Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?

Overlapping clinicopathological features of non-calcifying Langerhans cell rich variant of calcifying epithelial odontogenic tumor (NCLC-CEOT) and the amyloid rich variant of the central odontogenic fibroma (AR-COF) have been recognized recently. It is still under debate whether these two diseases a...

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Main Authors: Chih-Huang Tseng, Pei-Hsuan Lu, Yi-Ping Wang, Chun-Pin Chiang, Yi-Shing Lisa Cheng, Julia Yu Fong Chang
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-10-01
Series:Frontiers in Oral Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/froh.2021.767201/full
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author Chih-Huang Tseng
Chih-Huang Tseng
Chih-Huang Tseng
Pei-Hsuan Lu
Pei-Hsuan Lu
Yi-Ping Wang
Yi-Ping Wang
Yi-Ping Wang
Chun-Pin Chiang
Chun-Pin Chiang
Yi-Shing Lisa Cheng
Julia Yu Fong Chang
Julia Yu Fong Chang
Julia Yu Fong Chang
author_facet Chih-Huang Tseng
Chih-Huang Tseng
Chih-Huang Tseng
Pei-Hsuan Lu
Pei-Hsuan Lu
Yi-Ping Wang
Yi-Ping Wang
Yi-Ping Wang
Chun-Pin Chiang
Chun-Pin Chiang
Yi-Shing Lisa Cheng
Julia Yu Fong Chang
Julia Yu Fong Chang
Julia Yu Fong Chang
author_sort Chih-Huang Tseng
collection DOAJ
description Overlapping clinicopathological features of non-calcifying Langerhans cell rich variant of calcifying epithelial odontogenic tumor (NCLC-CEOT) and the amyloid rich variant of the central odontogenic fibroma (AR-COF) have been recognized recently. It is still under debate whether these two diseases are indeed one unique disease entity or belong to CEOT and COF, respectively. To clarify this issue, we have performed a literature review to compare the similarities and differences in clinicopathological features among NCLC-CEOT, AR-COF, classic CEOT, and classic COF. We aimed to investigate whether NCLC-CEOT and AR-COF might be the same and one distinctive disease entity, or a variant (or variants) of either CEOT or COF; or whether COF, NCLC-CEOT/AR-COF, and CEOT represented a histopathological spectrum of one disease. Our results indicate that NCLC-CEOT and AR-COF cases share many similar clinicopathological features. Thus, we suggest that they are the same disease entity. Due to nearly no reported recurrence of NCLC-CEOT/AR-COF cases, the conservative surgical treatment is appropriate. The NCLC-CEOT/AR-COF cases show some overlapping clinicopathological features with COF rather than the CEOT cases. However, differences in the clinicopathological features are still recognized among the NCLC-CEOT/AR-COF, COF, and CEOT cases. Future research, particularly molecular biological studies, may further elucidate their relationships and assist proper classification of the NCLC-CEOT/AR-COF cases.
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spelling doaj.art-cedcc309eeff4f40bbd63ac8d9f6a4912022-12-21T20:37:29ZengFrontiers Media S.A.Frontiers in Oral Health2673-48422021-10-01210.3389/froh.2021.767201767201Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?Chih-Huang Tseng0Chih-Huang Tseng1Chih-Huang Tseng2Pei-Hsuan Lu3Pei-Hsuan Lu4Yi-Ping Wang5Yi-Ping Wang6Yi-Ping Wang7Chun-Pin Chiang8Chun-Pin Chiang9Yi-Shing Lisa Cheng10Julia Yu Fong Chang11Julia Yu Fong Chang12Julia Yu Fong Chang13Division of Oral Pathology and Maxillofacial Radiology, Kaohsiung Medical University Hospital, Kaohsiung, TaiwanOral and Maxillofacial Imaging Center, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, TaiwanGraduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, TaiwanGraduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, TaiwanDepartment of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, TaiwanGraduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, TaiwanDepartment of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, TaiwanGraduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, TaiwanGraduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, TaiwanDepartment of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, TaiwanDepartment of Diagnostic Sciences, Texas A&M University College of Dentistry, Dallas, TX, United StatesGraduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, TaiwanDepartment of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, TaiwanGraduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, TaiwanOverlapping clinicopathological features of non-calcifying Langerhans cell rich variant of calcifying epithelial odontogenic tumor (NCLC-CEOT) and the amyloid rich variant of the central odontogenic fibroma (AR-COF) have been recognized recently. It is still under debate whether these two diseases are indeed one unique disease entity or belong to CEOT and COF, respectively. To clarify this issue, we have performed a literature review to compare the similarities and differences in clinicopathological features among NCLC-CEOT, AR-COF, classic CEOT, and classic COF. We aimed to investigate whether NCLC-CEOT and AR-COF might be the same and one distinctive disease entity, or a variant (or variants) of either CEOT or COF; or whether COF, NCLC-CEOT/AR-COF, and CEOT represented a histopathological spectrum of one disease. Our results indicate that NCLC-CEOT and AR-COF cases share many similar clinicopathological features. Thus, we suggest that they are the same disease entity. Due to nearly no reported recurrence of NCLC-CEOT/AR-COF cases, the conservative surgical treatment is appropriate. The NCLC-CEOT/AR-COF cases show some overlapping clinicopathological features with COF rather than the CEOT cases. However, differences in the clinicopathological features are still recognized among the NCLC-CEOT/AR-COF, COF, and CEOT cases. Future research, particularly molecular biological studies, may further elucidate their relationships and assist proper classification of the NCLC-CEOT/AR-COF cases.https://www.frontiersin.org/articles/10.3389/froh.2021.767201/fullodontogenic tumorcalcifying epithelial odontogenic tumorcentral odontogenic fibromanon-calcifying Langerhans cell rich variant CEOTamyloid rich variant central odontogenic fibroma
spellingShingle Chih-Huang Tseng
Chih-Huang Tseng
Chih-Huang Tseng
Pei-Hsuan Lu
Pei-Hsuan Lu
Yi-Ping Wang
Yi-Ping Wang
Yi-Ping Wang
Chun-Pin Chiang
Chun-Pin Chiang
Yi-Shing Lisa Cheng
Julia Yu Fong Chang
Julia Yu Fong Chang
Julia Yu Fong Chang
Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?
Frontiers in Oral Health
odontogenic tumor
calcifying epithelial odontogenic tumor
central odontogenic fibroma
non-calcifying Langerhans cell rich variant CEOT
amyloid rich variant central odontogenic fibroma
title Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?
title_full Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?
title_fullStr Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?
title_full_unstemmed Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?
title_short Non-calcifying Langerhans Cell Rich Variant of Calcifying Epithelial Odontogenic Tumor and Amyloid Rich Variant of Central Odontogenic Fibroma: A Unique Entity or a Spectrum?
title_sort non calcifying langerhans cell rich variant of calcifying epithelial odontogenic tumor and amyloid rich variant of central odontogenic fibroma a unique entity or a spectrum
topic odontogenic tumor
calcifying epithelial odontogenic tumor
central odontogenic fibroma
non-calcifying Langerhans cell rich variant CEOT
amyloid rich variant central odontogenic fibroma
url https://www.frontiersin.org/articles/10.3389/froh.2021.767201/full
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