journal article·2024-08-27Open access

A Rare Case: Adenomatoid Odontogenic Tumor Mimicking Follicular Cyst in a Young Patient

Giulia Petroni, Fabrizio Zaccheo, Cira Rosaria Tiziana Di Gioia, Flavia Adotti, Andrea Cicconetti

Applied Sciences· Volume 14· Issue 17

Abstract

The objective of this study is to present an uncommon case of adenomatoid odontogenic tumor (AOT) with an impacted maxillary canine, initially mimicking a follicular cyst. AOT is a rare odontogenic tumor, accounting for approximately 1% to 9% of all odontogenic tumors. It primarily occurs in the maxilla and is often associated with an unerupted permanent tooth. Follicular cysts, also known as dentigerous cysts, are benign odontogenic cysts that encase the crown of an unerupted or impacted tooth. We describe a case of AOT occurring in a 14-year-old male. Both the follicular cyst and adenomatoid odontogenic tumor (AOT) can exhibit similar clinical and radiographic presentations. It is crucial to accurately differentiate between the two to ensure appropriate treatment and prognosis.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Oral and Maxillofacial Pathology · Tumors and Oncological Cases · Head and Neck Surgical Oncology

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00185 Rome, Italy

Department of Radiological, Oncological and Pathological Sciences, Sapienza University of Rome, 00185 Rome, Italy

References (23)

Show source-provided references
1. WHO (2022). Classification of Tumours Editorial Board. Head and Neck Tumours, International Agency for Research on Cancer. [5th ed.]. Available online: https://publications.iarc.fr/.
2. Pediatric Odontogenic Tumors10.1016/j.coms.2015.08.003 ↗
3. Demographic and clinical characteristics of 5294 jaw cysts: A retrospective study of 38 years10.1007/s12105-019-01011-7 ↗
4. Cystic Lesions of the Jaws: The Top 10 Differential Diagnoses to Ponder10.1007/s12105-023-01525-1 ↗
5. Epithelioma adamantinum10.1084/jem.6.4-6.377 ↗
6. WHO, El-Naggar, A.K., Chan, J.K.C., Grandis, J.R., Takata, T., and Slootweg, P.J. (2017). World Health Organization Classification of Head and Neck Tumours, IARC Press.
7. Update from the 5th Edition of the World Health Organization Classification of Head and Neck Tumors: Odontogenic and Maxillofacial Bone Tumours10.1007/s12105-021-01404-7 ↗
8. KRAS mutations drive adenomatoid odontogenic tumor and are independent of clinicopathological features10.1038/s41379-018-0194-4 ↗
9. Multiple adenomatoid odontogenic tumors in a patient with Schimmelpenning syndrome10.1016/j.oooo.2019.06.006 ↗
10. Adenomatoid odontogenic tumor: Correlation of MRI with histopathological findings10.1016/S0720-048X(01)00428-4 ↗
11. An expanded and revised early history of the adenomatoid odontogenic tumor10.1016/j.oooo.2013.01.023 ↗
12. Cysts and cystic lesions of the mandible: Clinical and radiologic-histopathologic review10.1148/radiographics.19.5.g99se021107 ↗
13. El-Naggar, A.K., Chan, J.K.C., Grandis, J.R., Takata, T., and Slootweg, P.J. (2017). Dentigerous cyst. WHO Classification of Head and Neck Tumours, International Agency for Research on Cancer. [4th ed.].
14. Range and demographics of odontogenic cysts diagnosed in a UK population over a 30-year period10.1111/j.1600-0714.2006.00455.x ↗
15. Infrequent radiological features of a dentigerous cyst—A case report
16. Dentigerous cyst in a young child: A case report
17. What do we know about dentigerous cysts in children: A review of literature10.5455/jrmds.20175211 ↗
18. Adenomatoid odontogenic tumour: Facts and figures10.1016/S1368-8375(98)00111-0 ↗
19. Adenomatoid odontogenic tumor: An updated analysis of the cases reported in the literature10.1111/jop.12783 ↗
20. Adenomatoid odontogenic tumour: Review and case report
21. Adenomatoid odontogenic tumour10.1136/bcr-2013-010212 ↗
22. Adenomatoid odontogenic tumor: Evidence for a mixed odontogenic tumor10.1016/j.oooo.2021.11.005 ↗
23. Adenomatoid odontogenic tumor: A report of a rare case with recurrence10.1111/j.1600-0714.2007.00521.x ↗