Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review

Adenomatoid Odontogenic Tumour (AOT) is a relatively uncommon benign odontogenic tumour composed of odontogenic epithelium in a variety of histoarchitectural patterns. Conventional AOT is predominantly seen in females in second decade of life exhibiting predilection for anterior region of maxilla....

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Autores principales: Pradipta Ramgonda Patil, Hirkani Attarde, Priyanka Prakash Kamble, Sangeeta Patankar, Gokul Sridharan
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Publicado: JCDR Research and Publications Private Limited 2021
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spelling oai:doaj.org-article:cf723eb80fb246b7b1f2ed7dda250f722021-11-10T04:55:19ZAdenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review10.7860/JCDR/2021/50469.153452249-782X0973-709Xhttps://doaj.org/article/cf723eb80fb246b7b1f2ed7dda250f722021-09-01T00:00:00Zhttps://www.jcdr.net/articles/PDF/15345/50469_CE[Ra1]_F(SHU)_PF1(AKA_SHU)_PN(KM).pdfhttps://doaj.org/toc/2249-782Xhttps://doaj.org/toc/0973-709XAdenomatoid Odontogenic Tumour (AOT) is a relatively uncommon benign odontogenic tumour composed of odontogenic epithelium in a variety of histoarchitectural patterns. Conventional AOT is predominantly seen in females in second decade of life exhibiting predilection for anterior region of maxilla. Very few cases of AOT associated with dentigerous cyst have been reported till date. The present case is unique associated with an impacted lower first premolar in the front region of the mandible of an 18-year-old female patient. The patient reported to the institute with gradually increasing swelling. The orthopantomogram revealed a unilocular radiolucency with displaced premolar. Histopathological examination confirmed 4×2.5×2 cm lesion in dimension, brownish black in colour, firm in consistency with a smooth surface grossly while cut surface revealed a cystic lumen with an impacted premolar embedded into the lining, cystic wall being nodular. Microscopic evaluation revealed a well encapsulated lesion with a thin 2-3 cell layered non keratinised stratified epithelial lining in patterns such as nests, rosette like structures and duct like structures. Thus the diagnosis of AOT arising from dentigerous cyst was confirmed. Patient's six month follow-up was uneventful. Literature search of similar cases with the review of hypothesised aetiopathogenesis is discussed in brief. The available data can help researchers resolve the uncertainty whether the AOT derived from dentigerous cyst could represent a distinct hybrid variety.Pradipta Ramgonda PatilHirkani AttardePriyanka Prakash KambleSangeeta Patankar Gokul SridharanJCDR Research and Publications Private Limitedarticlelower premolarmandibleneoplastic transformationodontogenic cystsMedicineRENJournal of Clinical and Diagnostic Research, Vol 15, Iss 9, Pp ED07-ED09 (2021)
institution DOAJ
collection DOAJ
language EN
topic lower premolar
mandible
neoplastic transformation
odontogenic cysts
Medicine
R
spellingShingle lower premolar
mandible
neoplastic transformation
odontogenic cysts
Medicine
R
Pradipta Ramgonda Patil
Hirkani Attarde
Priyanka Prakash Kamble
Sangeeta Patankar
Gokul Sridharan
Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review
description Adenomatoid Odontogenic Tumour (AOT) is a relatively uncommon benign odontogenic tumour composed of odontogenic epithelium in a variety of histoarchitectural patterns. Conventional AOT is predominantly seen in females in second decade of life exhibiting predilection for anterior region of maxilla. Very few cases of AOT associated with dentigerous cyst have been reported till date. The present case is unique associated with an impacted lower first premolar in the front region of the mandible of an 18-year-old female patient. The patient reported to the institute with gradually increasing swelling. The orthopantomogram revealed a unilocular radiolucency with displaced premolar. Histopathological examination confirmed 4×2.5×2 cm lesion in dimension, brownish black in colour, firm in consistency with a smooth surface grossly while cut surface revealed a cystic lumen with an impacted premolar embedded into the lining, cystic wall being nodular. Microscopic evaluation revealed a well encapsulated lesion with a thin 2-3 cell layered non keratinised stratified epithelial lining in patterns such as nests, rosette like structures and duct like structures. Thus the diagnosis of AOT arising from dentigerous cyst was confirmed. Patient's six month follow-up was uneventful. Literature search of similar cases with the review of hypothesised aetiopathogenesis is discussed in brief. The available data can help researchers resolve the uncertainty whether the AOT derived from dentigerous cyst could represent a distinct hybrid variety.
format article
author Pradipta Ramgonda Patil
Hirkani Attarde
Priyanka Prakash Kamble
Sangeeta Patankar
Gokul Sridharan
author_facet Pradipta Ramgonda Patil
Hirkani Attarde
Priyanka Prakash Kamble
Sangeeta Patankar
Gokul Sridharan
author_sort Pradipta Ramgonda Patil
title Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review
title_short Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review
title_full Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review
title_fullStr Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review
title_full_unstemmed Adenomatoid Odontogenic Tumour Associated with Dentigerous Cyst: Case Report with Literature Review
title_sort adenomatoid odontogenic tumour associated with dentigerous cyst: case report with literature review
publisher JCDR Research and Publications Private Limited
publishDate 2021
url https://doaj.org/article/cf723eb80fb246b7b1f2ed7dda250f72
work_keys_str_mv AT pradiptaramgondapatil adenomatoidodontogenictumourassociatedwithdentigerouscystcasereportwithliteraturereview
AT hirkaniattarde adenomatoidodontogenictumourassociatedwithdentigerouscystcasereportwithliteraturereview
AT priyankaprakashkamble adenomatoidodontogenictumourassociatedwithdentigerouscystcasereportwithliteraturereview
AT sangeetapatankar adenomatoidodontogenictumourassociatedwithdentigerouscystcasereportwithliteraturereview
AT gokulsridharan adenomatoidodontogenictumourassociatedwithdentigerouscystcasereportwithliteraturereview
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