Li Yinghua, Bae Han-Ik, Kim Hak-Soo, Kang Min-Soo, Gong Bo-Ho, Jung Won-Hee, Lee Sranna, Bae Jin-Sook, Kim Kap-Ho, Song Si-Whan, Lee Jae-Hyun, Kang Boo-Hyon
Department of Pathology, Chemon Inc., Yongin, Korea.
Department of Pathology, Kyungpook National University Medical Center, Daegu, Korea.
Toxicol Res. 2017 Apr;33(2):141-147. doi: 10.5487/TR.2017.33.2.141. Epub 2017 Apr 15.
Peripheral ameloblastic odontoma is a rare variant of odontogenic tumor occurring in the extraosseous region. The present report describes a spontaneous tumor in male Sprague-Dawley (SD) rats. The clinically confirmed nodule in the right mandibular region was first observed when the rat was 42 weeks and remained until the terminal sacrifice date when the animal was 48 weeks of age. At necropsy, a well demarcated nodule, approximately 2.5 × 2.0 × 2.0 cm, protruded from the ventral area of the right mandible. The nodule was not attached to mandibular bone and was not continuous with the normal teeth. Histopathologically, the tumor was characterized by the simultaneous occurrence of an ameloblastomatous component and composite odontoma-like elements within the same tumor. The epithelial portion formed islands or cords resembling the follicle or plexiform pattern typical of ameloblastoma and was surrounded by mesenchymal tissue. Formation of eosinophilic and basophilic hard tissue matrix (dentin and enamel) resembling odontoma was observed in the center of the tumor. Mitotic figures were rare, and areas of cystic degeneration were present. Immunohistochemically, the epithelial component was positive for cytokeratin AE1/AE3 (CK AE1/AE3), and the mesenchymal component and odontoblast-like cells were positive for vimentin, in the same manner as in normal teeth. On the basis of these findings, the tumor was diagnosed as a peripheral ameloblastic odontoma in an extraosseous mandibular region in a SD rat. In the present study, we report the uncommon spontaneous peripheral ameloblastic odontoma in the SD rat. We also discuss here the morphological characteristics, origin, histochemical, and immunohistochemical features for the diagnosis of this tumor.
外周成釉细胞性牙瘤是一种发生于骨外区域的罕见牙源性肿瘤变体。本报告描述了一只雄性Sprague-Dawley(SD)大鼠身上的自发性肿瘤。这只大鼠42周龄时首次在右下颌区域发现临床确诊的结节,该结节一直存在直至大鼠48周龄处死后进行尸检。尸检时,一个边界清晰的结节从右下颌骨腹侧区域突出,大小约为2.5×2.0×2.0厘米。该结节未附着于下颌骨,也与正常牙齿不连续。组织病理学上,肿瘤的特征是在同一肿瘤内同时出现成釉细胞瘤成分和复合牙瘤样成分。上皮部分形成岛屿状或条索状,类似于成釉细胞瘤典型的滤泡或丛状模式,并被间充质组织包围。在肿瘤中心观察到形成了类似于牙瘤的嗜酸性和嗜碱性硬组织基质(牙本质和釉质)。有丝分裂象罕见,存在囊性变区域。免疫组织化学检测显示,上皮成分细胞角蛋白AE1/AE3(CK AE1/AE3)呈阳性,间充质成分和成牙本质细胞样细胞波形蛋白呈阳性,与正常牙齿情况相同。基于这些发现,该肿瘤被诊断为SD大鼠骨外下颌区域的外周成釉细胞性牙瘤。在本研究中,我们报告了SD大鼠中罕见的自发性外周成釉细胞性牙瘤。我们还在此讨论了该肿瘤的形态特征、起源、组织化学和免疫组织化学特征,以用于其诊断。