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Iezzi</surname>
<given-names>G.</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Piattelli</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="I2"><sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Salierno</surname>
<given-names>A.</given-names>
</name>
<xref ref-type="aff" rid="I3"><sup>3</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1"><sup>1</sup>
Department of Pathology, Incurabili Hospital ASLNAPOLI1 Centro, Via Maria Longo, 50-80138 Napoli, Italy</aff>
<aff id="I2"><sup>2</sup>
Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy</aff>
<aff id="I3"><sup>3</sup>
Department of Oral Medicine, School of Dentistry of the Second University of the Study of Naples, Naples, Italy</aff>
<author-notes><corresp id="cor1">*G. Iannaci: <email>giuseppe.iannaci@tin.it</email>
</corresp>
<fn fn-type="other"><p>Academic Editors: M. B. D. Gaviao, J. A. Shibli, and R. Sorrentino</p>
</fn>
</author-notes>
<pub-date pub-type="ppub"><year>2013</year>
</pub-date>
<pub-date pub-type="epub"><day>21</day>
<month>8</month>
<year>2013</year>
</pub-date>
<volume>2013</volume>
<elocation-id>828373</elocation-id>
<history><date date-type="received"><day>28</day>
<month>5</month>
<year>2013</year>
</date>
<date date-type="accepted"><day>24</day>
<month>7</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>Copyright © 2013 G. Iannaci et al.</copyright-statement>
<copyright-year>2013</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/3.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Benign cementoblastoma is a rare ectomesenchymal odontogenic tumor that originates from the root of the tooth and that is characterized by the formation of cementum-like tissue. A 60-year old man was referred to us complaining of pain in his right jaw. The patient underwent TC dental scan of the mandible, which highlighted the presence of three well-circumscribed, round, unilocular neoformations of radiopaque appearance with a radiotransparent edge, one of which was in close contact with the roots of the lower right second molar. Microscopic examination of the greater sample consisted, in its central portion, of dense mineralized acellular trabeculae of basophilic tissue cement-like, devoid of vessels, adhering to the root of the tooth, while peripherally was observed a zone of vascularized osteoid surrounded, occasionally, by a thin rim of cementoblasts mixed with fibrous tissue and inflammatory elements. This lesion was diagnosed as cementoblastoma. The second lesion appeared radiologically and histologically entirely identical to cementoblastoma, but it did not show the intimate association with the root of involved tooth. After a careful review of the literature, the diagnosis of residual cementoblastoma was made. The clinicopathologic features, treatment, and prognosis of this rare tumor are here discussed for the young dental practitioner.</p>
</abstract>
</article-meta>
</front>
<floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label>
<caption><p>The first orthopantomography revealed the presence of three well-circumscribed, round, unilocular neoformations of radiopaque appearance with a radiotransparent edge, one of which was in close contact with the roots of the lower right second molar.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-828373.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label>
<caption><p>TC dental scan of the mandible.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-828373.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label>
<caption><p>The surgical treatment included the full enucleation of the lesion on site 4.7 with the annexed dental element on the right jaw and the lesion corresponding to the edentulous area 4.6. </p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-828373.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label>
<caption><p>Macroscopically the two samples presented as a nodular, hard-elastic in consistency, the largest of which was adherent to the dental element.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-828373.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label>
<caption><p>((a) and (b)) H&E (4x∖10x) cementoblastoma closely connected with the tooth root; ((c) and (d)) H&E 20x. Cementoblastoma and residual cementoblastoma revealed the same histological appearance: dense mineralized acellular trabeculae of basophilic tissue cement-like, devoid of vessels, adhering to the root of the tooth.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-828373.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label>
<caption><p>The follow-up after one year of both tumors was negative for disease recurrence.</p>
</caption>
<graphic xlink:href="CRIM.DENTISTRY2013-828373.006"></graphic>
</fig>
</floats-group>
</pmc>
<affiliations><list><country><li>Italie</li>
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<tree><country name="Italie"><noRegion><name sortKey="Iannaci, G" sort="Iannaci, G" uniqKey="Iannaci G" first="G." last="Iannaci">G. Iannaci</name>
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<name sortKey="Iezzi, G" sort="Iezzi, G" uniqKey="Iezzi G" first="G." last="Iezzi">G. Iezzi</name>
<name sortKey="Luise, R" sort="Luise, R" uniqKey="Luise R" first="R." last="Luise">R. Luise</name>
<name sortKey="Piattelli, A" sort="Piattelli, A" uniqKey="Piattelli A" first="A." last="Piattelli">A. Piattelli</name>
<name sortKey="Salierno, A" sort="Salierno, A" uniqKey="Salierno A" first="A." last="Salierno">A. Salierno</name>
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