Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion
Central mucoepidermoid carcinoma (CMEC) is a rare pathological entity with only a few case reports in the literature. The present case reported an uncommon occurrence of CMEC mimicking an odontogenic lesion in a young patient. A 17-year-old female patient sought dental care due to a slight swelling...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2023/5714099 |
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| author | Lucas Novaes Teixeira Erick Gomes Perez Ana Cláudia Garcia Rosa Sandro Régis Rodrigues Lima Mariana Quirino Silveira Soares Fabricio Passador-Santos Vera Cavalcanti de Araújo Andresa Borges Soares |
| author_facet | Lucas Novaes Teixeira Erick Gomes Perez Ana Cláudia Garcia Rosa Sandro Régis Rodrigues Lima Mariana Quirino Silveira Soares Fabricio Passador-Santos Vera Cavalcanti de Araújo Andresa Borges Soares |
| author_sort | Lucas Novaes Teixeira |
| collection | DOAJ |
| description | Central mucoepidermoid carcinoma (CMEC) is a rare pathological entity with only a few case reports in the literature. The present case reported an uncommon occurrence of CMEC mimicking an odontogenic lesion in a young patient. A 17-year-old female patient sought dental care due to a slight swelling located in the posterior region of the mandible on the left side. Radiographic exams revealed an osteolytic lesion with defined limits in relation to proximity to the pericoronal follicle of tooth #38. The clinical and radiographic diagnostic hypothesis was an odontogenic lesion. Histological sections showed the presence of a neoplasm of glandular origin, not encapsulated, with a predominantly cystic growth pattern. The neoplasm consisted of mucous, intermediate, and squamous cells. In the immunohistochemical staining, the neoplastic cells were positive for cytokeratin 7. Mucous cells were positive for PAS with diastase digestion. The final diagnosis consisted of mucoepidermoid carcinoma. The tumor was removed surgically, and the patient has shown no signs of relapse nor recurrence. In conclusion, CMEC may mimic radiographic features of various pathologies, but despite its rarity, clinicians and oral radiologists should consider CMEC as a diagnostic hypothesis for jaw lesions. |
| format | Article |
| id | doaj-art-ad1b386f1c3b4734a6105d1636ce80a7 |
| institution | OA Journals |
| issn | 2090-6455 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-ad1b386f1c3b4734a6105d1636ce80a72025-08-20T02:20:37ZengWileyCase Reports in Dentistry2090-64552023-01-01202310.1155/2023/5714099Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic LesionLucas Novaes Teixeira0Erick Gomes Perez1Ana Cláudia Garcia Rosa2Sandro Régis Rodrigues Lima3Mariana Quirino Silveira Soares4Fabricio Passador-Santos5Vera Cavalcanti de Araújo6Andresa Borges Soares7Faculdade São Leopoldo MandicFaculdade São Leopoldo MandicFederal University of TocantinsFederal University of TocantinsFaculdade São Leopoldo MandicFaculdade São Leopoldo MandicFaculdade São Leopoldo MandicFaculdade São Leopoldo MandicCentral mucoepidermoid carcinoma (CMEC) is a rare pathological entity with only a few case reports in the literature. The present case reported an uncommon occurrence of CMEC mimicking an odontogenic lesion in a young patient. A 17-year-old female patient sought dental care due to a slight swelling located in the posterior region of the mandible on the left side. Radiographic exams revealed an osteolytic lesion with defined limits in relation to proximity to the pericoronal follicle of tooth #38. The clinical and radiographic diagnostic hypothesis was an odontogenic lesion. Histological sections showed the presence of a neoplasm of glandular origin, not encapsulated, with a predominantly cystic growth pattern. The neoplasm consisted of mucous, intermediate, and squamous cells. In the immunohistochemical staining, the neoplastic cells were positive for cytokeratin 7. Mucous cells were positive for PAS with diastase digestion. The final diagnosis consisted of mucoepidermoid carcinoma. The tumor was removed surgically, and the patient has shown no signs of relapse nor recurrence. In conclusion, CMEC may mimic radiographic features of various pathologies, but despite its rarity, clinicians and oral radiologists should consider CMEC as a diagnostic hypothesis for jaw lesions.http://dx.doi.org/10.1155/2023/5714099 |
| spellingShingle | Lucas Novaes Teixeira Erick Gomes Perez Ana Cláudia Garcia Rosa Sandro Régis Rodrigues Lima Mariana Quirino Silveira Soares Fabricio Passador-Santos Vera Cavalcanti de Araújo Andresa Borges Soares Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion Case Reports in Dentistry |
| title | Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion |
| title_full | Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion |
| title_fullStr | Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion |
| title_full_unstemmed | Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion |
| title_short | Central Mucoepidermoid Carcinoma Radiographically Mimicking an Odontogenic Lesion |
| title_sort | central mucoepidermoid carcinoma radiographically mimicking an odontogenic lesion |
| url | http://dx.doi.org/10.1155/2023/5714099 |
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