Zhang A, Chaw S Y, Talacko A A, Besly W J, Savage N W, Monsour P A
School of Dentistry, The University of Queensland, Herston, Queensland, Australia.
Specialist Private Practice, Melbourne, Victoria, Australia.
Aust Dent J. 2016 Sep;61(3):381-5. doi: 10.1111/adj.12384.
The calcifying epithelial odontogenic tumour (CEOT), or Pindborg tumour, is a rare, benign odontogenic tumour. CEOT is usually asymptomatic and an incidental radiological finding, often presenting as a mandibular radiolucency with flecks of calcific material. We report an unusual case of CEOT in the left posterior maxilla of a 46-year-old male that was associated with an unerupted tooth. The tumour in this case caused non-specific sinus symptoms and appeared radiographically similar to an odontoma or ossifying fibroma due to its dense calcific contents. Diagnosis was confirmed histologically following surgical removal of the lesion, which showed classic CEOT histomorphology. We report this case to highlight the unusual clinico-radiologic presentation and illustrate the diagnostic difficulties that can occur with radiolucent and/or radiopaque lesions in the jaws.
钙化上皮性牙源性肿瘤(CEOT),即平博肿瘤,是一种罕见的良性牙源性肿瘤。CEOT通常无症状,多为偶然的影像学检查发现,常表现为下颌骨的透光区伴有钙化物质斑点。我们报告一例46岁男性左侧上颌后牙区CEOT的罕见病例,该肿瘤与一颗未萌出的牙齿相关。该病例中的肿瘤引起了非特异性鼻窦症状,由于其高密度钙化成分,在影像学上类似于牙瘤或骨化性纤维瘤。在手术切除病变后经组织学检查确诊,显示为典型的CEOT组织形态学。我们报告此病例以突出其不寻常的临床影像学表现,并说明颌骨透光性和/或不透光性病变可能出现的诊断困难。