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Peripheral and central aggressive form of Pindborg tumor of mandible – A rare case report

Identifieur interne : 001930 ( Pmc/Corpus ); précédent : 001929; suivant : 001931

Peripheral and central aggressive form of Pindborg tumor of mandible – A rare case report

Auteurs : K. Vinayakrishna ; C. S. Soumithran ; C. R. Sobhana ; Vijay Biradar

Source :

RBID : PMC:4306990

Abstract

Inroduction

The calcifying epithelial odontogenic tumor (CEOT), or Pindborg tumor, is a rare and benign odontogenic neoplasm that affects the jaw. Calcifying epithelial odontogenic tumor can be divided into 2 clinico-topographic variants: Intraosseous (central) or Extraosseous (peripheral), with an incidence of 94% and 6%, respectively. The intraosseous tumors have a predilection for the mandible, and most tumors arise in the molar and premolar region of the mandible. When present, extraosseous tumors are often located in the anterior jaw and involve the gingiva.

Purpose

In this article we present a unique rare variety of Pindborg tumor of mandible with both intraosseous & extraosseous presentation and also locally aggressive behavior.

Case report

A 35 year old man presented with Pindborg tumor (CEOT) of mandible with both intraosseous and extraosseous variant in a single lesion, extending from right premolar region to the left molar region.

Discussion

CEOT is an uncommon neoplasm accounting for less than 1% of all odontogenic tumors. Although CEOT is considered less aggressive clinically than typical infiltrating ameloblastoma, but our case is a rarity which was aggressive and also rapidly progressive in short duration, with intra and extraosseous presentation. Hence it was managed surgically similar to a malignant lesion.

Conclusion

Presentation of two different variants of an odontogenic tumor in a single lesion and aggressive behavior of rather slow growing tumor, mimicking malignant lesion definitely shows possibility of rare variations in different magnitude. Hence proper diagnosis for management with better prognosis of these kinds of tumors is very much essential.


Url:
DOI: 10.1016/j.jobcr.2013.07.001
PubMed: 25737906
PubMed Central: 4306990

Links to Exploration step

PMC:4306990

Le document en format XML

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<sec>
<title>Inroduction</title>
<p>The calcifying epithelial odontogenic tumor (CEOT), or Pindborg tumor, is a rare and benign odontogenic neoplasm that affects the jaw. Calcifying epithelial odontogenic tumor can be divided into 2 clinico-topographic variants: Intraosseous (central) or Extraosseous (peripheral), with an incidence of 94% and 6%, respectively. The intraosseous tumors have a predilection for the mandible, and most tumors arise in the molar and premolar region of the mandible. When present, extraosseous tumors are often located in the anterior jaw and involve the gingiva.</p>
</sec>
<sec>
<title>Purpose</title>
<p>In this article we present a unique rare variety of Pindborg tumor of mandible with both intraosseous & extraosseous presentation and also locally aggressive behavior.</p>
</sec>
<sec>
<title>Case report</title>
<p>A 35 year old man presented with Pindborg tumor (CEOT) of mandible with both intraosseous and extraosseous variant in a single lesion, extending from right premolar region to the left molar region.</p>
</sec>
<sec>
<title>Discussion</title>
<p>CEOT is an uncommon neoplasm accounting for less than 1% of all odontogenic tumors. Although CEOT is considered less aggressive clinically than typical infiltrating ameloblastoma, but our case is a rarity which was aggressive and also rapidly progressive in short duration, with intra and extraosseous presentation. Hence it was managed surgically similar to a malignant lesion.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Presentation of two different variants of an odontogenic tumor in a single lesion and aggressive behavior of rather slow growing tumor, mimicking malignant lesion definitely shows possibility of rare variations in different magnitude. Hence proper diagnosis for management with better prognosis of these kinds of tumors is very much essential.</p>
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Reader, Department of Oral & Maxillofacial Surgery, Yenepoya Dental College, Deralakatte, Mangalore, Karnataka, India</aff>
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Professor & Head, Department of Oral & Maxillofacial Surgery, Government Dental College, Calicut, Kerala, India</aff>
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Professor & Head, Department of Oral & Maxillofacial Surgery, Government Dental College, Trivandrum, Kerala, India</aff>
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Asst Professor, Department of Oral & Maxillofacial Pathology, Maharashtra Institute of Dental Sciences and Research, Latur, Maharashtra, India</aff>
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<date date-type="received">
<day>1</day>
<month>1</month>
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<copyright-statement>Copyright © 2013, Craniofacial Research Foundation. All rights reserved.</copyright-statement>
<copyright-year>2013</copyright-year>
<copyright-holder>Craniofacial Research Foundation</copyright-holder>
</permissions>
<abstract>
<sec>
<title>Inroduction</title>
<p>The calcifying epithelial odontogenic tumor (CEOT), or Pindborg tumor, is a rare and benign odontogenic neoplasm that affects the jaw. Calcifying epithelial odontogenic tumor can be divided into 2 clinico-topographic variants: Intraosseous (central) or Extraosseous (peripheral), with an incidence of 94% and 6%, respectively. The intraosseous tumors have a predilection for the mandible, and most tumors arise in the molar and premolar region of the mandible. When present, extraosseous tumors are often located in the anterior jaw and involve the gingiva.</p>
</sec>
<sec>
<title>Purpose</title>
<p>In this article we present a unique rare variety of Pindborg tumor of mandible with both intraosseous & extraosseous presentation and also locally aggressive behavior.</p>
</sec>
<sec>
<title>Case report</title>
<p>A 35 year old man presented with Pindborg tumor (CEOT) of mandible with both intraosseous and extraosseous variant in a single lesion, extending from right premolar region to the left molar region.</p>
</sec>
<sec>
<title>Discussion</title>
<p>CEOT is an uncommon neoplasm accounting for less than 1% of all odontogenic tumors. Although CEOT is considered less aggressive clinically than typical infiltrating ameloblastoma, but our case is a rarity which was aggressive and also rapidly progressive in short duration, with intra and extraosseous presentation. Hence it was managed surgically similar to a malignant lesion.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>Presentation of two different variants of an odontogenic tumor in a single lesion and aggressive behavior of rather slow growing tumor, mimicking malignant lesion definitely shows possibility of rare variations in different magnitude. Hence proper diagnosis for management with better prognosis of these kinds of tumors is very much essential.</p>
</sec>
</abstract>
<kwd-group>
<title>Keywords</title>
<kwd>Calcifying epithilial odontogenic tumor (CEOT)</kwd>
<kwd>Pindborg tumor</kwd>
<kwd>Intraosseous</kwd>
<kwd>Extraosseous</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
</record>

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