Ameloblastomatous calcifying ghost cell odontogenic cyst - a rare variant of a rare entity

Department of Oral and Maxillofacial Pathology and Microbiology, Swami Devi Dyal Hospital and Dental College, Barwala, Panchkula, Haryana. India.
Annali di stomatologia 06/2013; 4(1):156-60. DOI: 10.11138/ads.0156
Source: PubMed

ABSTRACT Calcifying odontogenic cyst (COC) is an uncommon benign cystic neoplasm of odontogenic origin, which shows extensive diversity in its clinico-pathological appearances and biological behavior. It most commonly occurs in broader age group of 1-82 years in anterior part of jaws which is classically described by presence of ghost cells. There are variants of COC according to clinical, histopathological, and radiological characteristics. Therefore a proper categorization of the cases is needed for better understanding of the pathogenesis of each variant. Here we report a rare case of ameloblastomatous calcifying ghost cell odontogenic cyst in 24 year old female with brief review of literature. Presence of ameloblastomatous proliferation and impacted canine presented a diagnostic dilemma and was diagnosed by careful radiographic and histopathogical interpretation. Long follow up and more case report are required to shed light on its behaviour as there scarcity of data of this lesion in literature.

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Available from: Harkanwal Preet Singh, Aug 12, 2014
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    • "Displacement of teeth is often seen. Resorption of the roots of adjacent teeth is a frequent finding and is regarded as an important radiological feature [9]. Local expansion sometimes occurs, and perforation of the cortical plate, when present, may be radiologically demonstrable [1]. "
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    ABSTRACT: Calcifying odontogenic cyst is considered as a rare lesion and accounts for 1% of jaw cysts. It represents a heterogeneous group of lesions which exhibit a variety of clinicopathologic and behavioral features. It has been categorized as cyst and neoplasm. Even after several classification and subclassification, COC remains an enigma. WHO classification 2005 has reclassified the lesion as calcifying cystic odontogenic tumor (CCOT). Ameloblastomatous COC is a rare variant which is not much described in the literature. This report describes one such case which was large multicystic, involved the coronoid and condylar process of the mandible, and treated by subhemimandibulectomy. The case was recurrence free even after 1 year of followup.
    10/2013; 2013(2):407656. DOI:10.1155/2013/407656
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    ABSTRACT: Calcifying Cystic Odontogenic Tumor (CCOT) was previously described by Gorlin et al., in 1962 as Calcifying odontogenic cyst. CCOT is a rare lesion which accounts for 2% of all odontogenic pathological changes in the jaws. One of the variants, Ameloblastomatous proliferating type of CCOT is even more rare and very few cases have been reported in the light of literature review. This case report is an effort to bring forth a case of ameloblastomatous proliferating type of CCOT in a 65 year male, who presented with a painful swelling in the right jaw crossing midline causing facial asymmetry and confirmed by histopathological evaluation.
    03/2015; 9(3):ZD20-1. DOI:10.7860/JCDR/2015/12600.5717