Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior Region

Background. Adenomatoid odontogenic tumor (AOT) is a relatively uncommon benign neoplasm of odontogenic epithelial origin, accounting for less than 5% of odontogenic tumors. Case Report. The reported case describes morphological characteristics, clinical course, radiographic and histopathological fe...

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Main Authors: Gerardo La Monaca, Nicola Pranno, Cira Rosaria Tiziana di Gioia, Giorgio Pompa, Iole Vozza, Maria Paola Cristalli
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2019/3787696
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author Gerardo La Monaca
Nicola Pranno
Cira Rosaria Tiziana di Gioia
Giorgio Pompa
Iole Vozza
Maria Paola Cristalli
author_facet Gerardo La Monaca
Nicola Pranno
Cira Rosaria Tiziana di Gioia
Giorgio Pompa
Iole Vozza
Maria Paola Cristalli
author_sort Gerardo La Monaca
collection DOAJ
description Background. Adenomatoid odontogenic tumor (AOT) is a relatively uncommon benign neoplasm of odontogenic epithelial origin, accounting for less than 5% of odontogenic tumors. Case Report. The reported case describes morphological characteristics, clinical course, radiographic and histopathological features, and surgical therapy of an extrafollicular variant of AOT in the maxillary posterior region. An asymptomatic swelling on the left side in the posterior region of the maxilla, gradually increased since approximately 12 months, developed in a 16-year-old Caucasian female patient. Radiographic images revealed a well-defined, unilocular radiolucency, with some small foci of radiopacity inside, and root resorption of the first and second molars. On the base of the histological examination of the specimen retrieved by incisional biopsy, the diagnosis of AOT was made, and the conservative surgical enucleation of the lesion was performed. Discussion. The present case was reported in agreement with an extensive review, in which it was recommended to discontinue reporting classic follicular cases because their clinicopathological profile was well-known, but to continue reporting well-documented cases of the extrafollicular variant, with indication of the exact position. Conclusion. The present case was reported in order to expand the knowledge about the clinical behavior and surgical treatment of the extrafollicular variant of AOT.
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spelling doaj-art-f2ba1eb494f3463aae3ac27b990474a92025-02-03T05:47:28ZengWileyCase Reports in Dentistry2090-64472090-64552019-01-01201910.1155/2019/37876963787696Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior RegionGerardo La Monaca0Nicola Pranno1Cira Rosaria Tiziana di Gioia2Giorgio Pompa3Iole Vozza4Maria Paola Cristalli5Department of Sense Organs, Sapienza University of Rome, Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Biotechnologies and Medical Surgical Sciences, Sapienza University of Rome, Rome, ItalyBackground. Adenomatoid odontogenic tumor (AOT) is a relatively uncommon benign neoplasm of odontogenic epithelial origin, accounting for less than 5% of odontogenic tumors. Case Report. The reported case describes morphological characteristics, clinical course, radiographic and histopathological features, and surgical therapy of an extrafollicular variant of AOT in the maxillary posterior region. An asymptomatic swelling on the left side in the posterior region of the maxilla, gradually increased since approximately 12 months, developed in a 16-year-old Caucasian female patient. Radiographic images revealed a well-defined, unilocular radiolucency, with some small foci of radiopacity inside, and root resorption of the first and second molars. On the base of the histological examination of the specimen retrieved by incisional biopsy, the diagnosis of AOT was made, and the conservative surgical enucleation of the lesion was performed. Discussion. The present case was reported in agreement with an extensive review, in which it was recommended to discontinue reporting classic follicular cases because their clinicopathological profile was well-known, but to continue reporting well-documented cases of the extrafollicular variant, with indication of the exact position. Conclusion. The present case was reported in order to expand the knowledge about the clinical behavior and surgical treatment of the extrafollicular variant of AOT.http://dx.doi.org/10.1155/2019/3787696
spellingShingle Gerardo La Monaca
Nicola Pranno
Cira Rosaria Tiziana di Gioia
Giorgio Pompa
Iole Vozza
Maria Paola Cristalli
Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior Region
Case Reports in Dentistry
title Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior Region
title_full Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior Region
title_fullStr Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior Region
title_full_unstemmed Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior Region
title_short Surgical Management of Extrafollicular Variant of Adenomatoid Odontogenic Tumor in the Maxillary Posterior Region
title_sort surgical management of extrafollicular variant of adenomatoid odontogenic tumor in the maxillary posterior region
url http://dx.doi.org/10.1155/2019/3787696
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