Ghost cell odontogenic carcinoma: A case report
Panprasit Wariya, Lappanakokiat Napas, Kunmongkolwut Sumana, Phattarataratip Ekarat, Rochchanavibhata Sunisa, Sinpitaksakul Phonkit, Cholitgul Wichitsak,
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( Panprasit Wariya ) - Chulalongkorn University Faculty of Dentistry Department of Oral and Maxillofacial Radiology
( Lappanakokiat Napas ) - Chulalongkorn University Faculty of Dentistry Department of Oral and Maxillofacial Radiology
( Kunmongkolwut Sumana ) - Chulalongkorn University Faculty of Dentistry Department of Oral Pathology
( Phattarataratip Ekarat ) - Chulalongkorn University Faculty of Dentistry Department of Oral Pathology
( Rochchanavibhata Sunisa ) - Chulalongkorn University Faculty of Dentistry Department of Oral and Maxillofacial Surgery
( Sinpitaksakul Phonkit ) - Chulalongkorn University Faculty of Dentistry Department of Oral and Maxillofacial Radiology
( Cholitgul Wichitsak ) - Chulalongkorn University Faculty of Dentistry Department of Oral and Maxillofacial Radiology
Abstract
Ghost cell odontogenic carcinoma (GCOC) is a rare malignant neoplasm characterized by the presence of ghostcells. It is considered to originate from either a calcifying odontogenic cyst (COC) or a dentinogenic ghost cell tumor(DGCT). Its clinical and radiographic characteristics are non-specific, including slow growth, locally aggressivebehavior, and eventual metastasis. This case report describes a 43-year-old Thai man with plain radiographs and cone-beam computed tomographic images revealing a unilocular radiolucency with non-corticated borders surrounding an impacted left canine associated with radiopaque foci around the cusp tip. Based on the microscopic findings, the lesion was diagnosed as GCOC. Partial maxillectomy of the right maxilla was performed, and radiotherapy was administered. An obturator was made to support masticatory functions Three years later, the lesion showed complete boneremodeling and no signs of recurrence, and long-term follow-up was done regularly.
키워드
Odontogenic Cysts; Odontogenic Tumors; Diagnostic Imaging; Cone-Beam Computed Tomography
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