Wong Hannah E, Hedley Joanna, Stapleton Nadene, Murphy Brian, Priestnall Simon L
Department of Pathobiology and Population Sciences, Royal Veterinary College, Hertfordshire, UK (Wong, Priestnall).
Department of Clinical Sciences and Services, Royal Veterinary College, London, UK (Hedley, Stapleton).
J Vet Diagn Invest. 2018 Sep;30(5):793-797. doi: 10.1177/1040638718794784. Epub 2018 Aug 22.
Odontoameloblastomas (previously incorporated within ameloblastic odontomas) are matrix-producing odontogenic mixed tumors and are closely related in histologic appearance to the 2 other types of matrix-producing odontogenic mixed tumors: odontomas and ameloblastic fibro-odontomas. The presence or absence of intralesional, induced non-neoplastic tissue must be accounted for in the diagnosis. Herein we describe a naturally occurring odontoameloblastoma with extensive chondroid cementum deposition in a guinea pig ( Cavia porcellus). Microscopically, the mass featured palisading neoplastic odontogenic epithelium closely apposed to ribbons and rings of a pink dental matrix (dentinoid), alongside extensive sheets and aggregates of chondroid cementum. The final diagnosis was an odontoameloblastoma given the abundance of odontogenic epithelium in association with dentinoid but a paucity of pulp ectomesenchyme. Chondroid cementum is an expected anatomical feature of cavies, and its presence within the odontoameloblastoma was interpreted as a response of the ectomesenchyme of the dental follicle to the described neoplasm. Our case illustrates the inductive capabilities of odontoameloblastomas while highlighting species-specific anatomy that has resulted in a histologic appearance unique to cavies and provides imaging and histologic data to aid diagnosis of these challenging lesions.
牙成釉细胞瘤(以前归入成釉细胞性牙瘤)是产生基质的牙源性混合瘤,在组织学表现上与另外两种产生基质的牙源性混合瘤密切相关:牙瘤和成釉细胞性纤维牙瘤。在诊断中必须考虑瘤内是否存在诱导性非肿瘤组织。在此,我们描述了一只豚鼠(豚鼠属)体内自然发生的具有广泛软骨样牙骨质沉积的牙成釉细胞瘤。显微镜下,肿物的特征为栅栏状肿瘤性牙源性上皮紧密贴附于粉色牙基质(类牙本质)的条带和环,同时伴有广泛的软骨样牙骨质片层和团块。鉴于牙源性上皮丰富且伴有类牙本质,但牙髓外间充质稀少,最终诊断为牙成釉细胞瘤。软骨样牙骨质是豚鼠的一种预期解剖学特征,其在牙成釉细胞瘤内的存在被解释为牙囊外间充质对所述肿瘤的反应。我们的病例说明了牙成釉细胞瘤的诱导能力,同时突出了物种特异性解剖结构,这种结构导致了豚鼠特有的组织学表现,并提供了影像学和组织学数据以辅助诊断这些具有挑战性的病变。