Kim Minkyu, Cho Eunae, Kim Jae-Young, Kim Hyun Sil, Nam Woong
Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea.
Department of Oral Pathology, College of Dentistry, Yonsei University, Seoul, Korea.
J Korean Assoc Oral Maxillofac Surg. 2014 Aug;40(4):199-203. doi: 10.5125/jkaoms.2014.40.4.199. Epub 2014 Aug 26.
Clear cell odontogenic carcinoma (CCOC) is a rare jaw tumor that was classified as a malignant tumor of odontogenic origin in 2005 by the World Health Organization because of its aggressive and destructive growth capacity and metastasis to the lungs and lymph nodes. We report a case of a 66-year-old female who had swelling, incision and drainage history and a well-defined unicystic radiolucent lesion that was comparable to a cystic lesion. At first, the patient received decompression, and the lesion size decreased. Three months after decompression, cyst enucleation was performed. The pathologic result indicated that the lesion was CCOC. In this report we emphasize that patients with painful cystic lesions in addition to jaw enlargement and loosening teeth should be considered for the possibility of malignancy.
透明细胞牙源性癌（CCOC）是一种罕见的颌骨肿瘤，由于其具有侵袭性和破坏性生长能力以及可转移至肺和淋巴结，在2005年被世界卫生组织归类为牙源性恶性肿瘤。我们报告一例66岁女性病例，该患者有肿胀、切开引流史，存在一个边界清晰的单房性透射性病变，类似于囊性病变。起初，患者接受了减压治疗，病变大小减小。减压三个月后，进行了囊肿摘除术。病理结果表明该病变为透明细胞牙源性癌。在本报告中，我们强调，除颌骨肿大和牙齿松动外，伴有疼痛性囊性病变的患者应考虑恶性病变的可能性。
