Calcifying odontogenic cyst with AOT-like features: a case report and literature review

Odontogenic lesions are a heterogeneous group of diseases that presents differences in their biological behavior and the occurrence of variable inductive interactions. Calcifying odontogenic cyst (COC), or Gorlin’s cyst, is a well-recognized example of these lesions. We describe a case of COC with...

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Main Authors: Lorena Vieira Sacramento, Ianna Josefa Valeska de Aniz Castro, Leonardo Figueiredo, Braúlio Carneiro Junior, Jean Nunes dos Santos, Águida Cristina Gomes Henriques
Format: Article
Language:English
Published: Universidade Estadual Paulista 2023-10-01
Series:Brazilian Dental Science
Online Access:https://ojs.ict.unesp.br/index.php/cob/article/view/3823
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author Lorena Vieira Sacramento
Ianna Josefa Valeska de Aniz Castro
Leonardo Figueiredo
Braúlio Carneiro Junior
Jean Nunes dos Santos
Águida Cristina Gomes Henriques
author_facet Lorena Vieira Sacramento
Ianna Josefa Valeska de Aniz Castro
Leonardo Figueiredo
Braúlio Carneiro Junior
Jean Nunes dos Santos
Águida Cristina Gomes Henriques
author_sort Lorena Vieira Sacramento
collection DOAJ
description Odontogenic lesions are a heterogeneous group of diseases that presents differences in their biological behavior and the occurrence of variable inductive interactions. Calcifying odontogenic cyst (COC), or Gorlin’s cyst, is a well-recognized example of these lesions. We describe a case of COC with AOT-like areas and highlights its morphological diversity. A 60-year-old pheoderma man presented with a large swelling in the anterior buccal region of the mandible. Panoramic radiography revealed a well-defined, unilocular, radiolucent lesion associated with important root resorption. Complete enucleation of the lesion was performed and the histopathological findings met the criteria for the diagnosis of COC, although the cyst exhibited unusual AOT-like features. The patient has been recurrence free for 6 months after surgery. COCs with AOT-like features are rare, and reflect the multipotentiality and complexity of the inductive effects of the odontogenic epithelium with the ectomesenchyme. Enucleation seems to be the most indicated treatment, similar to classical COC. KEYWORDS Adenomatoid odontogenic tumor; Calcifying odontogenic cyst; Odontogenic cysts; Oral pathology; Oral surgery.
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language English
publishDate 2023-10-01
publisher Universidade Estadual Paulista
record_format Article
series Brazilian Dental Science
spelling doaj-art-ae09d84d2bc4487cbef89f4c30bfc6ec2025-08-22T14:53:12ZengUniversidade Estadual PaulistaBrazilian Dental Science2178-60112023-10-0126410.4322/bds.2023.e3823Calcifying odontogenic cyst with AOT-like features: a case report and literature reviewLorena Vieira Sacramento0https://orcid.org/0000-0002-2625-045XIanna Josefa Valeska de Aniz Castro1https://orcid.org/0000-0002-4408-5996Leonardo Figueiredo2https://orcid.org/0009-0004-6251-9382Braúlio Carneiro Junior3https://orcid.org/0000-0003-2793-1174Jean Nunes dos Santos4https://orcid.org/0000-0001-7225-5879Águida Cristina Gomes Henriques5https://orcid.org/0000-0002-8591-3655Universidade Federal da Bahia, Laboratório de Patologia Cirúrgica. Salvador, BA, Brazil.Universidade Federal da Bahia, Laboratório de Patologia Cirúrgica, Programa de Pós-graduação em Odontologia e Saúde. Salvador, BA, Brazil.Universidade Federal da Bahia, Departamento de Cirurgia e Traumatologia Bucomaxilofacial. Salvador, BA, Brazil.Universidade Estadual do Sudoeste da Bahia. Jequié, BA, Brazil.Universidade Federal da Bahia, Laboratório de Patologia Cirúrgica, Programa de Pós-graduação em Odontologia e Saúde. Salvador, BA, Brazil.Universidade Federal da Bahia, Laboratório de Patologia Cirúrgica, Programa de Pós-graduação em Odontologia e Saúde. Salvador, BA, Brazil. Odontogenic lesions are a heterogeneous group of diseases that presents differences in their biological behavior and the occurrence of variable inductive interactions. Calcifying odontogenic cyst (COC), or Gorlin’s cyst, is a well-recognized example of these lesions. We describe a case of COC with AOT-like areas and highlights its morphological diversity. A 60-year-old pheoderma man presented with a large swelling in the anterior buccal region of the mandible. Panoramic radiography revealed a well-defined, unilocular, radiolucent lesion associated with important root resorption. Complete enucleation of the lesion was performed and the histopathological findings met the criteria for the diagnosis of COC, although the cyst exhibited unusual AOT-like features. The patient has been recurrence free for 6 months after surgery. COCs with AOT-like features are rare, and reflect the multipotentiality and complexity of the inductive effects of the odontogenic epithelium with the ectomesenchyme. Enucleation seems to be the most indicated treatment, similar to classical COC. KEYWORDS Adenomatoid odontogenic tumor; Calcifying odontogenic cyst; Odontogenic cysts; Oral pathology; Oral surgery. https://ojs.ict.unesp.br/index.php/cob/article/view/3823
spellingShingle Lorena Vieira Sacramento
Ianna Josefa Valeska de Aniz Castro
Leonardo Figueiredo
Braúlio Carneiro Junior
Jean Nunes dos Santos
Águida Cristina Gomes Henriques
Calcifying odontogenic cyst with AOT-like features: a case report and literature review
Brazilian Dental Science
title Calcifying odontogenic cyst with AOT-like features: a case report and literature review
title_full Calcifying odontogenic cyst with AOT-like features: a case report and literature review
title_fullStr Calcifying odontogenic cyst with AOT-like features: a case report and literature review
title_full_unstemmed Calcifying odontogenic cyst with AOT-like features: a case report and literature review
title_short Calcifying odontogenic cyst with AOT-like features: a case report and literature review
title_sort calcifying odontogenic cyst with aot like features a case report and literature review
url https://ojs.ict.unesp.br/index.php/cob/article/view/3823
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