Clear cell odontogenic carcinoma mimicking a cystic lesion: a case of misdiagnosis
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Clear cell odontogenic carcinoma (CCOC) is a rare jaw tumor that was classified as a malignant tumor of odontogenic origin in 2005 by the World Health Organization because of its aggressive and destructive growth capacity and metastasis to the lungs and lymph nodes. We report a case of a 66-year-old female who had swelling, incision and drainage history and a well-defined unicystic radiolucent lesion that was comparable to a cystic lesion. At first, the patient received decompression, and the lesion size decreased. Three months after decompression, cyst enucleation was performed. The pathologic result indicated that the lesion was CCOC. In this report we emphasize that patients with painful cystic lesions in addition to jaw enlargementand loosening teeth should be considered for the possibility of malignancy.
Abstract
Clear cell odontogenic carcinoma (CCOC) is a rare jaw tumor that was classified as a malignant tumor of odontogenic origin in 2005 by the World Health Organization because of its aggressive and destructive growth capacity and metastasis to the lungs and lymph nodes. We report a case of a 66-year-old female who had swelling, incision and drainage history and a well-defined unicystic radiolucent lesion that was comparable to a cystic lesion. At first, the patient received decompression, and the lesion size decreased. Three months after decompression, cyst enucleation was performed. The pathologic result indicated that the lesion was CCOC. In this report we emphasize that patients with painful cystic lesions in addition to jaw enlargementand loosening teeth should be considered for the possibility of malignancy.
참고문헌 (14)
- Hansen LS, "Clear cell odontogenic tumor--a new histologic variant with aggressive potential", Head Neck Surg, 8, pp.115~123 (1985)
- Kramer IR, "Histological typing of odontogenic tumours" (1992), Springer
- Barnes L, "Pathology and genetics of head and neck tumours" (2005), IARC Press
- Kumar M, "Metastasising clear cell odontogenic carcinoma: a case report and review of the literature", Oral Oncol, 39, pp.190~194 (2003)
- Brinck U, "Clear-cell odontogenic carcinoma with pulmonary metastases resembling pulmonary meningothelial-like nodules", Virchows Arch, 438, pp.412~417 (2001)
- Piattelli A, "Clear cell odontogenic carcinoma. Report of a case with lymph node and pulmonary metastases", Eur J Cancer B Oral Oncol, 30B, pp.278~280 (1994)
- Fan J, "Clear cell odontogenic carcinoma. A case report with massive invasion of neighboring organs and lymph node metastasis", Oral Surg Oral Med Oral Pathol, 74, pp.768~775 (1992)
- Bang G, "Clear cell odontogenic carcinoma: report of three cases with pulmonary and lymph node metastases", J Oral Pathol Med, 18, pp.113~118 (1989)
- Swain N, "Clear cell odontogenic carcinoma of maxilla: A case report and mini review", J Oral Maxillofac Pathol, 17, pp.89~94 (2013)
- Zhang J, "Clear cell odontogenic carcinoma: report of 6 cases and review of the literature", Med Oncol, 28(Suppl 1), pp.S626~S633 (2011)
- Werle H, "Clear-cell odontogenic carcinoma: a new case and long-term follow-up of an old case, and review of the literature", J Oral Maxillofac Surg, 67, pp.1342~1348 (2009)
- Ebert CS Jr, "Clear cell odontogenic carcinoma: a comprehensive analysis of treatment strategies", Head Neck, 27, pp.536~542 (2005)
- Avninder S, "Clear cell odontogenic carcinoma: a diagnostic and therapeutic dilemma", World J Surg Oncol, 4, pp.91~ (2006)
- Chaine A, "An asymptomatic radiolucent lesion of the maxilla. Clear cell odontogenic carcinoma", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 107, pp.452~457 (2009)