Serviços Personalizados
Journal
Artigo
nova página do texto(beta)
Espanhol (pdf)
Artigo em XML
Referências do artigo
Tradução automática
Enviar este artigo por emailIndicadores
-
Citado por SciELO -
Acessos
Links relacionados
-
Similares em
SciELO
Compartilhar
Permalink
Revista odontológica mexicana
versão impressa ISSN 1870-199X
Rev. Odont. Mex vol.13 no.2 Ciudad de México Jun. 2009
https://doi.org/10.22201/fo.1870199xp.2009.13.2.15609
Casos clínicos
Tumor odontogénico quístico calcificante (Quiste odontogénico calcificante). Reporte clínico patológico de dos casos
Calcifying cystic odontogenic tumor (Calcifying odontogenic cyst). Clinical and pathological report of two cases
*Residente egresado de la Especialidad de Cirugía Oral y Maxilofacial del Hospital Juárez de México de la Generación 1999-2003.
§Jefe de Servicio y Académico de la Especialidad de Cirugía Oral y Maxilofacial del Hospital Juárez de México.
El tumor odontogénico quístico calcificante, mejor conocido como quiste odontogénico calcificante es uno de los tumores odontogénicos menos frecuentes de los maxilares y se presenta con una gran diversidad de características clínicas y microscópicas, así como un comportamiento biológico variado. Desde que se identifica a esta lesión como una entidad aislada por Gorlin y cols. en 1962, se ha generado una gran controversia y confusión en relación a su nomenclatura y clasificación, lo que ha provocado diversas propuestas sobre cómo clasificar y cómo llamar a esta lesión. Hasta recientemente, la mayor parte de los investigadores consideraban que el quiste odontogénico calcificante tenía dos entidades básicas: una quística y otra neoplásica, sin embargo en el año 2003 la Organización Mundial de la Salud, basados en investigaciones y clasificaciones previas, establece el término de "Tumor odontogénico quístico calcificante" para la variante quística y lo separa de la variante sólida o neoplásica denominándola "Tumor dentinogénico de células fantasma" como entidades diferentes. En este artículo se reportan dos nuevos casos del tumor odontogénico quístico calcificante (TOQC), así como una revisión de las principales características clínicas, radiológicas y microscópicas de esta lesión.
Palabras clave: Tumores odontogénicos; tumor odontogénico quístico calcificante; quiste odontogénico calcificante; células fantasma
The calcifying cystic odontogenic tumor, known as calcifying od-ontogenic cyst, is one of the less frequent odontogenic tumors of the jaws and it presents several clinical and microscopical features as well as a diverse biological behavior. Since Gorlin et al in 1962 described this lesion, a controversy and misunderstanding have been generated in relation with its nomenclature and classification, and this situation originated different proposals for its classification and name. Until recent years, most of the researchers considered that the calcifying odontogenic cyst had two basic forms: a cystic and a neoplastic one; however the World Health Organization in 2003 according to the investigations and previous classifications established the term "Calcifying Cyst Odontogenic Tumor" for the cystic form and "Ghost Cells Dentinogenic Tumor" for the neoplasic or solid variant. Two cases of calcifying cystic odontogenic tumor (CCOT), and a review on its clinical, radiographical and microscopical main features are presented.
Key words: Odontogenic tumors; calcifying cystic odontogenic tumor; calcifying odontogenic cyst; ghost cells
Referencias
1. Gorlin RJ, Pindborg JJ, Clausen FP, Vickers RA. The calcifying odontogenic cyst- a possible analogue of cutaneous calcifying epithelioma of Malherbe. Oral Surg Oral Med Oral Pathol 1962; 15: 1235-43. [ Links ]
2. Rywkind AW, Beitrag Z. Pathologie der cholesteatome. Virchows Arch Path Anat 1932; 283: 13-28. Citado por Gorlin y cols.1 [ Links ]
3. Maitland GR. Atypical adantinoma of the maxilla: Report of a case. J Oral Surg 1947; 5: 351-55. Citado por Gorlin y cols.1 [ Links ]
4. Boss JH. A rare variant of ameloblastoma. AMA Arch Path 1959; 68: 433-71. Citado por Gorlin y cols.1 [ Links ]
5. Gold L. The keratinizing and calcifying odontogenic cyst. Oral Surg Oral Med Oral Pathol 1963; 16: 1414-24. [ Links ]
6. Bashkar SN. Gingival cyst and keratinizing ameloblastoma. Oral Surg 1965; 19: 796-807. [ Links ]
7. Fejerskov O, Krogh J. The calcifying ghost cell tumor or the calcifying odontogenic cyst. J Oral Path 1972; 1: 273-87. [ Links ]
8. Ellis GL, Shmookler BM. Aggressive (malignant?) epithelial odontogenic ghost cell tumor. Oral Surg Oral Med Oral Pathol 1986; 61: 471-8. [ Links ]
9. Colmenero C, Patron I, Colmenero B. Odontogenic ghost cell tumours. The neoplasic form of calcifying odontogenic cyst. J Craniomaxillofac Surg 1990; 18: 215-8. [ Links ]
10. Freedman PD, Lumerman H, Gee JK. Calcifying odontogenic cyst: A review and analysis of seventy cases. Oral Surg Oral Med Oral Path 1975; 40: 93-106. [ Links ]
11. Kramer IRH, Pindborg JJ, Shear M. WHO Histological typing of odontogenic tumours, jaw cysts and allied lesions. Berlin: Springer-Verlag, 1992: 7-9, 20-21. [ Links ]
12. Yoshida M, Kumamoto H, Ooya K, Mayanagi H. Histopathological and immunohistochemical analysis of calcifying odontogenic cysts. J Oral Pathol Med 2001; 30: 582-8. [ Links ]
13. Praetorius F, HjØrting-Hansen E, Gorlin RJ, Vickers RA. Calcifying odontogenic cyst: Range, variations and neoplastic potential. Acta Odontol Scand 1981; 39: 227-40. [ Links ]
14. Buchner A. The central (intraosseous) calcifying odontogenic cyst: An analysis of 215 cases. J Oral Maxillofac Surg 1991; 49: 330-9. [ Links ]
15. Hong S, Ellis G, Hartman KS. Calcifying odontogenic cyst: A review of ninety-two cases with reevaluation of their nature as cysts or neoplasms, the nature of ghost cells and subclassification. Oral Surg Oral Med Oral Pathol 1991; 72: 56-64. [ Links ]
16. Toida M. So-called calcifying cyst: review and discussion on the terminology and classification. J Oral Pathol Med 1998; 27: 49-52. [ Links ]
17. Reichart PA, Philipsen. Odontogenic tumors and allied lesions. London Quintessence, 2004. [ Links ]
18. Rushton V, Horner K. Calcifying odontogenic cyst- a characteristic CT finding. Br J Oral Maxillofac Surg 1997; 35: 196-8. [ Links ]
19. Lukinmma PL, Leppâniemi A, Hietanen J, Allemanni G, Zardi L. Features of odontogenesis and expression of cytokeratins and tenascin-C in three cases of extraosseous an in-traosseous calcifying odontogenic cyst. J Oral Pathol Med 1997; 26: 265-72. [ Links ]
20. Neville BW, Damm DD, Allen CM, Bouquot JE. Oral and Maxillofacial Pathology Philadelphia WB Saunders, 2002. [ Links ]
21. Johnson A, Fletcher M, Gold L, Chen S. Calcifying odontogenic cyst: A clinic-pathologic study of 57 cases with immunohistochemical evaluation for cytokeratin. J Oral Maxillofac Surg 1997; 55: 679-83. [ Links ]
22. Mosqueda TA, Ledesma MC, Caballero SS, Portilla RJ, Ruiz GM, Meneses GA. Odontogenic tumors in Mexico. A collaborative retrospective study of 349 cases. Oral Surg Oral Pathol Oral Radiol 1997; 84: 672-75. [ Links ]
23. Ochsenius G, Ortega A, Godoy L, Peñafiel C, Escobar E. Odontogenic tumors in Chile: a study of 362 cases. J Oral Pathol Med 2002; 31: 415-20. [ Links ]
24. Fregnani RE, Pires RF, Quezada RD, Shih IM, Vargas PA, Almeida OP. Calcifying odontogenic cyst: clinicopathological features and immunohistological profile of 10 cases. J Oral Pathol Med 2003; 32: 163-70. [ Links ]
25. Moleri AB, Moreira LC. Comparative morphology of 7 new cases of calcifying odontogenic cysts. J Oral Maxillofac Surg 2002; 60: 689-96. [ Links ]
26. Buchner A, Merrell PW, Carpenter WM, Leider AS. Central (intraosseous) calcifying cyst. Int J Oral Maxillofac Surg 1990; 19: 260-2. [ Links ]
27. Colella G, Lanza A, Tartaro GP. Cisti odontogena calcifica. Un caso clínico. Minerva Stomatol 1995; 44: 597-602. [ Links ]
28. Sciubba JJ, Fantasia J, Kaban L. Tumors and cysts of the jaw (Atlas of Tumor Pathology). Fasc. 29, 3rd Series. Washington, AFIP. 1999: 11-13, 43-47. [ Links ]
29. Orsini G, Fioroni M, Rubini C, Piattelli A. Peripheral calcifying odontogenic cyst. J Clin Periodontol 2002; 29: 83-6. [ Links ]
30. Cawson RA, Binnie WH, Barrett AW, Wright JM. Oral diseases. 3rd ed. London, Mosby. 2001. [ Links ]
31. Tanimoto K, Tomita S, Aoyama M, Furuki Y, Fujita M, Wada T. Radiographic characteristics of the calcifying odontogenic cyst. Int J Oral Maxillofac Surg 1998; 17: 29-32. [ Links ]
32. Hirshberg A, Kaplan I, Buchner A. Calcifying odontogenic cyst associated with odontoma. J Oral Maxillofac Surg 1994; 52: 555-8. [ Links ]
Este es un artículo publicado en acceso abierto bajo una licencia Creative Commons
