하악 전치부에서 발생한 선양치성종양의 증례보고

A case report of Adenomatoid Odontogenic Tumor in the mandibular anterior region

  • 이병도 (원광대학교 치과대학 구강악안면방사선학교실) ;
  • 이완 (원광대학교 치과대학 구강악안면방사선학교실) ;
  • 권경환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 팽준영 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 손현진 (을지대학교 의과대학 병리학교실)
  • Lee, Byung-Do (Department of Oral & Maxillofacial Radiology) ;
  • Lee, Wan (Department of Oral & Maxillofacial Radiology) ;
  • Kwon, Kyung-Hwan (Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Paeng, Jun-Young (Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Son, Hyun-Jin (Department of Pathology, Eulji University, School of Medicine)
  • 발행 : 2009.06.30

초록

Adenomatoid odontogenic tumor (AOT) is a tumor of odontogenic epithelium with varying degrees of inductive changes in the connective tissue. The common radiographic appearance of AOT is a unilocular radiolucency associated with an unerupted tooth. Detectable radiopacities have been reported in many cases. We present a case of AOT in a 9-year old-female patient. Cystic lesion with numerous, punctuate radiopaque foci was observed on the anterior region of the mandible. These radiopacities were situated mostly on the buccal side of impacted tooth on the multi-planar images of cone beam computed tomograph. Characteristic duct like structures and amyloid like material were observed on histopathologic finding. (Korean J Oral Maxillofac Radiol2009; 39 : 99-102)

키워드

참고문헌

  1. Korean Council for the Faculty of Oral and Maxillofacial Radiology. Oral and Maxillofacial Radiology. 4th ed. Seoul: Narae Publishing, Inc.; 2008. p. 390-1.
  2. Unal T, Cetingul E, Gunbay T. Peripheral adenomatoid odontogenic tumor: birth of a term. J Clin Pediatr Dent 1995; 19 : 139-42.
  3. Philipsen HP, Reichart PA. Adenomatoid odontogenic tumour: facts and figures. Oral Oncol 1999; 35 : 125-31. https://doi.org/10.1016/S1368-8375(98)00111-0
  4. Konouchi H, Asaumi J, Yanagi Y, Hisatomi M, Kishi K. Adenomatoid odontogenic tumor: correlation of MRI with histopathological findings. Eur J Radiol 2002; 44 : 19-23. https://doi.org/10.1016/S0720-048X(01)00428-4
  5. Rick GM. Adenomatoid odontogenic tumor. Oral Maxillofac Surg Clin North Am 2004; 16 : 333-54. https://doi.org/10.1016/j.coms.2004.04.001
  6. Araki M, Kameoka S, Mastumoto N, Komiyama K. Usefulness of cone beam computed tomography for odontogenic myxoma. Dentomaxillofac Radiol 2007; 36 : 423-7. https://doi.org/10.1259/dmfr/85361774
  7. Kramer I, Pindborg J, Shear M. The World Health Organization: histological typing of odontogenic tumours. 2nd ed. Berlin, Germany: Springer Verlag; 1992. p. 11-3.
  8. Zeitoun IM, Dhanrajani PJ, Mosadomi HA. Adenomatoid odontogenic tumor arising in a calcifying odontogenic cyst. J Oral Maxillofac Surg 1996; 54 : 634-7. https://doi.org/10.1016/S0278-2391(96)90650-3
  9. Philipsen HP, Samman N, Ormiston IW, Wu PC, Reichart PA. Variants of the adenomatoid odontogenic tumor with a note on tumor origin. J Oral Pathol Med 1992; 21 : 348-52. https://doi.org/10.1111/j.1600-0714.1992.tb01363.x
  10. Miyake M, Nagahata S, Nishihara J, Ohbayashi Y. Combined adenomatoid odontogenic tumor and calcifying epithelial odontogenic tumor: report of case and ultrastructural study. J Oral Maxillofac Surg 1996; 54 : 788-93. https://doi.org/10.1016/S0278-2391(96)90706-5
  11. Toida M, Hyodo I, Okuda T, Tatematsu N. Adenomatoid odontogenic tumor: report of two cases and survey of 126 cases in Japan. J Oral Maxillofac Surg 1990; 48 : 404-8. https://doi.org/10.1016/0278-2391(90)90441-4
  12. Li TJ, Yu SF. Clinicopathologic spectrum of the so-called calcifying odontogenic cysts: a study of 21 intraosseous cases with reconsideration of the terminology and classification. Am J Surg Pathol 2003; 27: 372-84. https://doi.org/10.1097/00000478-200303000-00011
  13. Khan MY, Kwee H, Schneider LC, Saber I. Adenomatoid odontogenic tumor resembling a globulomaxillary cyst: light and electron microscopic studies. J Oral Surg 1977; 35 : 739-42.
  14. Weiping Zhanga YC, Ning Genga, Dongmei Baoa, Mingzhong Yang. A case report of a hybrid odontogenic tumour: Ameloblastoma and adenomatoid odontogenic tumour in calcifying cystic odontogenic tumour. Oral Oncol Extra 2006; 42 : 287-90. https://doi.org/10.1016/j.ooe.2006.07.003
  15. Kwon HR, Han JW, Lee JH, Choi HM, Park IW, Lee SK. Ameloblastic fibro-odontoma with a change of calcifying odontogenic cyst. Korean J Oral Maxillofac Radiol 2001; 31 : 181-4.
  16. Damm DD, White DK, Drummond JF, Poindexter JB, Henry BB. Combined epithelial odontogenic tumor: adenomatoid odontogenic tumor and calcifying epithelial odontogenic tumor. Oral Surg Oral Med Oral Pathol 1983; 55 : 487-96. https://doi.org/10.1016/0030-4220(83)90235-9
  17. Bingham RA, Adrian JC. Combined epithelial odontogenic tumoradenomatoid odontogenic tumor and calcifying epithelial odontogenic tumor: report of a case. J Oral Maxillofac Surg 1986; 44 : 574-7. https://doi.org/10.1016/S0278-2391(86)80101-X
  18. Takeda Y, Kudo K. Adenomatoid odontogenic tumor associated with calcifying epithelial odontogenic tumor. Int J Oral Maxillofac Surg 1986; 15 : 469-73. https://doi.org/10.1016/S0300-9785(86)80040-0
  19. Okada Y, Mochizuki K, Sugimura M, Noda Y, Mori M. Odontogenic tumor with combined characteristics of adenomatoid odontogenic and calcifying epithelial odontogenic tumors. Pathol Res Pract 1987; 182 : 647-57. https://doi.org/10.1016/S0344-0338(87)80006-7
  20. Chong Huat Siar, Kok Han N. Combined calcifying epithelial odontogenic tumor and adenomatoid odontogenic tumor. Int J Oral Maxillofac Surg 1987; 16 : 214-6. https://doi.org/10.1016/S0901-5027(87)80133-9
  21. Vickers RA, Dahlin DC, Gorlin RJ. Amyloid-containing odontogenic tumors. Oral Surg Oral Med Oral Pathol 1965; 20 : 476-80. https://doi.org/10.1016/0030-4220(65)90240-9
  22. Lee KW. A light and electron microscopic study of the adenomatoid odontogenic tumor. Int J Oral Surg 1974; 3 : 183-93. https://doi.org/10.1016/S0300-9785(74)80023-2
  23. Smith RR, Olson JL, Hutchins GM, Crawley WA, Levin LS. Adenomatoid odontogenic tumor: ultrastructural demonstration of two cell types and amyloid. Cancer 1979; 43 : 505-11. https://doi.org/10.1002/1097-0142(197902)43:2<505::AID-CNCR2820430216>3.0.CO;2-C