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Calcifying epithelial odontogenic tumor: An updated analysis of 339 cases reported in the literature
Malmö högskola, Faculty of Odontology (OD).ORCID iD: 0000-0002-3460-3374
Department of Oral Surgery and Pathology (Head: Dr. Henrique Pretti), School of Dentistry, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
2017 (English)In: Journal of Cranio-Maxillofacial Surgery, ISSN 1010-5182, E-ISSN 1878-4119, Vol. 45, no 8, p. 1117-1123Article in journal (Refereed)
Abstract [en]

Purpose: The aim of this study was to integrate the available data published on calcifying epithelial odontogenic tumors (CEOT) into a comprehensive analysis of its clinical and radiologic features. Materials and Methods: An electronic search was undertaken in May 2016. Eligibility criteria were publications having enough clinical, radiological and/or histological information to confirm definite diagnosis. Results: A total of 362 lesions were found, 339 with enough information were analyzed. Variants clear cells (n=33) and Langerhans cells (n=10) were rarely described in the literature, as well as lesions with malignant transformation (n=8). Central lesions (n=264) were more prevalent than their peripheral counterparts (n=24). A higher prevalence characterized the mandible, posterior region, and third and fourth decades. About 40% of the peripheral lesions showed signs of underlying bone erosion, and about half of the central ones showed signs of cortical bone perforation. Recurrence was found in all lesions (12.6%), peripheral lesions (18.8%), central lesions (11.6%), clear cell (10.7%), Langerhans cell (0%), and those with malignant transformation (42.9%). Excision or curettage was associated with the highest recurrence rate. None of the variables showed a statistically significant influence on the recurrence rate. Conclusions: The possible locally aggressive behavior of the lesions recommends a less conservative management than simple curettage. The clear cell variant shows similar demographic data and biological behavior compared to the non-variant lesions, suggesting that the presence of clear cells does not have an important clinical significance.

Place, publisher, year, edition, pages
Elsevier, 2017. Vol. 45, no 8, p. 1117-1123
Keywords [en]
Calcifying epithelial odontogenic tumor, Pindborg tumor, Intraosseous, Extraosseous, Clinical features, Recurrence rate
National Category
Dentistry
Identifiers
URN: urn:nbn:se:mau:diva-15693DOI: 10.1016/j.jcms.2017.05.007ISI: 000406756400003PubMedID: 28601296Scopus ID: 2-s2.0-85020481516Local ID: 22675OAI: oai:DiVA.org:mau-15693DiVA, id: diva2:1419215
Available from: 2020-03-30 Created: 2020-03-30 Last updated: 2024-06-17Bibliographically approved

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Publisher's full textPubMedScopushttp://www.jcmfs.com/article/S1010-5182(17)30163-4/fulltext

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Chrcanovic, Bruno

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