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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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2015
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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 |
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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 |
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