Open Dent J. 2018 Oct 25;12:856-863. doi: 10.2174/1874210601812010856. eCollection 2018.
Is Conservative Surgery the Best Approach for Peripheral Calcifying Epithelial Odontogenic Tumors?.
The open dentistry journal
Isadora Luana Flores, Tissiana Rachel Rossi Schneider, Ana Carolina Uchoa Vasconcelos, Sandra Beatriz Chaves Tarquinio, Ricardo Alves de Mesquita, Ana Paula Neutzling Gomes
Affiliations
Affiliations
- Department of Conservative Dentistry, Oral Pathology, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos 2492, Santa Cecília, Porto Alegre, RS, Brazil.
- Pelotas Dental School, Semiology and Clinic, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Bairro Centro, Pelotas, RS, Brazil.
- Department of Oral Pathology and Surgery, Federal University of Minas Gerais, Belo Horizonte, Rua Prof Moacir Gomes de Freitas, 688, Bairro Pampulha, Belo Horizonte, MG, Brazil.
PMID: 30505366
PMCID: PMC6210496 DOI: 10.2174/1874210601812010856
Abstract
BACKGROUND: Peripheral Calcifying Epithelial Odontogenic Tumors (CEOT) rich in clear cells are a rare entity in the oral cavity, with only 14 previous case reports in the English literature. None have discussed recommended treatment approaches for extraosseous CEOT.
OBJECTIVE: This brief descriptive review describes a treatment approach for peripheral CEOT including the clear cell variant.
STUDY DESIGN: A complete review of all well-documented extraosseous case reports with an emphasis on the treatment was performed. Additionally, the present article reports a case of a 21-year-old woman with an asymptomatic swelling in the gingiva finally diagnosed as peripheral CEOT abundant in clear cells.
RESULTS: Twenty-four cases of peripheral CEOT were described; conservative surgery was the first treatment approach in approximately 80% of cases, with only one recurrence.
DISCUSSION: Clear cell finding was not associated with more aggressive behavior.
CONCLUSION: Conservative surgery may be an advantageous approach for this group of peripheral lesions with or without clear cells, with a recurrence rate of approximately 4%.
Keywords: Calcifying epithelial odontogenic tumor; Clear cell; Oral diagnosis; Peripheral; Surgery; Treatment
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