Cargando…

Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review

Odontogenic cysts are considered as nonneoplasic benign lesions. Among the cysts, keratocyst odontogenic tumor (KCOT) is an intra-osseous tumor characterized by parakeratinized stratified squamous epithelium and a potential for aggressive, infiltrative behavior, and for the possibility to develop ca...

Descripción completa

Detalles Bibliográficos
Autores principales: de Molon, Rafael Scaf, Verzola, Mario H., Pires, Luana C., Mascarenhas, Vinicius I., da Silva, Rodrigo B., Cirelli, Joni A., Barbeiro, Roberto H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374304/
https://www.ncbi.nlm.nih.gov/pubmed/25821360
http://dx.doi.org/10.4103/0976-237X.152963
_version_ 1782363468587859968
author de Molon, Rafael Scaf
Verzola, Mario H.
Pires, Luana C.
Mascarenhas, Vinicius I.
da Silva, Rodrigo B.
Cirelli, Joni A.
Barbeiro, Roberto H.
author_facet de Molon, Rafael Scaf
Verzola, Mario H.
Pires, Luana C.
Mascarenhas, Vinicius I.
da Silva, Rodrigo B.
Cirelli, Joni A.
Barbeiro, Roberto H.
author_sort de Molon, Rafael Scaf
collection PubMed
description Odontogenic cysts are considered as nonneoplasic benign lesions. Among the cysts, keratocyst odontogenic tumor (KCOT) is an intra-osseous tumor characterized by parakeratinized stratified squamous epithelium and a potential for aggressive, infiltrative behavior, and for the possibility to develop carcinomas in the lesion wall. Thus, the aim of this study was to describe a clinical case of KCOT in a young patient and discuss the treatment alternatives to solve this case. A 15-year-old male was referred for treatment of a giant lesion in his left side of the mandible. After the biopsy, a diagnostic of KCOT was made, and the following procedures were planned for KCOT treatment. Marsupialization was performed for lesion decompression and consequent lesion size reduction. Afterward, enucleation for complete KCOT removal was performed followed by third mandibular molar extraction. After 5 years, no signs of recurrence were observed. The treatment proposed was efficient in removing the KCOT with minimal surgical morbidity and optimal healing process, and the first and second mandibular molars were preserved with pulp vitality. In conclusion, this treatment protocol was an effective and conservative approach for the management of the KCOT, enabling the reduction of the initial lesion, the preservation of anatomical structures and teeth, allowing quicker return to function. No signs of recurrence after 5 years were observed.
format Online
Article
Text
id pubmed-4374304
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Medknow Publications & Media Pvt Ltd
record_format MEDLINE/PubMed
spelling pubmed-43743042015-03-27 Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review de Molon, Rafael Scaf Verzola, Mario H. Pires, Luana C. Mascarenhas, Vinicius I. da Silva, Rodrigo B. Cirelli, Joni A. Barbeiro, Roberto H. Contemp Clin Dent Case Report Odontogenic cysts are considered as nonneoplasic benign lesions. Among the cysts, keratocyst odontogenic tumor (KCOT) is an intra-osseous tumor characterized by parakeratinized stratified squamous epithelium and a potential for aggressive, infiltrative behavior, and for the possibility to develop carcinomas in the lesion wall. Thus, the aim of this study was to describe a clinical case of KCOT in a young patient and discuss the treatment alternatives to solve this case. A 15-year-old male was referred for treatment of a giant lesion in his left side of the mandible. After the biopsy, a diagnostic of KCOT was made, and the following procedures were planned for KCOT treatment. Marsupialization was performed for lesion decompression and consequent lesion size reduction. Afterward, enucleation for complete KCOT removal was performed followed by third mandibular molar extraction. After 5 years, no signs of recurrence were observed. The treatment proposed was efficient in removing the KCOT with minimal surgical morbidity and optimal healing process, and the first and second mandibular molars were preserved with pulp vitality. In conclusion, this treatment protocol was an effective and conservative approach for the management of the KCOT, enabling the reduction of the initial lesion, the preservation of anatomical structures and teeth, allowing quicker return to function. No signs of recurrence after 5 years were observed. Medknow Publications & Media Pvt Ltd 2015-03 /pmc/articles/PMC4374304/ /pubmed/25821360 http://dx.doi.org/10.4103/0976-237X.152963 Text en Copyright: © Contemporary Clinical Dentistry http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
de Molon, Rafael Scaf
Verzola, Mario H.
Pires, Luana C.
Mascarenhas, Vinicius I.
da Silva, Rodrigo B.
Cirelli, Joni A.
Barbeiro, Roberto H.
Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review
title Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review
title_full Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review
title_fullStr Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review
title_full_unstemmed Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review
title_short Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review
title_sort five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4374304/
https://www.ncbi.nlm.nih.gov/pubmed/25821360
http://dx.doi.org/10.4103/0976-237X.152963
work_keys_str_mv AT demolonrafaelscaf fiveyearsfollowupofakeratocystodontogenictumortreatedbymarsupializationandenucleationacasereportandliteraturereview
AT verzolamarioh fiveyearsfollowupofakeratocystodontogenictumortreatedbymarsupializationandenucleationacasereportandliteraturereview
AT piresluanac fiveyearsfollowupofakeratocystodontogenictumortreatedbymarsupializationandenucleationacasereportandliteraturereview
AT mascarenhasviniciusi fiveyearsfollowupofakeratocystodontogenictumortreatedbymarsupializationandenucleationacasereportandliteraturereview
AT dasilvarodrigob fiveyearsfollowupofakeratocystodontogenictumortreatedbymarsupializationandenucleationacasereportandliteraturereview
AT cirellijonia fiveyearsfollowupofakeratocystodontogenictumortreatedbymarsupializationandenucleationacasereportandliteraturereview
AT barbeirorobertoh fiveyearsfollowupofakeratocystodontogenictumortreatedbymarsupializationandenucleationacasereportandliteraturereview