A rare case report of an adenomatoid odontogenic tumor associated with odontoma in the maxilla. (2017)

• Record Type: Journal Article
• Authors: Assao, Agnes; Freitas, Diogo Loureiro de; Oliveira, Denise Tostes
• Is Part Of: International journal of surgery case reports. Volume 39(2017)
• Page Start: 245
• Page End: 249
• Publication Date: 2017
• Subjects: Adenomatoid odontogenic tumor -- Odontoma -- Odontogenic tumor -- Case report; Surgery -- Periodicals; Surgical Procedures, Operative -- Periodicals; Surgery; Electronic journals; Periodicals; 617.005
• DOI: 10.1016/j.ijscr.2017.08.020
• Languages: English
• ISSNs: 2210-2612

Abstract

Highlights: This case reports the second case of AOT associated with odontoma in the posterior maxillary region. The origin of adenomatoid odontogenic tumor associated with odontoma is not completely established and still under debate. Fewer cases of AOT associated with odontoma had been described, and this case will contribute for future odontogenic tumors classification. Abstract: Introduction: The adenomatoid odontogenic tumor (AOT) associated with odontoma has been described as a new entity with overlapping features of adenomatoid-like structures and odontoma. Presentation of the case: We report the second case of AOT associated with odontoma in the posterior maxillary region. A 22-year-old patient presented expansion of the vestibular and palatine cortical wall of maxilla. Radiographic examination and computed tomography confirmed erosion of maxillary walls, root resorption, displacement of a neighboring tooth and radiopacities within the lesion. Histopathological analysis showed a cystic cavity lined by odontogenic epithelium, organized as duct like structures and tubular dentin. The diagnosis established was AOT associated with odontoma. Discussion: As fewer cases have been described, the aim of this study is to report clinical behavior and evolution of adenomatoid odontogenic tumor associated with odontoma, as it have not yet been described and its origin is not completely established. The hamartomatous or neoplastic origin of this tumor is under debate. Conclusions: Therefore, it is necessary similar cases to be published to increase the knowledge about the clinical behavior and evolution of this tumor, to enable such lesions to be more clearly defined in the next classification of odontogenic tumors.