Adenomatoid Odontogenic Tumor: Clinical and Radiological Diagnostic Challenges
Keywords:
Adenoameloblastoma, Odontogenic tumors, Dentigerous cyst, Mandible, Follicular typeAbstract
The adenomatoid odontogenic tumor (AOT) is a relatively uncommon odontogenic tumor with a relative frequency of 3–7%. The tumor is more common in females in their second decade of life. It exhibits a predilection for the maxillary anterior region. In this paper, we present a case of AOT in the mandible of a 27-year-old female. Histopathological examination of the tissue obtained from the initial incisional biopsy showed mostly an epithelial-lined cyst, which included a small nodule with the characteristic histological features of an AOT. Subsequent enucleation was done that confirmed the AOT diagnosis. The uncommon location of the lesion and the predominantly cystic configuration posed a clinical diagnostic challenge.Downloads
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References
Philipsen. PARaOHP. Odontogenic Tumors and Allied Lesions. London: Quintessence; 2004.
Neville BW, Allen CM, Bouquot JE. Textbook of Oral and Maxillofacial Pathology. 3rd ed. Philadelphia: WB Saunders; 2002.
Rajendran S, ed. Shafer's Textbook of Oral Pathology 6th ed. nIndia: Elsevier; 2010.
Adisa AO, Lawal AO, Effiom OA, et al. A retrospective review of 61 cases of adenomatoid odontogenic tumour seen in five tertiary health facilities in Nigeria. Pan Afr Med J. 2016;24:102.
Seo WG, Kim CH. Adenomatoid odontogenic tumor associated with an unerupted mandibular lateral incisor: a case report. J Korean Assoc Oral Maxillofac Surg. 2015;41:342– 345.
Mohanty S, Gulati U, Mediratta A, Ghosh S. Unilocular radiolucencies of anterior mandible in young patients: a 10 year retrospective study. Natl J Maxillofac Surg. 2013;4:66–72.
Harish Saluja VK, Gaikwad P, Mahindra U, Dehane V. A rare occurrence of adenomatoid odontogenic tumor arising from cystic lining in the mandible: review with a case report. J Orofac Sci. 2013;5:50–53.
Narayanan VS, Naidu G, Ragavendra R, Mhaske-Jedhe S, Haldar M. Adenomatoid odontogenic tumor of the mandible with unusual radiographic features: a case report. Imaging Sci Dent. 2013;43:111–115.
Prakash AR, Reddy PS, Bavle RM. Concomitant occurrence of cemento-ossifying fibroma and adenomatoid odontogenic tumor with bilateral impacted permanent canines in the mandible. Indian J Dent Res. 2012;23:434–435.
Neeraj Sharma SP, Kumar VV. Adenomatoid odontogenic tumor: as an unusual mandibular manifestation. Contemp Clin Dent. 2012;3:s29–s32.
Kumar R, Singh RK, Pandey RK, Mohammad S. Peripheral adenomatoid odontogenic tumor: report of a rare case. J Oral Biol Craniofac Res. 2012;2:57–60.
Varkhede A, Tupkari JV, Sardar M. Odontogenic tumors: a study of 120 cases in an Indian teaching hospital. Med Oral Patol Oral Cirug Bucal. 2011;16:e895–e899.
Saghravanian N, Jafarzadeh H, Bashardoost N, Pahlavan N, Shirinbak I. Odontogenic tumors in an Iranian population: a 30-year evaluation. J Oral Sci. 2010;52:391–396.
Yilmaz N, Acikgoz A, Celebi N, Zengin AZ, Gunhan O. Extrafollicular adenomatoid odontogenic tumor of the mandible: report of a case. Eur J Dent. 2009;3:71–74.
Vera Sempere FJ, Artes Martinez MJ, Vera Sirera B, Bonet Marco J. Follicular adenomatoid odontogenic tumor: immunohistochemical study. Med Oral Patol Oral Cirug Bucal. 2006;11:E305–E308.
Handschel JG, Depprich RA, Zimmermann AC, Braunstein S, Kubler NR. Adenomatoid odontogenic tumor of the mandible: review of the literature and report of a rare case. Head Face Med. 2005;1:3.
Bhullar RP, Brar RS, Sandhu SV, Bansal H, Bhandari R. Mandibular adenomatoid odontogenic tumor: a report of an unusual case. Contemp Clin Dent. 2011;2:230–233.
Becker T, Buchner A, Kaffe I. Critical evaluation of the radiological and clinical features of adenomatoid odontogenic tumour. Dentomaxillofac Radiol. 2012;41:533–540.
Bhatt R, Dave J, Nalawade TM, Mallikarjuna R. Adenomatoid odontogenic tumour in mandible in a 14-year-old boy. BMJ Case Rep. 2013;2013:.
Gomez RS, Castro WH, Gomes CC, Loyola AM. Adenomatoid odontogenic tumor associated with odontoma: a case report and critical review of the literature. Head Face Med. 2013;9:20.
Shivali V, Pandey A, Khanna VD, Khanna P, Singh A, Ahuja T. A rare case of extrafollicular adenomatoid odontogenic tumour in the posterior region of the mandible: misdiagnosed as residual cyst. J Int Oral Health. 2013;5:124–128.
Manjunatha BS, Mahajan A, Mody BM, Shah V. Adenomatoid odontogenic tumor (AOT) arising from a dentigerous cyst: literature review and report of a case. J Maxillofac Oral Surg. 2015;14:393–397.
Belgaumi UI, Parkar MI, Malik NA, Suresh KV, Havewala AM, Bhalinge PM. Follicular adenomatoid odontogenic tumor in mandible: a rare case report. Ann Med Health Sci Res. 2015;5:469–472.
Ajayi OF, Ladeinde AL, Adeyemo WL, Ogunlewe MO. Odontogenic tumors in Nigerian children and adolescents – a retrospective study of 92 cases. World J Surg Oncol. 2004;2:39.
Sharma N, Passi S, Kumar VV. Adenomatoid odontogenic tumor: as an unusual mandibular manifestation. Contemp Clin Dent. 2012;3(suppl 1):S29–S32.
Philipsen HP, Birn H. The adenomatoid odontogenic tumour. Ameloblastic adenomatoid tumour or adenoameloblastoma. Acta Pathol Microbiol Scand. 1969;75:375–398.
Philipsen HP, Reichart PA. Adenomatoid odontogenic tumour: facts and figures. Oral Oncol. 1999;35:125–131.
Mortazavi H, Baharvand M. Jaw lesions associated with impacted tooth: a radiographic diagnostic guide. Imaging Sci Dent. 2016;46:147–157.
Rosa AC, Soares AB, Furuse C, Lima SR, de Araujo VC, Passador-Santos F. A combined epithelial odontogenic tumor? A 7-year follow-up case. Head Neck Pathol. 2016.
Phillips MD, Closmann JJ, Baus MR, Torske KR, Williams SB. Hybrid odontogenic tumor with features of ameloblastic fibro-odontoma, calcifying odontogenic cyst, and adenomatoid odontogenic tumor: a case report and review of the literature. J Oral Maxillofac Surg. 2010;68:470–474.
Buch RS, Coerdt W, Wahlmann U. Adenomatoid odontogenic tumor in calcifying odontogenic cyst. MundKiefer- und Gesichtschir. 2003;7:301–305.
Zeitoun IM, Dhanrajani PJ, Mosadomi HA. Adenomatoid odontogenic tumor arising in a calcifying odontogenic cyst. J Oral Maxillofac Surg. 1996;54:634–637.
Soares EC, Costa FW, Neto IC, Bezerra TP, do Socorro Vidal Patrocinio RM, Alves AP. Rare hybrid odontogenic tumor in a 2-year-old child. J Craniofac Surg. 2011;22:554–558.
Puneet Batra SP, Prakash H. Adenomatoid odontogenic tumour: review and case report. J Can Dent Assoc. 2005;71:250–253.
Nonaka CF, de Souza LB, Quindere LB. Adenomatoid odontogenic tumour associated with dentigerous cyst – unusual case report. Braz J Otorhinolaryngol. 2007;73:129–131.
Philipsen HP, Reichart PA, Zhang KH, Nikai H, Yu QX. Adenomatoid odontogenic tumor: biologic profile based on 499 cases. J Oral Pathol Med. 1991;20:149–158.
Kailasam Subramaniam MKS, Manoharan S, Elangovan M. Adenomatoid odontogenic tumor of the mandible. J Indian Acta Oral Med Radiol. 2012;24:66–69.
Prabhu YG.. Adenomatoid odontogenic tumor of the mandible. Indian J Stomatol. 2011;2:190–192.
Nigam S, Sanjeev Kumar Gupta KUC. Adenomatoid odontogenic tumor – a rare cause of jaw swelling. Braz Dent J. 2005;16:251–253.
Nomura M, Tanimoto K, Takata T, Shimosato T. Mandibular adenomatoid odontogenic tumor with unusual clinicopathologic features. J Oral Maxillofac Surg. 1992;50:282– 285.
Dayi E, Gurbuz G, Bilge OM, Ciftcioglu MA. Adenomatoid odontogenic tumour (adenoameloblastoma). Case report and review of the literature. Aust Dent J. 1997;42:315–318.
Chuan-Xiang Z, Yan G. Adenomatoid odontogenic tumor: a report of a rare case with recurrence. J Oral Pathol Med. 2007;36:440–443.
Garg D, Palaskar S, Shetty VP, Bhushan A. Adenomatoid odontogenic tumor – hamartoma or true neoplasm: a case report. J Oral Sci. 2009;51:155–159.