Giant Keratocystic Odontogenic Tumor: Three Cases and Literature Review
Identifieur interne : 001990 ( Pmc/Checkpoint ); précédent : 001989; suivant : 001991Giant Keratocystic Odontogenic Tumor: Three Cases and Literature Review
Auteurs : Alexandre Caixeta Guimarães ; Mariana Dutra De Cassia Ferreira Santos ; Guilherme Machado De Carvalho ; Carlos Takahiro Chone ; Leopoldo Nizam PfeilstickerSource :
- Iranian Journal of Otorhinolaryngology [ 2251-7251 ] ; 2013.
Abstract
A keratocystic odontogenic tumor is a benign intra-bone mass originating from dental lamina or its residue. It represents 2–11% of jaw cysts, and has a slow but aggressive growth. The evaluation of molecular characteristics, immunohistochemistry, and genetic expression currently have no established classification regarding the evolution and pathophysiologic pattern of these lesions.
This is a clinical retrospective study with a full analysis of patient history regarding physical evaluation, radiologic images, pathology results, and surgical resection. We performed a major literature review concerning current concepts relating to its biological characterization. Three cases of keratocystic odontogenic tumor were identified. Two of the cases were large, with aggressive behavior and significant bone destruction and recurrence, which had been overlooked for more than a decade. The third case had an early diagnosis, and the treatment led to full recovery and complete healing.
The keratocystic odontogenic tumor is a benign lesion with slow growth, which lends itself to a more conservative treatment, even in cases of large lesions. A better understanding of these tumors, both at the biological and molecular level, could lead to guidelines for treatment and prognosis of such patients.
Url:
PubMed: 24303448
PubMed Central: 3846250
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<author><name sortKey="Dutra De Cassia Ferreira Santos, Mariana" sort="Dutra De Cassia Ferreira Santos, Mariana" uniqKey="Dutra De Cassia Ferreira Santos M" first="Mariana" last="Dutra De Cassia Ferreira Santos">Mariana Dutra De Cassia Ferreira Santos</name>
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<author><name sortKey="Machado De Carvalho, Guilherme" sort="Machado De Carvalho, Guilherme" uniqKey="Machado De Carvalho G" first="Guilherme" last="Machado De Carvalho">Guilherme Machado De Carvalho</name>
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<author><name sortKey="Takahiro Chone, Carlos" sort="Takahiro Chone, Carlos" uniqKey="Takahiro Chone C" first="Carlos" last="Takahiro Chone">Carlos Takahiro Chone</name>
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<author><name sortKey="Nizam Pfeilsticker, Leopoldo" sort="Nizam Pfeilsticker, Leopoldo" uniqKey="Nizam Pfeilsticker L" first="Leopoldo" last="Nizam Pfeilsticker">Leopoldo Nizam Pfeilsticker</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Giant Keratocystic Odontogenic Tumor: Three Cases and Literature Review</title>
<author><name sortKey="Caixeta Guimaraes, Alexandre" sort="Caixeta Guimaraes, Alexandre" uniqKey="Caixeta Guimaraes A" first="Alexandre" last="Caixeta Guimarães">Alexandre Caixeta Guimarães</name>
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<author><name sortKey="Dutra De Cassia Ferreira Santos, Mariana" sort="Dutra De Cassia Ferreira Santos, Mariana" uniqKey="Dutra De Cassia Ferreira Santos M" first="Mariana" last="Dutra De Cassia Ferreira Santos">Mariana Dutra De Cassia Ferreira Santos</name>
<affiliation><nlm:aff id="aff1"><italic>Department of Otorhinolaryngology, University of Campinas (UNICAMP), School of Medical Sciences (FCM), São Paulo, Brazil.</italic>
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<author><name sortKey="Machado De Carvalho, Guilherme" sort="Machado De Carvalho, Guilherme" uniqKey="Machado De Carvalho G" first="Guilherme" last="Machado De Carvalho">Guilherme Machado De Carvalho</name>
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<author><name sortKey="Takahiro Chone, Carlos" sort="Takahiro Chone, Carlos" uniqKey="Takahiro Chone C" first="Carlos" last="Takahiro Chone">Carlos Takahiro Chone</name>
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<author><name sortKey="Nizam Pfeilsticker, Leopoldo" sort="Nizam Pfeilsticker, Leopoldo" uniqKey="Nizam Pfeilsticker L" first="Leopoldo" last="Nizam Pfeilsticker">Leopoldo Nizam Pfeilsticker</name>
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<series><title level="j">Iranian Journal of Otorhinolaryngology</title>
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<front><div type="abstract" xml:lang="en"><sec><title>Introduction:</title>
<p>A keratocystic odontogenic tumor is a benign intra-bone mass originating from dental lamina or its residue. It represents 2–11% of jaw cysts, and has a slow but aggressive growth. The evaluation of molecular characteristics, immunohistochemistry, and genetic expression currently have no established classification regarding the evolution and pathophysiologic pattern of these lesions. </p>
</sec>
<sec><title>Case Report:</title>
<p>This is a clinical retrospective study with a full analysis of patient history regarding physical evaluation, radiologic images, pathology results, and surgical resection. We performed a major literature review concerning current concepts relating to its biological characterization. Three cases of keratocystic odontogenic tumor were identified. Two of the cases were large, with aggressive behavior and significant bone destruction and recurrence, which had been overlooked for more than a decade. The third case had an early diagnosis, and the treatment led to full recovery and complete healing. </p>
</sec>
<sec><title>Conclusion: </title>
<p>The keratocystic odontogenic tumor is a benign lesion with slow growth, which lends itself to a more conservative treatment, even in cases of large lesions. A better understanding of these tumors, both at the biological and molecular level, could lead to guidelines for treatment and prognosis of such patients.</p>
</sec>
</div>
</front>
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<pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Iran J Otorhinolaryngol</journal-id>
<journal-id journal-id-type="iso-abbrev">Iran J Otorhinolaryngol</journal-id>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group><journal-title>Iranian Journal of Otorhinolaryngology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2251-7251</issn>
<issn pub-type="epub">2251-726X</issn>
<publisher><publisher-name>Mashhad University of Medical Sciences</publisher-name>
<publisher-loc>Mashhad, Iran</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">24303448</article-id>
<article-id pub-id-type="pmc">3846250</article-id>
<article-id pub-id-type="publisher-id">ijo-25-245</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
</subj-group>
</article-categories>
<title-group><article-title>Giant Keratocystic Odontogenic Tumor: Three Cases and Literature Review</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Caixeta Guimarães</surname>
<given-names>Alexandre</given-names>
</name>
<xref ref-type="corresp" rid="cor1">*</xref>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Dutra de Cassia Ferreira Santos</surname>
<given-names>Mariana</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Machado de Carvalho</surname>
<given-names>Guilherme</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Takahiro Chone</surname>
<given-names>Carlos</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Nizam Pfeilsticker</surname>
<given-names>Leopoldo</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label>
<italic>Department of Otorhinolaryngology, University of Campinas (UNICAMP), School of Medical Sciences (FCM), São Paulo, Brazil.</italic>
</aff>
<author-notes><corresp id="cor1"><label>*</label>
Corresponding Author: Jose Ponchio Vizzari street, 303 – CEP: 13085-170, Campinas, São Paulo, Brazil. Tel: + 55 19 82353760, E-mail: alecgxl2@hotmail.com</corresp>
</author-notes>
<pub-date pub-type="ppub"><month>10</month>
<year>2013</year>
</pub-date>
<volume>25</volume>
<issue>73</issue>
<fpage>245</fpage>
<lpage>252</lpage>
<history><date date-type="received"><day>25</day>
<month>12</month>
<year>2012</year>
</date>
<date date-type="accepted"><day>20</day>
<month>6</month>
<year>2013</year>
</date>
</history>
<permissions><copyright-statement>© 2013: Iranian Journal of Otorhinolaryngology</copyright-statement>
<license><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License, (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/3.0/">http://creativecommons.org/licenses/by/3.0/</ext-link>
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><sec><title>Introduction:</title>
<p>A keratocystic odontogenic tumor is a benign intra-bone mass originating from dental lamina or its residue. It represents 2–11% of jaw cysts, and has a slow but aggressive growth. The evaluation of molecular characteristics, immunohistochemistry, and genetic expression currently have no established classification regarding the evolution and pathophysiologic pattern of these lesions. </p>
</sec>
<sec><title>Case Report:</title>
<p>This is a clinical retrospective study with a full analysis of patient history regarding physical evaluation, radiologic images, pathology results, and surgical resection. We performed a major literature review concerning current concepts relating to its biological characterization. Three cases of keratocystic odontogenic tumor were identified. Two of the cases were large, with aggressive behavior and significant bone destruction and recurrence, which had been overlooked for more than a decade. The third case had an early diagnosis, and the treatment led to full recovery and complete healing. </p>
</sec>
<sec><title>Conclusion: </title>
<p>The keratocystic odontogenic tumor is a benign lesion with slow growth, which lends itself to a more conservative treatment, even in cases of large lesions. A better understanding of these tumors, both at the biological and molecular level, could lead to guidelines for treatment and prognosis of such patients.</p>
</sec>
</abstract>
<kwd-group><title>Key Words</title>
<kwd>Keratocystic tumor</kwd>
<kwd>Jaw</kwd>
<kwd>Mandible</kwd>
<kwd>Odontogenic tumor</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Caixeta Guimaraes, Alexandre" sort="Caixeta Guimaraes, Alexandre" uniqKey="Caixeta Guimaraes A" first="Alexandre" last="Caixeta Guimarães">Alexandre Caixeta Guimarães</name>
<name sortKey="Dutra De Cassia Ferreira Santos, Mariana" sort="Dutra De Cassia Ferreira Santos, Mariana" uniqKey="Dutra De Cassia Ferreira Santos M" first="Mariana" last="Dutra De Cassia Ferreira Santos">Mariana Dutra De Cassia Ferreira Santos</name>
<name sortKey="Machado De Carvalho, Guilherme" sort="Machado De Carvalho, Guilherme" uniqKey="Machado De Carvalho G" first="Guilherme" last="Machado De Carvalho">Guilherme Machado De Carvalho</name>
<name sortKey="Nizam Pfeilsticker, Leopoldo" sort="Nizam Pfeilsticker, Leopoldo" uniqKey="Nizam Pfeilsticker L" first="Leopoldo" last="Nizam Pfeilsticker">Leopoldo Nizam Pfeilsticker</name>
<name sortKey="Takahiro Chone, Carlos" sort="Takahiro Chone, Carlos" uniqKey="Takahiro Chone C" first="Carlos" last="Takahiro Chone">Carlos Takahiro Chone</name>
</noCountry>
</tree>
</affiliations>
</record>
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