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Peripheral dentinogenic ghost cell tumour presenting as a gingival mass.
Yiu K Wong1, Sin C Chiu, Siu W Pang
1Oral-Maxillofacial Surgery and Dental Unit, Pamela Youde Nethersole Eastern Hospital, 3 Lok Man Road, Chai Wan, Hong Kong, ROC. wykj@graduate.hku.hk
The British Journal of Oral & Maxillofacial Surgery
|March 12, 2004
Summary
A rare gingival mass, initially misdiagnosed, was identified as a dentinogenic ghost cell tumor. Surgical excision with a bone margin resulted in no recurrence after two years.
Area of Science:
- Oral pathology
- Odontogenic tumors
- Surgical oncology
Background:
- Gingival masses can present diagnostic challenges.
- Peripheral ameloblastoma is a common differential diagnosis for such lesions.
- Accurate diagnosis is crucial for effective treatment and prognosis.
Observation:
- A 71-year-old male patient developed a gingival mass at an extraction site.
- Initial incisional biopsy suggested a peripheral ameloblastoma.
- The lesion exhibited characteristics leading to a revised diagnosis.
Findings:
- Final diagnosis was dentinogenic ghost cell tumor after complete excision.
- Surgical removal included a margin of sound bone.
- No recurrence of the tumor was observed at the 2-year follow-up.
Implications:
- Dentinogenic ghost cell tumor is a rare odontogenic neoplasm.
- Complete surgical excision with adequate margins is essential for successful management.
- This case highlights the importance of histopathological re-evaluation for accurate diagnosis and treatment planning in oral pathology.