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Ghost cell odontogenic carcinoma: A case report.

Wariya Panprasit1,2, Napas Lappanakokiat1, Sumana Kunmongkolwut3

  • 1Department of Oral and Maxillofacial Radiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Imaging Science in Dentistry
|July 8, 2021
PubMed
Summary

This case report details a rare Ghost Cell Odontogenic Carcinoma (GCOC) in a Thai man. Successful treatment involved surgery and radiotherapy, leading to complete bone remodeling and no recurrence after three years.

Keywords:
Cone-Beam Computed TomographyDiagnostic ImagingOdontogenic CystsOdontogenic Tumors

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Area of Science:

  • Oral and Maxillofacial Pathology
  • Oncology
  • Radiology

Background:

  • Ghost cell odontogenic carcinoma (GCOC) is a rare malignant neoplasm.
  • GCOC is hypothesized to arise from calcifying odontogenic cysts or dentinogenic ghost cell tumors.
  • Clinical and radiographic features of GCOC are often non-specific, presenting as slow-growing, locally aggressive lesions with metastatic potential.

Observation:

  • A 43-year-old Thai male presented with non-specific clinical and radiographic findings.
  • Radiographs revealed a unilocular radiolucency with non-corticated borders around an impacted canine, including radiopaque foci near the cusp tip.
  • Microscopic examination confirmed the diagnosis of GCOC.

Findings:

  • The patient underwent partial maxillectomy and radiotherapy.
  • An obturator was utilized to restore masticatory function post-surgery.
  • Three-year follow-up demonstrated complete bone remodeling and no evidence of tumor recurrence.

Implications:

  • This case highlights the importance of integrating clinical, radiographic, and histopathological findings for accurate GCOC diagnosis.
  • The successful management underscores the efficacy of surgical resection combined with adjuvant radiotherapy.
  • Long-term follow-up is crucial for monitoring outcomes in GCOC patients.