Case Presentation of Concomitant and Contiguous Adenomatoid Odontogenic Tumor and Focal Cemento-Ossifying Dysplasia
Identifieur interne : 006028 ( Ncbi/Merge ); précédent : 006027; suivant : 006029Case Presentation of Concomitant and Contiguous Adenomatoid Odontogenic Tumor and Focal Cemento-Ossifying Dysplasia
Auteurs : Gita Rezvani [Iran] ; Mandana Donoghue [Inde] ; Peter A. Reichart [Allemagne] ; Neda Pazuhi [Iran]Source :
- The Open Dentistry Journal [ 1874-2106 ] ; 2015.
Abstract
A 24 year-old male was presented for the diagnosis of an asymptomatic bony expansion in relation to the right maxillary canine and first premolar. The unilocular radiolucent lesion with central foci of calcification had caused divergence of canine and first premolar roots without any resorption. This case report details a diagnosis of two distinct disease processes of different cellular origin namely, focal cemento-ossifying dysplasia and adenomatoid odontogenic tumor in a previously unreported concomitant and contiguous relationship. The diagnosis was determined by a combination of clinical, radiographic, histopathological and surgical evidence. This case highlights two points, first the need to examine all mixed radiolucent-radiopaque lesions with advanced imaging techniques to assess the number and extent of the lesions prior to treatment planning. Second a likely role of periodontal ligament as the tissue source for odontogenic epithelial cells and mesenchymal stem cells required for the development of odontogenic tumors and cemento-osseous dysplasias.
Url:
DOI: 10.2174/1874210601509010340
PubMed: 26464605
PubMed Central: 4598389
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en"> Case Presentation of Concomitant and Contiguous Adenomatoid Odontogenic Tumor and Focal Cemento-Ossifying Dysplasia </title><author><name sortKey="Rezvani, Gita" sort="Rezvani, Gita" uniqKey="Rezvani G" first="Gita" last="Rezvani">Gita Rezvani</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahed University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahed University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Donoghue, Mandana" sort="Donoghue, Mandana" uniqKey="Donoghue M" first="Mandana" last="Donoghue">Mandana Donoghue</name><affiliation wicri:level="1"><nlm:aff id="aff2">OMFP Center, Belgaum, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>OMFP Center, Belgaum</wicri:regionArea><wicri:noRegion>Belgaum</wicri:noRegion></affiliation></author><author><name sortKey="Reichart, Peter A" sort="Reichart, Peter A" uniqKey="Reichart P" first="Peter A" last="Reichart">Peter A. Reichart</name><affiliation wicri:level="3"><nlm:aff id="aff3">University Professor emeritus, Charité, Department of Oral Medicine, Dental Radiology and Oral Surgery (Prof A.M. Schmidt- Westhausen) CC3, Assmannshauser str. 4-6, 14197, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>University Professor emeritus, Charité, Department of Oral Medicine, Dental Radiology and Oral Surgery (Prof A.M. Schmidt- Westhausen) CC3, Assmannshauser str. 4-6, 14197, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Pazuhi, Neda" sort="Pazuhi, Neda" uniqKey="Pazuhi N" first="Neda" last="Pazuhi">Neda Pazuhi</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Conservative Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Conservative Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26464605</idno><idno type="pmc">4598389</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4598389</idno><idno type="RBID">PMC:4598389</idno><idno type="doi">10.2174/1874210601509010340</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000410</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000410</idno><idno type="wicri:Area/Pmc/Curation">000410</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000410</idno><idno type="wicri:Area/Pmc/Checkpoint">001114</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">001114</idno><idno type="wicri:Area/Ncbi/Merge">006028</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main"> Case Presentation of Concomitant and Contiguous Adenomatoid Odontogenic Tumor and Focal Cemento-Ossifying Dysplasia </title><author><name sortKey="Rezvani, Gita" sort="Rezvani, Gita" uniqKey="Rezvani G" first="Gita" last="Rezvani">Gita Rezvani</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahed University, Tehran, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahed University, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Donoghue, Mandana" sort="Donoghue, Mandana" uniqKey="Donoghue M" first="Mandana" last="Donoghue">Mandana Donoghue</name><affiliation wicri:level="1"><nlm:aff id="aff2">OMFP Center, Belgaum, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>OMFP Center, Belgaum</wicri:regionArea><wicri:noRegion>Belgaum</wicri:noRegion></affiliation></author><author><name sortKey="Reichart, Peter A" sort="Reichart, Peter A" uniqKey="Reichart P" first="Peter A" last="Reichart">Peter A. Reichart</name><affiliation wicri:level="3"><nlm:aff id="aff3">University Professor emeritus, Charité, Department of Oral Medicine, Dental Radiology and Oral Surgery (Prof A.M. Schmidt- Westhausen) CC3, Assmannshauser str. 4-6, 14197, Berlin, Germany</nlm:aff><country xml:lang="fr">Allemagne</country><wicri:regionArea>University Professor emeritus, Charité, Department of Oral Medicine, Dental Radiology and Oral Surgery (Prof A.M. Schmidt- Westhausen) CC3, Assmannshauser str. 4-6, 14197, Berlin</wicri:regionArea><placeName><region type="land" nuts="3">Berlin</region><settlement type="city">Berlin</settlement></placeName></affiliation></author><author><name sortKey="Pazuhi, Neda" sort="Pazuhi, Neda" uniqKey="Pazuhi N" first="Neda" last="Pazuhi">Neda Pazuhi</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Conservative Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</nlm:aff><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Conservative Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan</wicri:regionArea><wicri:noRegion>Isfahan</wicri:noRegion></affiliation></author></analytic><series><title level="j">The Open Dentistry Journal</title><idno type="eISSN">1874-2106</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 24 year-old male was presented for the diagnosis of an asymptomatic bony expansion in relation to the right maxillary canine and first premolar. The unilocular radiolucent lesion with central foci of calcification had caused divergence of canine and first premolar roots without any resorption. This case report details a diagnosis of two distinct disease processes of different cellular origin namely, focal cemento-ossifying dysplasia and adenomatoid odontogenic tumor in a previously unreported concomitant and contiguous relationship. The diagnosis was determined by a combination of clinical, radiographic, histopathological and surgical evidence. This case highlights two points, first the need to examine all mixed radiolucent-radiopaque lesions with advanced imaging techniques to assess the number and extent of the lesions prior to treatment planning. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Open Dent J</journal-id><journal-id journal-id-type="iso-abbrev">Open Dent J</journal-id><journal-id journal-id-type="publisher-id">TODENTJ</journal-id><journal-title-group><journal-title>The Open Dentistry Journal</journal-title></journal-title-group><issn pub-type="epub">1874-2106</issn><publisher><publisher-name>Bentham Open</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26464605</article-id><article-id pub-id-type="pmc">4598389</article-id><article-id pub-id-type="publisher-id">TODENTJ-9-340</article-id><article-id pub-id-type="doi">10.2174/1874210601509010340</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group><series-title>Suppl 2: M14</series-title></article-categories><title-group><article-title> Case Presentation of Concomitant and Contiguous Adenomatoid Odontogenic Tumor and Focal Cemento-Ossifying Dysplasia </article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Rezvani</surname><given-names>Gita</given-names></name><xref ref-type="aff" rid="aff1">1</xref></contrib><contrib contrib-type="author"><name><surname>Donoghue</surname><given-names>Mandana</given-names></name><xref ref-type="aff" rid="aff2">2</xref><xref ref-type="corresp" rid="cor1">*</xref></contrib><contrib contrib-type="author"><name><surname>Reichart</surname><given-names>Peter A</given-names></name><xref ref-type="aff" rid="aff3">3</xref></contrib><contrib contrib-type="author"><name><surname>Pazuhi</surname><given-names>Neda</given-names></name><xref ref-type="aff" rid="aff4">4</xref></contrib></contrib-group><aff id="aff1"><label>1</label>Department of Oral and Maxillofacial Pathology, Faculty of Dentistry, Shahed University, Tehran, Iran</aff><aff id="aff2"><label>2</label>OMFP Center, Belgaum, India</aff><aff id="aff3"><label>3</label>University Professor emeritus, Charité, Department of Oral Medicine, Dental Radiology and Oral Surgery (Prof A.M. Schmidt- Westhausen) CC3, Assmannshauser str. 4-6, 14197, Berlin, Germany</aff><aff id="aff4"><label>4</label>Department of Conservative Dentistry, Faculty of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran</aff><author-notes><corresp id="cor1"><label>*</label>Address correspondence to this author at the Director – OMFP center, 10/B Shree Krishna Mills Compound, Vengurla Road, Hindalga Belgaum 591108, Karnataka, India; Tel: 831 2449951;
E-mail: <email xlink:href="mandana@darafsh.net">mandana@darafsh.net</email>, <email xlink:href="mandanajd@gmail.com">mandanajd@gmail.com</email></corresp></author-notes><pub-date pub-type="epub"><day>31</day><month>7</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>9</volume><fpage>340</fpage><lpage>345</lpage><history><date date-type="received"><day>20</day><month>12</month><year>2014</year></date><date date-type="rev-recd"><day>19</day><month>3</month><year>2015</year></date><date date-type="accepted"><day>25</day><month>5</month><year>2015</year></date></history><permissions><copyright-statement> © Rezvani <italic>et al.</italic>; Licensee <italic>Bentham Open.</italic></copyright-statement><copyright-year>2015</copyright-year><copyright-holder>Rezvani</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:type="simple" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</uri>) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.</license-p></license></permissions><abstract><p>A 24 year-old male was presented for the diagnosis of an asymptomatic bony expansion in relation to the right maxillary canine and first premolar. The unilocular radiolucent lesion with central foci of calcification had caused divergence of canine and first premolar roots without any resorption. This case report details a diagnosis of two distinct disease processes of different cellular origin namely, focal cemento-ossifying dysplasia and adenomatoid odontogenic tumor in a previously unreported concomitant and contiguous relationship. The diagnosis was determined by a combination of clinical, radiographic, histopathological and surgical evidence. This case highlights two points, first the need to examine all mixed radiolucent-radiopaque lesions with advanced imaging techniques to assess the number and extent of the lesions prior to treatment planning. Second a likely role of periodontal ligament as the tissue source for odontogenic epithelial cells and mesenchymal stem cells required for the development of odontogenic tumors and cemento-osseous dysplasias.</p></abstract><kwd-group><title>Keywords</title><kwd>Adenomatoid odontogenic tumor</kwd><kwd>cemento-osseous dysplasia</kwd><kwd>cone beam-CT</kwd><kwd>extrafollicular</kwd><kwd>focal cemento-osseous dysplasia</kwd><kwd>odontogenic tumor</kwd><kwd>periodontal ligament</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Fig. (1)</label><caption><p>A panoramic view of the jaws shows a well-defined
unilocular radiolucency with central foci of calcification displacing
the roots of the maxillary canine and premolar.
</p></caption><graphic xlink:href="TODENTJ-9-340_F1"></graphic></fig><fig id="F2" position="float"><label>Fig. (2)</label><caption><p>Occlusal radiograph showing target like lesion between the
roots of the canine and first premolar.
</p></caption><graphic xlink:href="TODENTJ-9-340_F2"></graphic></fig><fig id="F3" position="float"><label>Fig. (3)</label><caption><p>(A). Thick walled encapsulated lesion with intraluminal
epithelial proliferation and extracapsular fibrous tissue with irregular
mineralization (H&E- whole slide digital scan) (B). Multinodular
intraluminal solid and cribriform proliferation, CEOT-like areas
and extracapsular fibrous lesion with irregular mineralization (H&E
x 40).
</p></caption><graphic xlink:href="TODENTJ-9-340_F3"></graphic></fig><fig id="F4" position="float"><label>Fig. (4)</label><caption><p>(A). Intraluminal nodules consisting of cuboidal or columnar epithelial cells in the shape of nests, rosette-like patterns and duct- like
spaces with interlacing strands of oval, angular and elongated epithelial cells between nodules.Double layered basaloid epithelial cells in trabecular
or cribriform configurations between and connecting cell rich nodules. (H & E x 200) (B). Tumor droplets (Eosinophilic amorphous
material) between the cells and in Rosette-like structures (H&E x 400).
</p></caption><graphic xlink:href="TODENTJ-9-340_F4"></graphic></fig><fig id="F5" position="float"><label>Fig. (5)</label><caption><p>CEOT –like area. (A). Island of polygonal epithelial cells with intracytoplasmic homogenous material and calcification (H& E x
400). (B). Polyhedral epithelial cells exhibiting intercellular bridges and calcification (H&E x 600).
</p></caption><graphic xlink:href="TODENTJ-9-340_F5"></graphic></fig><fig id="F6" position="float"><label>Fig. (6)</label><caption><p>Congo-red positive islands of amorphous eosinophilic (amyloid like) material (x 200). (A). Light microscopy, (B). Apple green birefringence
- partially crossed polarz, (C). Crossed polarz (x200).
</p></caption><graphic xlink:href="TODENTJ-9-340_F6"></graphic></fig><fig id="F7" position="float"><label>Fig. (7)</label><caption><p>(A). Fibrocellular tissue interspersed with irregular trabeculae of bone and cementum-like tissue and foci of hemorrhage (H&E x 40). (B). Fibrocellular connective tissue interspersed with ginger root-like trabeculae showing few lacunae and ovoid cementicles with prominent
resting lines (H& E x 100).
</p></caption><graphic xlink:href="TODENTJ-9-340_F7"></graphic></fig><fig id="F8" position="float"><label>Fig. (8)</label><caption><p>Confluence of woven and lamellar bone in maturing trabecule, (A). H&E x 200. (B). Polarized light microscopy x 200.</p></caption><graphic xlink:href="TODENTJ-9-340_F8"></graphic></fig></floats-group></pmc><affiliations><list><country><li>Allemagne</li><li>Inde</li><li>Iran</li></country><region><li>Berlin</li></region><settlement><li>Berlin</li></settlement></list><tree><country name="Iran"><noRegion><name sortKey="Rezvani, Gita" sort="Rezvani, Gita" uniqKey="Rezvani G" first="Gita" last="Rezvani">Gita Rezvani</name></noRegion><name sortKey="Pazuhi, Neda" sort="Pazuhi, Neda" uniqKey="Pazuhi N" first="Neda" last="Pazuhi">Neda Pazuhi</name></country><country name="Inde"><noRegion><name sortKey="Donoghue, Mandana" sort="Donoghue, Mandana" uniqKey="Donoghue M" first="Mandana" last="Donoghue">Mandana Donoghue</name></noRegion></country><country name="Allemagne"><region name="Berlin"><name sortKey="Reichart, Peter A" sort="Reichart, Peter A" uniqKey="Reichart P" first="Peter A" last="Reichart">Peter A. Reichart</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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