Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
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Clear cell odontogenic carcinoma mimicking a cystic lesion: a case of misdiagnosis

  • Kim, Minkyu (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Cho, Eunae (Department of Oral Pathology, College of Dentistry, Yonsei University) ;
  • Kim, Jae-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University) ;
  • Kim, Hyun Sil (Department of Oral Pathology, College of Dentistry, Yonsei University) ;
  • Nam, Woong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University)
  • Received : 2014.04.04
  • Accepted : 2014.07.29
  • Published : 2014.08.29
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Abstract

Clear cell odontogenic carcinoma (CCOC) is a rare jaw tumor that was classified as a malignant tumor of odontogenic origin in 2005 by the World Health Organization because of its aggressive and destructive growth capacity and metastasis to the lungs and lymph nodes. We report a case of a 66-year-old female who had swelling, incision and drainage history and a well-defined unicystic radiolucent lesion that was comparable to a cystic lesion. At first, the patient received decompression, and the lesion size decreased. Three months after decompression, cyst enucleation was performed. The pathologic result indicated that the lesion was CCOC. In this report we emphasize that patients with painful cystic lesions in addition to jaw enlargement and loosening teeth should be considered for the possibility of malignancy.

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References

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