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Calcifying epithelial odontogenic tumor (Pindborg tumor)
Rodolfio Belmonte-Caro1, Daniel Torres-Lagares, Francisco Mayorga-Jimenez
1Servicio de Cirugia Maxilofacial. Hospital Universitario Virgen del Rocio. Avda. Manuel Siurot s/n Sevilla CP 41013 Spain. rbelmonte@interbook.net
Medicina Oral : Organo Oficial De La Sociedad Espanola De Medicina Oral Y De La Academia Iberoamericana De Patologia Y Medicina Bucal
|July 23, 2002
Summary
A Pindborg tumor in the jaw can be mistaken for a cyst, especially when found with an impacted tooth. Complete surgical excision with healthy margins is recommended to prevent recurrence.
Area of Science:
- Oral and Maxillofacial Surgery
- Oncology
- Pathology
Background:
- Pindborg tumor, also known as calcifying epithelial odontogenic tumor (CEOT), is a rare benign odontogenic neoplasm.
- Mandibular angle location presents diagnostic challenges, often mimicking odontogenic cysts.
- Accidental detection is common, complicating early diagnosis and treatment planning.
Observation:
- A 41-year-old female presented with a Pindborg tumor in the left mandibular angle.
- The lesion was incidentally discovered and associated with an impacted tooth.
- Differential diagnosis was challenging, primarily considering odontogenic cysts.
Findings:
- Pindborg tumors require careful evaluation due to potential misdiagnosis.
- Conservative treatment has a reported recurrence rate of 14%.
- Complete block excision with adequate healthy bone margins is crucial for effective management.
Implications:
- Accurate diagnosis is vital to differentiate Pindborg tumors from other jaw lesions.
- Surgical technique significantly impacts recurrence rates.
- Adherence to oncological principles, including wide margins, is recommended for optimal patient outcomes.