Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological Aspects

Adenomatoid odontogenic tumors (AOT), first described by Steensland in 1905, are benign, slowly enlarging, nonaggressive, odontogenic epithelial neoplasms comprising 3%–7% of all odontogenic tumors. They tend to originate from the dental lamina remnants or the reduced enamel epithelium. Mutation at...

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Main Authors: Debarati Ray, Snehanjan Sarangi, Tathagata Bhattacharjee, Jay Gopal Ray
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2024-12-01
Series:Contemporary Clinical Dentistry
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Online Access:https://journals.lww.com/10.4103/ccd.ccd_230_24
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author Debarati Ray
Snehanjan Sarangi
Tathagata Bhattacharjee
Jay Gopal Ray
author_facet Debarati Ray
Snehanjan Sarangi
Tathagata Bhattacharjee
Jay Gopal Ray
author_sort Debarati Ray
collection DOAJ
description Adenomatoid odontogenic tumors (AOT), first described by Steensland in 1905, are benign, slowly enlarging, nonaggressive, odontogenic epithelial neoplasms comprising 3%–7% of all odontogenic tumors. They tend to originate from the dental lamina remnants or the reduced enamel epithelium. Mutation at codon 12 of KRAS oncogene (Kirsten rat sarcoma viral oncogene homolog) plays a pivotal role in the pathogenesis. AOTs demonstrate three clinicopathological spectrums, namely follicular, extrafollicular, and peripheral. The extrafollicular AOTs are hypothesized to originate from a stimulus triggering the dental lamina remnants. While intraosseous follicular AOTs are fairly common (70.8%), the extrafollicular counterparts are infrequent (24%), and novel entities that may mimic other lesions due to the absence of tooth inside. Herein, we elucidate a series of five unique extrafollicular AOT cases with a relevant emphasis on its pathogenesis and clinico-radiological aspects. This report aims to add another significant record to the literature pertaining to the compilation of extrafollicular AOTs.
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institution Kabale University
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language English
publishDate 2024-12-01
publisher Wolters Kluwer Medknow Publications
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series Contemporary Clinical Dentistry
spelling doaj-art-72ec2e6b66a24e7592fe7bfdccfdd77a2025-01-07T05:30:09ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612024-12-0115426526810.4103/ccd.ccd_230_24Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological AspectsDebarati RaySnehanjan SarangiTathagata BhattacharjeeJay Gopal RayAdenomatoid odontogenic tumors (AOT), first described by Steensland in 1905, are benign, slowly enlarging, nonaggressive, odontogenic epithelial neoplasms comprising 3%–7% of all odontogenic tumors. They tend to originate from the dental lamina remnants or the reduced enamel epithelium. Mutation at codon 12 of KRAS oncogene (Kirsten rat sarcoma viral oncogene homolog) plays a pivotal role in the pathogenesis. AOTs demonstrate three clinicopathological spectrums, namely follicular, extrafollicular, and peripheral. The extrafollicular AOTs are hypothesized to originate from a stimulus triggering the dental lamina remnants. While intraosseous follicular AOTs are fairly common (70.8%), the extrafollicular counterparts are infrequent (24%), and novel entities that may mimic other lesions due to the absence of tooth inside. Herein, we elucidate a series of five unique extrafollicular AOT cases with a relevant emphasis on its pathogenesis and clinico-radiological aspects. This report aims to add another significant record to the literature pertaining to the compilation of extrafollicular AOTs.https://journals.lww.com/10.4103/ccd.ccd_230_24adenomatoidextrafollicularglandularodontogenicrosette
spellingShingle Debarati Ray
Snehanjan Sarangi
Tathagata Bhattacharjee
Jay Gopal Ray
Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological Aspects
Contemporary Clinical Dentistry
adenomatoid
extrafollicular
glandular
odontogenic
rosette
title Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological Aspects
title_full Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological Aspects
title_fullStr Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological Aspects
title_full_unstemmed Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological Aspects
title_short Extrafollicular Adenomatoid Odontogenic Tumors: A Series of Five Rare Cases with an Insight into Its Clinicopathological Aspects
title_sort extrafollicular adenomatoid odontogenic tumors a series of five rare cases with an insight into its clinicopathological aspects
topic adenomatoid
extrafollicular
glandular
odontogenic
rosette
url https://journals.lww.com/10.4103/ccd.ccd_230_24
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AT tathagatabhattacharjee extrafollicularadenomatoidodontogenictumorsaseriesoffiverarecaseswithaninsightintoitsclinicopathologicalaspects
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