Mandibular adenomatoid odontogenic tumor: Radiographic and pathologic correlation
Identifieur interne : 001E72 ( Pmc/Curation ); précédent : 001E71; suivant : 001E73Mandibular adenomatoid odontogenic tumor: Radiographic and pathologic correlation
Auteurs : Chandramani B. More ; Sunanda Das ; Swati Gupta ; Khushbu BhavsarSource :
- Journal of Natural Science, Biology, and Medicine [ 0976-9668 ] ; 2013.
Abstract
Adenomatoid odontogenic tumor (AOT) is a rare tumor of epithelial origin comprising 3% of all the odontogenic tumors. It is a benign, painless, noninvasive, and slow-growing lesion, with a relative frequency of 2.2-13% and often misdiagnosed as an odontogenic cyst on clinical examination. AOT affects young individuals with a female predominance, occurs mainly in the second decade, and usually surrounds the crown of unerupted teeth. This lesion is most commonly located in the anterior maxilla and rarely in the mandible. It is usually associated with an impacted canine. AOT frequently resembles lesions like dentigerous cyst or ameloblastoma. AOT has three variants, follicular, extrafollicular, and peripheral. The intraoral periapical radiograph is the best radiograph to show radiopacities in AOT as discrete foci having a flocculent pattern within radiolucency even with minimal calcified deposits. These calcified deposits are seen in approximately 78% of the lesions. Herewith, we present the report of four unusual cases of AOT located in the mandible, with an emphasis on radiographic findings and on pathologic correlation, and on reviewing the existing literature on this tumor.
Url:
DOI: 10.4103/0976-9668.116965
PubMed: 24082751
PubMed Central: 3783799
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<front><div type="abstract" xml:lang="en"><p>Adenomatoid odontogenic tumor (AOT) is a rare tumor of epithelial origin comprising 3% of all the odontogenic tumors. It is a benign, painless, noninvasive, and slow-growing lesion, with a relative frequency of 2.2-13% and often misdiagnosed as an odontogenic cyst on clinical examination. AOT affects young individuals with a female predominance, occurs mainly in the second decade, and usually surrounds the crown of unerupted teeth. This lesion is most commonly located in the anterior maxilla and rarely in the mandible. It is usually associated with an impacted canine. AOT frequently resembles lesions like dentigerous cyst or ameloblastoma. AOT has three variants, follicular, extrafollicular, and peripheral. The intraoral periapical radiograph is the best radiograph to show radiopacities in AOT as discrete foci having a flocculent pattern within radiolucency even with minimal calcified deposits. These calcified deposits are seen in approximately 78% of the lesions. Herewith, we present the report of four unusual cases of AOT located in the mandible, with an emphasis on radiographic findings and on pathologic correlation, and on reviewing the existing literature on this tumor.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">J Nat Sci Biol Med</journal-id>
<journal-id journal-id-type="iso-abbrev">J Nat Sci Biol Med</journal-id>
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<article-id pub-id-type="doi">10.4103/0976-9668.116965</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject>
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<title-group><article-title>Mandibular adenomatoid odontogenic tumor: Radiographic and pathologic correlation</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>More</surname>
<given-names>Chandramani B.</given-names>
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<contrib contrib-type="author"><name><surname>Das</surname>
<given-names>Sunanda</given-names>
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<contrib contrib-type="author"><name><surname>Gupta</surname>
<given-names>Swati</given-names>
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<contrib contrib-type="author"><name><surname>Bhavsar</surname>
<given-names>Khushbu</given-names>
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<aff id="aff1"><italic>Department of Oral Medicine and Radiology, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Piparia, Vadodara, Gujarat, India</italic>
</aff>
<author-notes><corresp id="cor1"><bold>Address for correspondence:</bold>
<italic> Dr. Chandramani B. More, Department of Oral Medicine and Radiology, K M Shah Dental College and Hospital, Sumandeep Vidyapeeth University, Piparia, Vadodara, Gujarat, India. E-mail: <email xlink:href="drchandramanimore@rediffmail.com">drchandramanimore@rediffmail.com</email>
</italic>
</corresp>
</author-notes>
<pub-date pub-type="ppub"><season>Jul-Dec</season>
<year>2013</year>
</pub-date>
<volume>4</volume>
<issue>2</issue>
<fpage>457</fpage>
<lpage>462</lpage>
<permissions><copyright-statement>Copyright: © Journal of Natural Science, Biology and Medicine</copyright-statement>
<copyright-year>2013</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract><p>Adenomatoid odontogenic tumor (AOT) is a rare tumor of epithelial origin comprising 3% of all the odontogenic tumors. It is a benign, painless, noninvasive, and slow-growing lesion, with a relative frequency of 2.2-13% and often misdiagnosed as an odontogenic cyst on clinical examination. AOT affects young individuals with a female predominance, occurs mainly in the second decade, and usually surrounds the crown of unerupted teeth. This lesion is most commonly located in the anterior maxilla and rarely in the mandible. It is usually associated with an impacted canine. AOT frequently resembles lesions like dentigerous cyst or ameloblastoma. AOT has three variants, follicular, extrafollicular, and peripheral. The intraoral periapical radiograph is the best radiograph to show radiopacities in AOT as discrete foci having a flocculent pattern within radiolucency even with minimal calcified deposits. These calcified deposits are seen in approximately 78% of the lesions. Herewith, we present the report of four unusual cases of AOT located in the mandible, with an emphasis on radiographic findings and on pathologic correlation, and on reviewing the existing literature on this tumor.</p>
</abstract>
<kwd-group><kwd>Adenomatoid odontogenic tumor</kwd>
<kwd>benign neoplasm</kwd>
<kwd>impacted tooth</kwd>
<kwd>mixed lesion</kwd>
<kwd>radiopaque foci</kwd>
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