A case of adenomatoid odontogenic tumor with calcifying epithelial odontogenic tumor-like areas (so-called combined epithelial odontogenic tumor) occurring in the anterior region of the mandible

  • MIYAHARA Mayumi
    Department of Special Care Dentistry, Systemic Care Center, Kagoshima University Hospital
  • TANUMA Jun-ichi
    Department of Oral Pathology, Field of Oncology, Course for Developmental Therapeutics, Kagoshima University Graduate School of Medical and Dental Sciences
  • MATSUI Ryutaro
    Department of Maxillofacial Diagnostic and Surgical Science, Field of Oral and Maxillofacial Rehabilitation, Course for Developmental Therapeutics, Kagoshima University
  • KUNIYOSHI Hideharu
    Department of Maxillofacial Diagnostic and Surgical Science, Field of Oral and Maxillofacial Rehabilitation, Course for Developmental Therapeutics, Kagoshima University
  • SEMBA Ichiro
    Department of Special Care Dentistry, Systemic Care Center, Kagoshima University Hospital
  • SUGIHARA Kazumasa
    Department of Maxillofacial Diagnostic and Surgical Science, Field of Oral and Maxillofacial Rehabilitation, Course for Developmental Therapeutics, Kagoshima University

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Other Title
  • 下顎前歯部に発生した腺様歯原性腫瘍中に歯原性石灰化上皮腫を含むいわゆるcombined epithelial odontogenic tumorの1例
  • ショウレイ ホウコク カガク ゼンシブ ニ ハッセイ シタ セン ヨウシ ゲンセイ シュヨウ チュウ ニ シ ゲンセイ セッカイカ ジョウヒ シュ オ フクム イワユル combined epithelial odontogenic tumor ノ 1レイ

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Abstract

Combined epithelial odontogenic tumor was first described by Damm in 1982 as a rare tumor characterized by the presence of calcifying epithelial odontogenic tumor (CEOT) areas in adenomatoid odontogenic tumor (AOT). Histologically, the tumor shows relatively small epithelial nests forming duct-like structures and markedly hyalinized fibrous tissue stroma containing amorphous and irregularly shaped calcified tissue and amyloid-like materials. There are several round-shaped masses that show Liesegang rings. This article describes a case of adenomatoid odontogenic tumor with calcifying epithelial odontogenic tumor-like areas, so-called combined epithelial odontogenic tumor, between the right lateral incisor and the left canine region in the mandible.<BR>A 27-year-old woman was referred to our clinic for evaluation of a mixed radiolucent-radiopaque lesion with a well-defined border in the mandible. A computed tomographic scan demonstrated a well-defined large lesion that extended widely, with thinning of the cortical bone of the mandible. The lesion was associated with an impacted canine in the mandible.<BR>Surgery was performed with the patient under general anesthesia.The tumor was enucleated completely via an intraoral approach. Wound healing is currently good, 9 months after surgery.

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