Tomar Kapil, Vasanthanarayanan R, Roy I D, Rangan Mohan
Division of Oral and Maxillofacial Surgery, AFMC, Pune, India.
Department of Dental Surgery & Oral Health Sciences, Division of Oral and Maxillofacial Surgery, Armed Forces Medical College, Solapur Road, Pune, Maharashtra 411040 India.
J Maxillofac Oral Surg. 2024 Feb;23(1):174-179. doi: 10.1007/s12663-023-01904-9. Epub 2023 Mar 31.
Clear cell odontogenic carcinoma (CCOC) is a rare epithelial malignant odontogenic tumor of the jaw with a distinct histology and deceptive behavior. As the clinical presentation is often misleading, the contribution of biopsy, molecular biology, immunohistochemistry and cytogenetics are essential in the diagnostic process. This article describes the presentation of an aymptomatic, painless swelling in the lower jaw of a 63 yrs old female, who was initially diagnosed as an ameloblastoma, taken up for segmental resection, subsequently histopathologically diagnosed as a case of clear cell odontogenic carcinoma and later managed with chemotherapy. Current management protocols and presentation of CCOC have also been reviewed.
透明细胞牙源性癌(CCOC)是一种罕见的颌骨上皮性恶性牙源性肿瘤,具有独特的组织学特征和欺骗性表现。由于临床表现常常具有误导性,活检、分子生物学、免疫组织化学和细胞遗传学在诊断过程中至关重要。本文描述了一名63岁女性下颌出现无症状、无痛性肿胀的病例,该患者最初被诊断为成釉细胞瘤,接受了节段性切除,随后经组织病理学诊断为透明细胞牙源性癌,后来接受了化疗。本文还回顾了CCOC的当前治疗方案和表现。