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Clear-cell variant of calcifying epithelial odontogenic tumor: Clinical and radiographic characteristics

2003; Elsevier BV; Volume: 95; Issue: 3 Linguagem: Inglês

10.1067/moe.2003.8

1528-395X

Yakir Anavi, Ilana Kaplan, Mete Citir, Shlomo Calderon,

Soft tissue tumor case studies

Abstract Objectives. Clear cells have been reported in approximately 8% of cases of calcifying epithelial odontogenic tumor (CEOT). The purpose of this study was to describe the clinical and radiographic features of clear-cell CEOT (CCEOT). Study Design. Eighteen cases of CCEOT were identified by review of the literature from 1958 to 2001, and a new one was added (total 19; 12 central, 7 peripheral). Results. Fourteen tumors (74%) were located in the mandible, with the central lesions favoring the posterior area and the peripheral lesions the anterior-bicuspid area. Radiographic features were as follows: 50% radiolucent, 50% mixed radiolucent-radiopaque; 92% unilocular; 64% well-defined noncorticated borders, 27% well-defined corticated borders, 9% irregular borders. Cortical perforation was common (67%) compared with CEOT without a clear-cell component (6.7%). Recurrence was reported in 17% of the central lesions and none of the peripheral ones. Conclusions. CCEOT is a distinct variant of CEOT; its high tendency for cortical perforation may indicate a more aggressive behavior. (Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2003;95:332-9)