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Adenomatoid Odontogenic Tumor with Tooth-like Structure Arising from a Dentigerous Cyst: Report of a Unique Case

Bhari Sharanesha Manjunatha ; Department of Oral Pathology and Microbiology, KM Shah Dental College and Hospital, SumandeepVidyapeeth, Piparia, Vadodara-391760, India
Vandana Shah ; Department of Oral Pathology and Microbiology, KM Shah Dental College and Hospital, SumandeepVidyapeeth, Piparia, Vadodara-391760, India
Deepak Pateel ; Department of Oral Pathology and Microbiology, KM Shah Dental College and Hospital, SumandeepVidyapeeth, Piparia, Vadodara-391760, India
Himani Tiwari ; Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, Dharmsinh Desai University, College Road, Nadiad-387001, India


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Abstract

Adenomatoid odontogenic tumor (AOT) is an uncommon benign tumor of odontogenic origin composed of odontogenic epithelium in a variety of histopathological patterns. Recently, the WHO classification of odontogenic tumors has been revised and few changes have been made. According to WHO, the AOT is reclassified as an epithelial odontogenic tumor. Very few cases of AOT associated with a dentigerous cyst have been reported in the available literature. We present an additional case of an AOT arising from a dentigerous cyst around the crown of an unerupted lower canine in a 12-year-old boy, which was clinically diagnosed as a dentigerous cyst. Histologically, our case showed ‘odontoma-like’ areas which have been described in only two other previous case reports. We believe that this case represents an odontogenic cyst with neoplastic change containing both epithelial and mesenchymal components. Further studies to determine whether the AOTs derived from an odontogenic cyst could represent a distinct ‘hybrid’ variant (different from the three variants described so far) are to be done.

Keywords

Odontogenic Tumors; Dentigerous Cyst

Hrčak ID:

76023

URI

https://hrcak.srce.hr/76023

Publication date:

20.12.2011.

Article data in other languages: croatian

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