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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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| Series: | Contemporary Clinical Dentistry |
| Subjects: | |
| Online Access: | http://www.contempclindent.org/article.asp?issn=0976-237X;year=2015;volume=6;issue=5;spage=106;epage=110;aulast=de |
| _version_ | 1828522857510993920 |
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| author | Rafael Scaf de Molon Mario H Verzola Luana C Pires Vinicius I Mascarenhas Rodrigo B da Silva Joni A Cirelli Roberto H Barbeiro |
| author_facet | Rafael Scaf de Molon Mario H Verzola Luana C Pires Vinicius I Mascarenhas Rodrigo B da Silva Joni A Cirelli Roberto H Barbeiro |
| author_sort | Rafael Scaf de Molon |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-11T20:17:01Z |
| format | Article |
| id | doaj.art-0bc823c2031b43b093706ff0ef8bb4d2 |
| institution | Directory Open Access Journal |
| issn | 0976-237X 0976-2361 |
| language | English |
| last_indexed | 2024-12-11T20:17:01Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Contemporary Clinical Dentistry |
| spelling | doaj.art-0bc823c2031b43b093706ff0ef8bb4d22022-12-22T00:52:10ZengWolters Kluwer Medknow PublicationsContemporary Clinical Dentistry0976-237X0976-23612015-01-016510611010.4103/0976-237X.152963Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature reviewRafael Scaf de MolonMario H VerzolaLuana C PiresVinicius I MascarenhasRodrigo B da SilvaJoni A CirelliRoberto H BarbeiroOdontogenic 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.http://www.contempclindent.org/article.asp?issn=0976-237X;year=2015;volume=6;issue=5;spage=106;epage=110;aulast=deKeratocystic tumorodontogenic cystodontogenic tumortreatment alternative |
| spellingShingle | Rafael Scaf de Molon Mario H Verzola Luana C Pires Vinicius I Mascarenhas Rodrigo B da Silva Joni A Cirelli Roberto H Barbeiro Five years follow-up of a keratocyst odontogenic tumor treated by marsupialization and enucleation: A case report and literature review Contemporary Clinical Dentistry Keratocystic tumor odontogenic cyst odontogenic tumor treatment alternative |
| 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 | Keratocystic tumor odontogenic cyst odontogenic tumor treatment alternative |
| url | http://www.contempclindent.org/article.asp?issn=0976-237X;year=2015;volume=6;issue=5;spage=106;epage=110;aulast=de |
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