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CORRESPONDENCE
Year : 2014  |  Volume : 10  |  Issue : 1  |  Page : 194-196

Calcifying epithelial odontogenic tumor: A clinico-radio-pathological dilemma


1 Department of Head and Neck Surgical Oncology, Tata Memorial Hospital, Mumbai, Maharashtra, India
2 Department of Pathology, Tata Memorial Hospital, Mumbai, Maharashtra, India
3 Department of Radiology, Tata Memorial Hospital, Mumbai, Maharashtra, India

Correspondence Address:
Prathamesh S Pai
Department of Head and Neck Surgical Oncology, Tata Memorial Hospital, Ernest Borges Road, Parel, Mumbai - 400 012, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-1482.131411

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The calcifying epithelial odontogenic tumor (CEOT) is a rare benign neoplasm of mandible in adults. The presentation of this entity is varied and often confused with a variety of mucosal and jaw lesions and clinical, radiological, and pathological feature of CEOT often-mimic malignancy. The objective of this report is to highlight the clinical features and radiological findings which should arouse suspicion of a benign lesion and importance of providing adequate clinical information to the pathologist to attain accurate diagnosis.We discussed two cases with tumors located in the maxilla. Both presented as expansile lesions with one biopsy proven squamous cell carcinoma. Both were pursued with clinico-radiological suspicion of benign lesions and confirmed with pathological correlation of histology and immunohistochemistry as CEOT. Therefore a High index of suspicion and clinico-radiological information are the key feature for diagnosis of this rare tumor.

Abstract in Chinese

牙源性钙化上皮瘤:临床放射病理学的困境 钙化牙源性上皮性肿瘤(CEOT)是一种罕见的成人下颌骨良性肿瘤。该实体的表现是多种多样的,经常与各种黏膜和颌骨病变混淆,其临床,放射学和病理学特征经常模仿恶性肿瘤。本报告的目的是为了强调其临床特点和放射学发现,根据这些特点和发现应该怀疑良性病变,以及为病理学家的准确诊断提供足够的临床信息。我们讨论了位于上颌骨的肿瘤病例2例。均表现为膨胀性病变,活检证实鳞状细胞癌。两人在临床影像学上都怀疑是良性病变,但病理相关组织学和免疫组化证实为牙源性钙化上皮瘤。因此高度怀疑和临床放射学信息是这种罕见的肿瘤诊断的关键。 关键词:牙源性钙化上皮瘤,颌骨瘤,牙源性肿瘤,Pindborg瘤



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