Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case report

Sclerosing odontogenic carcinoma (SOC) is a rare intraosseous carcinoma of the jaw which was recently added to the World Health Organization classification of head and neck tumors. We report a case of SOC in the left maxilla of a 64-year-old who complained of several years of midface swelling, facia...

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Main Authors: Leyn B. Shakhtour, Jonathan Tucci, Barbara Murphy, Kim Ely, Michael C. Topf
Format: Article
Language:English
Published: Elsevier 2024-03-01
Series:Oral Oncology Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772906024000256
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author Leyn B. Shakhtour
Jonathan Tucci
Barbara Murphy
Kim Ely
Michael C. Topf
author_facet Leyn B. Shakhtour
Jonathan Tucci
Barbara Murphy
Kim Ely
Michael C. Topf
author_sort Leyn B. Shakhtour
collection DOAJ
description Sclerosing odontogenic carcinoma (SOC) is a rare intraosseous carcinoma of the jaw which was recently added to the World Health Organization classification of head and neck tumors. We report a case of SOC in the left maxilla of a 64-year-old who complained of several years of midface swelling, facial pain, and facial weakness. Imaging revealed an infiltrative mass and biopsy demonstrated fibrous dysplasia involved by a low-grade carcinoma, undeterminable origin. A partial maxillectomy was remarkable for scattered small, angulated nests and long, thin cords of cuboidal cells infiltrating a markedly sclerotic stroma. Bony changes consistent with fibrous dysplasia were again seen. Immunohistochemically, the epithelial cells were reactive for AE1/AE3 and p63, while negative for ERG and myogenin consistent with odontogenic carcinoma. The disease was not resectable, and the patient was treated with palliative immunotherapy. The diagnosis of SOC requires careful evaluation of clinical and pathologic features.
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spelling doaj-art-8ecab72f2909490fa234b854ade4bc732025-01-09T06:15:14ZengElsevierOral Oncology Reports2772-90602024-03-019100179Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case reportLeyn B. Shakhtour0Jonathan Tucci1Barbara Murphy2Kim Ely3Michael C. Topf4George Washington University School of Medicine and Health Sciences, Washington, DC, USA; Corresponding author. George Washington University School of Medicine and Health Sciences, 2300 I St NW, Washington, DC, 20052, USA.Department of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USADivision of Hematology and Oncology, Vanderbilt-Ingram Cancer Center, Nashville, TN, USADepartment of Pathology, Microbiology and Immunology, Vanderbilt University Medical Center, Nashville, TN, USADepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, TN, USASclerosing odontogenic carcinoma (SOC) is a rare intraosseous carcinoma of the jaw which was recently added to the World Health Organization classification of head and neck tumors. We report a case of SOC in the left maxilla of a 64-year-old who complained of several years of midface swelling, facial pain, and facial weakness. Imaging revealed an infiltrative mass and biopsy demonstrated fibrous dysplasia involved by a low-grade carcinoma, undeterminable origin. A partial maxillectomy was remarkable for scattered small, angulated nests and long, thin cords of cuboidal cells infiltrating a markedly sclerotic stroma. Bony changes consistent with fibrous dysplasia were again seen. Immunohistochemically, the epithelial cells were reactive for AE1/AE3 and p63, while negative for ERG and myogenin consistent with odontogenic carcinoma. The disease was not resectable, and the patient was treated with palliative immunotherapy. The diagnosis of SOC requires careful evaluation of clinical and pathologic features.http://www.sciencedirect.com/science/article/pii/S2772906024000256Sclerosing odontogenic carcinomaFibrous dysplasiaSclerosisSkeletal muscle infiltrationHead and neck
spellingShingle Leyn B. Shakhtour
Jonathan Tucci
Barbara Murphy
Kim Ely
Michael C. Topf
Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case report
Oral Oncology Reports
Sclerosing odontogenic carcinoma
Fibrous dysplasia
Sclerosis
Skeletal muscle infiltration
Head and neck
title Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case report
title_full Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case report
title_fullStr Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case report
title_full_unstemmed Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case report
title_short Sclerosing odontogenic carcinoma presenting in the maxilla of a 64-year-old female: A case report
title_sort sclerosing odontogenic carcinoma presenting in the maxilla of a 64 year old female a case report
topic Sclerosing odontogenic carcinoma
Fibrous dysplasia
Sclerosis
Skeletal muscle infiltration
Head and neck
url http://www.sciencedirect.com/science/article/pii/S2772906024000256
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