Surgical management of peripheral variant of adenomatoid odontogenic tumor: A rare case report with review

Jindwani, Karuna; Paharia, Y K; Kushwah, Atul Pratap Singh

doi:10.4103/0976-237x.149309

Cited by 7 publications

(7 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… NI a Diffuse peri-apical radiolucency enucleation No [ 20 ] 15. Jindwani K et al, 2015 21 M Left maxillary 1,2 gingiva 2 × 2 cm2 1 year Well defined radiolucency Enucleation and curettage N [ 21 ] 16. Prakash SM et al,2017 19 F Right maxillary 2,3 gingiva 2 × 2 cm 2 6 mo Arch shaped bone loss Excision NI a [ 22 ] 17.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Peripheral adenomatoid odontogenic tumor in a cloak of an epulis: report of a rare case

et al. 2019

View full text Add to dashboard Cite

Background Adenomatoid odontogenic tumor constitutes an uncommon benign odontogenic tumor which is well-known as “two-thirds tumor” (two-thirds of adenomatoid tumors occur in the maxilla, two-thirds occur in young females, two-thirds of the cases are associated with un-erupted teeth and two-thirds of the affected teeth are canines). Larger part of these present as intra - osseous tumors while peripheral counterparts are extremely rare. Peripheral adenomatoid odontogenic tumor is a unique entity which generally presents as a slow growing gingival swelling with minimal bone involvement. This often leads to its erroneous diagnosis as a simple gingival lesion and the real diagnosis is only revealed after its microscopic evaluation. It exhibits a marked predilection for maxillary gingiva of incisor region and most commonly affects the younger females. Case presentation We report a case of 25 years old female patient of African ethnicity who presented with a 2 × 2 cm mass attached to the left mandibular gingiva in cuspid- bicuspid region which is an unusual site for AOT. It was accompanied by slight bone loss. With the differential diagnosis of gingival epulis and peripheral ossifying fibroma; surgical excision was performed. The light microscopic examination of the specimen aided the final diagnosis of Adenomatoid odontogenic tumor with the histopathological features identical to its intra osseous counterpart. Conclusion In this case, the tumor is present on the mandibular gingiva in a 25 years old patient which is an atypical location and age for this tumor; also, the only individual case reported in an African patient. Only, a meager number of peripheral adenomatoid odontogenic tumor cases have been logged so far with majority of them occurring in maxillary gingiva. Furthermore, an ambiguity still prevails regarding its true origin and possible biological course. Hence, reporting of similar cases should be encouraged to facilitate the better understanding of its varied epidemiological details and clinical presentation.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Conservative surgical excision with adequate margins is the treatment of choice. In this review, two cases had presented as recurrent tumors [ 21 ].…”

Section: Discussionmentioning

confidence: 99%

Peripheral adenomatoid odontogenic tumor in a cloak of an epulis: report of a rare case

et al. 2019

View full text Add to dashboard Cite

show abstract

“…A recent literature survey disclosed that the number of published PAOT cases is 27 at present [Philipsen et al and data from eight further reports ]. The number of reported PAOTs is, however, still too restricted to clarify the true biological profile of this variant.…”

Section: The So‐called Peripheral Aot Variantmentioning

confidence: 99%

“…(A) Central (or intraosseous) variants: 1 The follicular (or pericoronal) type in which the AOT is associated with the crown of an unerupted tooth. (2) and data from eight further reports (12)(13)(14)(15)(16)(17)(18)(19)]. The number of reported PAOTs is, however, still too restricted to clarify the true biological profile of this variant.…”

Section: The So-called Peripheral Aot Variantmentioning

confidence: 99%

The adenomatoid odontogenic tumour: an update of selected issues

Philipsen¹,

Khongkhunthiang

Reichart

2016

J Oral Pathology Medicine

View full text Add to dashboard Cite

The aim of this update was to present the recent notable progress within remaining questions relating to the adenomatoid odontogenic tumour (AOT). Selected issues that were studied included the following: (i) AOT history and terminology, (ii) the so-called peripheral AOT, (iii) AOT and the gubernaculum dentis and (iv) the so-called adenomatoid odontogenic cyst (AOC). The earliest irrefutable European case of AOT was described in 1915 by Harbitz as 'cystic adamantoma'. Recently, Ide et al. have traced two Japanese cases with irrefutable proof described by Nakayama in 1903. The so-called peripheral (gingival) variant of AOT seems to cover a dual pathogenesis, both an 'erupted intraosseous' and an 'extraosseous' (gingival) one. In 1992, we theorized that the generally unnoticed gubernaculum dentis (cord and canal) seems to be involved in the development of AOT. Ide et al. have concluded that the dental lamina in the gubernacular cord seems to be an embryonic source of the vast majority of AOTs. The suggestion by Marx and Stern to change the nomenclature of AOT to adenomatoid odontogenic cyst (AOC) is critically discussed. The present authors agree on the background of the work of several groups of researchers and WHO/IARC classifications that the biology of the follicular variant of AOT is already fully explained and does not make room for any change in diagnostic terms. Further, there is no reason to change terminology in this case where improvements or conditions to better clinical management are not an issue.

show abstract

“…The treatment of choice is conservative surgical removal through simple curettage or enucleation ( 4 , 9 ). Recurrence has been described, but it is exceedingly rare ( 3 , 4 , 9 , 16 ).…”

Section: Introductionmentioning

confidence: 99%

Adenomatoid odontogenic tumor: Case series of 14 with wide range of clinical presentation

2017

View full text Add to dashboard Cite

BackgroundTo present 14 cases of adenomatoid odontogenic tumor (AOT), highlighting their clinical, radiographic, and histologic characteristics.Material and MethodsFourteen cases of AOT were retrieved from the archives of the Oral Pathology Biopsy Service (OPBS). Clinical, radiologic, and histologic findings are described.ResultsFourteen AOT cases were reviewed, of which 12 were intraosseous and two were peripheral (gingiva). The cases came from eight females and six males with an age range of 11–30. Of the 12 intraosseous cases, nine were follicular (associated with impacted teeth), while three were extra-follicular (present between teeth). Six of the 12 cases were in the maxilla, and the other six were in the mandible. The two peripheral cases presented as nodules on the buccal gingiva of the anterior maxillary teeth. Radiographically, all 12 follicular and extra-follicular cases were unilocular radiolucencies; of those, only one had specks of radiopacity. Histologically, all specimens were similar in morphology, demonstrating a varied degree of duct-like structures, epithelial spheres, spindle-shaped epithelial cells, calcifications, and a thick capsule. The two peripheral cases had no capsule.ConclusionsAOT usually affects patients under 20 years of age, with a female to male ratio close to 2:1. Presentation in the anterior maxilla is almost twice as common as in the anterior mandible. Radiographically, AOT presents as a unilocular radiolucency more commonly associated with impacted teeth, simulating a dentigerous cyst. We present 14 new cases of AOT (nine follicular, three extra-follicular, and two peripheral) with discussions of their clinical, radiographic, and histological features. Key words:Adenomatoid, odontogenic, tumor.

show abstract

Surgical management of peripheral variant of adenomatoid odontogenic tumor: A rare case report with review

Cited by 7 publications

References 11 publications

Peripheral adenomatoid odontogenic tumor in a cloak of an epulis: report of a rare case

Peripheral adenomatoid odontogenic tumor in a cloak of an epulis: report of a rare case

The adenomatoid odontogenic tumour: an update of selected issues

Adenomatoid odontogenic tumor: Case series of 14 with wide range of clinical presentation

Contact Info

Product

Resources

About