Maxillary dentigerous cyst showing squamous odontogenic tumor-like proliferation: surgical approach and literature review

Camila de Oliveira Barbeiro; Roberto Henrique Barbeiro; Heitor Albergoni da Silveira; Luciana Yamamoto de Almeida; Jorge Esquiche León; Andreia Bufalino

doi:10.4322/acr.2021.302

Clinical Case Report and Review

Maxillary dentigerous cyst showing squamous odontogenic tumor-like proliferation: surgical approach and literature review

Camila de Oliveira Barbeiro; Roberto Henrique Barbeiro; Heitor Albergoni da Silveira; Luciana Yamamoto de Almeida; Jorge Esquiche León; Andreia Bufalino

http://dx.doi.org/10.4322/acr.2021.302 Autops Case Rep, vol.11, e2021302, 2021

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Abstract

Squamous odontogenic tumor (SOT) is a rare benign neoplasm of the jaw that likely arises from remnants of the dental lamina. It is a slow-growing lesion, with a radiolucent appearance in the central variant. Microscopically, SOT shows islands of squamous epithelium supported by fibrous stroma. In rare cases, squamous odontogenic tumor-like proliferation (SOT-LP) can be observed arising from odontogenic cysts (SOT-LPOC). Herein, we describe the case of a 42-year-old man who presented with discreet bleeding in the maxillary gingiva. Imaging revealed a well-defined, ovoid-shaped lesion with sclerotic margins involving tooth #18 in the intraosseous location. Fine needle aspiration supported the cystic nature of the lesion. After surgery, microscopy revealed a dentigerous cyst showing SOT-LP features. There was no recurrence after a 3-year follow-up. To the best of our knowledge, this is the first report of a dentigerous cyst showing SOT-LP features in the maxilla. Such cysts should be identified to avoid misdiagnosis, with the finding having therapeutic and prognostic implications.

Keywords

Squamous odontogenic tumor, odontogenic cysts, dentigerous cyst, histology

References

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Submitted date:
10/07/2020

Accepted date:
04/13/2021

Publication date:
07/08/2021

Maxillary dentigerous cyst showing squamous odontogenic tumor-like proliferation: surgical approach and literature review

Camila de Oliveira Barbeiro; Roberto Henrique Barbeiro; Heitor Albergoni da Silveira; Luciana Yamamoto de Almeida; Jorge Esquiche León; Andreia Bufalino

Abstract

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