Tumor odontogênico escamoso: relato de um caso de envolvimento incomum

Lúcio, Priscilla S. C.; Sales, Marcelo Augusto O.; Godoy, Gustavo P.; Amorim, Rivadávio F. B.

doi:10.5935/1676-2444.20150066

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PATHOLOGY • J. Bras. Patol. Med. Lab. 51 (6) • Dez 2015 • https://doi.org/10.5935/1676-2444.20150066 copiar

Tumor odontogênico escamoso: relato de um caso de envolvimento incomum

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

O tumor odontogênico escamoso (TOE) é definido como uma neoplasia benigna rara, localmente infiltrativa, podendo estender-se a estruturas vizinhas. Objetivou-se relatar um caso de TOE de acometimento incomum. Paciente do sexo feminino, 56 anos de idade, fumante, demonstrou leve aumento de volume na região do mento na porção compreendida entre o canino esquerdo e o primeiro pré-molar direito. Imagens axial, coronal e sagital demonstraram lesão expansiva hipodensa na sínfise e na linha média mandibular. Fez-se a remoção parcial da lesão, o que levou ao diagnóstico de TOE. A paciente não apresentou recidiva durante quatro anos e dois meses de acompanhamento.

Unitermos:
tumor odontogênico escamoso; mandíbula; neoplasias

Reference	Number of cases	Sex	Age (years)	Site	Radiographic findings
Pullon et al. (1975)⁽¹1 Pullon PA, Shafer WG, Elzay RP, Kerr DA, Corio RL. Squamous odontogenic tumor. Report of six cases of a previously undescribed lesion. Oral Surg Oral Med Oral Pathol. 1975;40(5):616-30.⁾	6	fM (3)	23/11/19/31/42/29	Multicentric (1)	Radiolucent area; alveolar bone loss
		F (3)		Maxilla-anterior (3)
				Mandible-posterior (2)
Doyle et al. (1977)⁽¹⁴14 Doyle JL, Grodjesk JE, Dolinsky HB, Rafel SS. Squamous odontogenic tumor: report of three cases. J Oral Surg. 1977;35(12):994-6.⁾	2	M	26/65	Maxilla-anterior e posterior	Radiolucent area; multilocular
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Kangvonkit et al. (1981)⁽¹⁷17 Kangvonkit P, Sirichitra V, Hansasuta C. [Squamous odontogenic tumor (report of a case and review of the literature)]. J Dent Assoc Thai. 1981;31(1):25-33.⁾	1	M	32	Maxilla-anterior	Well-defined radiolucency
Carr et al. (1981)	1	F	66	Maxilla-posterior	Triangular-shaped radiolucent area
Leventon et al. (1981)⁽¹⁹19 Leventon GS, Happonen RP, Newland JR. Squamous odontogenic tumor. Am J Surg Pathol. 1981;5(7):671-7.⁾	1	M	59	Mandible-posterior	Well-defined radiolucent area
Goldblatt et al. (1982)⁽²⁰20 Goldblatt LI, Brannon RB, Ellis GL. Squamous odontogenic tumor. Report of five cases and review of the literature. Oral Surg Oral Med Oral Pathol. 1982;54(2):187-96.⁾	5	M (1)	60/29/30/26/67	Mandible-posterior (3)	Well-defined; triangular-shaped radiolucent area
		F (4)		Maxilla-posterior (1)
				Not stated (1)
Swan, McDaniel (1983)⁽²¹21 Swan RH, McDaniel RK. Squamous odontogenic proliferation with probable origin from the rests of Malassez (early squamous odontogenic tumor?). J Periodontol. 1983;54(8):493-6.⁾	1	M	32	Maxilla-posterior	Not stated
Cataldo et al. (1983)⁽²²22 Cataldo E, Less WC, Giunta JL. Squamous odontogenic tumor. A lesion of the periodontium. J Periodontol. 1983;54(12):731-5.⁾	1	F	24	Mandible-anterior	Radiolucent area between roots of right canine and first premolar
Norris et al. (1984)⁽²³23 Norris LH, Baghaei-Rad M, Maloney PL, Simpson G, Guinta J. Bilateral maxillary squamous odontogenic tumors and the malignant transformation of a mandibular radiolucent lesion. J Oral Maxillofac Surg. 1984;42(12):827-34.⁾	1	M	26	Maxilla-bilateral	Radiolucent area around crowns impacted third molars
Warnock et al. (1985)⁽²⁴24 Warnock GR, Pierce GL, Correll RW, Baker DA. Triangular-shaped radiolucent area between roots of the mandibular right canine and first premolar. J Am Dent Assoc. 1985;110(6):945-6.⁾	1	M	19	Mandible-anterior	Well-defined radiolucent area
Monteil, Teresti (1985)⁽²⁵25 Monteil RA, Terestri P. Squamous odontogenic tumor related to an unerupted lower canine. J Oral Maxillofac Surg. 1985;43(11):888-95.⁾	1	F	51	Mandible-anterior	Well-defined radiolucent area
Mills et al. (1986)⁽²⁶26 Mills WP, Davila MA, Beuttenmuller EA, Koudelka BM. Squamous odontogenic tumor. Report of a case with lesions in three quadrants. Oral Surg Oral Med Oral Pathol. 1986;61(6):557-63.⁾	1	M	26	Maxilla and mandible	Poorly defined radiolucent area
Tatemoto et al. (1989)⁽²⁷27 Tatemoto Y, Okada Y, Mori M. Squamous odontogenic tumor: immunohistochemical identification of keratins. Oral Surg Oral Med Oral Pathol. 1989;67(1):63-7.⁾	2	M	41/56	Mandible-anterior	Poorly defined radiolucency
	2	M	41/56	Maxilla-anterior	Poorly defined radiolucency
Leider et al. (1989)⁽²⁸28 Leider AS, Jonker LA, Cook HE. Multicentric familial squamous odontogenic tumor. Oral Surg Oral Med Oral Pathol. 1989;68(2):175-81.⁾	2	M	29/25	Multicentric	Triangular radiolucency; bone loss
Reichart, Philipsen (1990)⁽²⁹29 Reichart PA, Philipsen HP. Squamous odontogenic tumor. J Oral Pathol Med. 1990;19(5):226-8.⁾	1	M	56	Mandible-anterior	Multilocular radiolucency
Yaacob (1990)⁽³⁰30 Yaacob HB. Squamous odontogenic tumor. J Nihon Univ Sch Dent. 1990;32(3):187-91.⁾	1	M	39	Maxilla-anterior	Well-defined radiolucent area
Schwartz-Arad et al. (1990)⁽¹⁰10 Schwartz-Arad D, Lustmann J, Ulmansky M. Squamous odontogenic tumor. Review of the literature and case report. Int J Oral Maxillofac Surg. 1990;19(6):327-30.⁾	1	M	8	Mandible-anterior	Radiolucent area between canine and first molar
Baden et al. (1993)⁽⁷7 Baden E, Doyle J, Mesa M, Fabie M, Lederman D, Eichen M. Squamous odontogenic tumor. Report of three cases including the first extraosseous case. Oral Surg Oral Med Oral Pathol. 1993;75(6):733-8.⁾	3	M	46/39/74	Maxilla- posterior	Multilocular radiolucency in edentulous area
				Mandible-posterior
				Extra-osseous
Saxby et al. (1993)⁽³¹31 Saxby MS, Rippin JW, Sheron JE. Case report: squamous odontogenic tumor of the gingiva. J Periodontol. 1993;64(12):1250-2.⁾	2	M	59	Mandible-anterior	Radiolucent area; bone loss
Kusama et al. (1998)⁽³²32 Kusama K, Kawashima A, Nagai H, et al. Squamous odontogenic tumor of the maxilla: report of a case. J Oral Sci. 1998;40(3):119-22.⁾	1	F	42	Maxilla-posterior	Radiolucency associated with impacted tooth
Haghighat et al. (2002)⁽⁸8 Haghighat K, Kalmar JR, Mariotti AJ. Squamous odontogenic tumor: diagnosis and management. J Periodontol. 2002;73(6):653-6⁾	1	M	43	Maxilla-anterior	Triangular radiolucency
Barrios et al. (2004)⁽¹¹11 Barrios TJ, Sudol JC, Cleveland DB. Squamous odontogenic tumor associated with an erupting maxillary canine: case report. J Oral Maxillofac Surg. 2004;62(6):742-4.⁾	1	M	11	Maxilla-anterior	Triangular radiolucency
Ruhim et al. (2007)⁽¹³13 Ruhin B, Raoul G, Kolb F, et al. Aggressive maxillary squamous odontogenic tumour in a child: histological dilemma and adaptative surgical behaviour. Int J Oral Maxillofac Surg. 2007;36(9):864-6.⁾	1	M	9	Maxilla-anterior	Radiolucent area, unilocular, well-defined
Kim et al. (2007)⁽¹²12 Kim K, Mintz SM, Stevens J. Squamous odontogenic tumor causing erosion of the lingual cortical plate in the mandible: a report of 2 cases. J Oral Maxillofac Surg. 2007;65(6):1227-31.⁾		F	15/27	Maxilla-anterior	Triangular radiolucency
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