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John S, Ramya S, Verma S, Samadi FM, Gupta S. Clear and Spindle Cell Dedifferentiation in Ameloblastic Carcinoma: A Case Report on a Uncommon Phenomenon. Indian J Otolaryngol Head Neck Surg 2024; 76:1229-1233. [PMID: 38440659 PMCID: PMC10908652 DOI: 10.1007/s12070-023-04232-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 09/11/2023] [Indexed: 03/06/2024] Open
Abstract
Ameloblastic carcinoma is a rare malignant neoplasm with characteristic histopathological features that are directed towards an aggressive surgical approach than benign odontogenic lesions. It affects people of all ages, mostly in the posterior mandible, without a preference for race or gender. De novo cancer is one of its primary types, while the second type is defined as a malignant change from an antecedent case of benign ameloblastoma. The rapid progression of molecular biology led to the revelation that ameloblastoma contains a BRAF-V600E genetic mutation over 60%. Besides conventional ameloblastic carcinomas, rare histologic variants have also been described in the literature, including clear and spindle cells. These variants pose diagnostic challenges as to whether it is a dedifferentiation or a distinct entity. The dearth of data lends credence to the notion that these histologic variations are related to high-grade neoplasms and more aggressive outcomes. As a result, the current report intends to analyze a series of patients diagnosed with conventional ameloblastic carcinoma of the head and neck region with spindle and clear cell types along with a brief assessment of the literature.
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Affiliation(s)
- Sharon John
- Department of Oral Pathology, King George’s Medical University, Lucknow, UP 226003 India
| | - S. Ramya
- Department of Oral Pathology, King George’s Medical University, Lucknow, UP 226003 India
| | - Saloni Verma
- Department of Oral Pathology, King George’s Medical University, Lucknow, UP 226003 India
| | - Fahad M. Samadi
- Department of Oral and Maxillofacial Pathology, King George’s Medical University, Lucknow, UP 226003 India
| | - Shalini Gupta
- Department of Oral and Maxillofacial Pathology, King George’s Medical University, Lucknow, UP 226003 India
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Cole G, Chi A, Cook DR, Kubik M, Bilodeau EA, Seethala RR. Odontogenic Carcinosarcoma: Clinicopathologic and Molecular Features of Three Cases, a Literature Review and Nomenclature Proposal. Head Neck Pathol 2023; 17:751-767. [PMID: 37486533 PMCID: PMC10513988 DOI: 10.1007/s12105-023-01569-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 06/22/2023] [Indexed: 07/25/2023]
Abstract
BACKGROUND Odontogenic carcinosarcoma (OCS) is a rare odontogenic malignancy with limited characterization and unexplored molecular features. We report clinicopathologic and molecular findings in 3 additional OCS and review the literature. METHODS 3 OCS (5.1%) were identified among 59 malignant odontogenic tumors (in our archives from 1992 to 2022). Clinical, radiologic, histopathologic, immunophenotypic, and molecular findings were reviewed. Data from prior case reports and systematic or non-systematic reviews were extracted for analysis. RESULTS Three mandibular OCS (age range: 66 to 72 years; 1 male, 2 females) were identified. Case 1 had novel clear-cell morphology, multiple recurrences, and a lethal outcome 28 months after resection. EWSR1 rearrangements were negative, but the tumor showed focal nuclear β-catenin and strong LEF-1 immunoreactivity. Case 2 demonstrated ameloblastic and sclerosing features and encased the inferior alveolar nerve; the patient was disease-free 22 months after resection with adjuvant chemoradiation therapy. LEF-1 was again strongly positive, and next-generation sequencing demonstrated 9p region-(CDKN2A, CDKN2B) copy number loss, and 12q region-(MDM2, CDK4) copy number gain. Case 3 showed clear-cell and markedly sclerosing features; no follow-up information was available. Literature review along with the current cases yielded 20 cases. OCS showed a male predilection (1.5:1), mandibular predominance (80%, typically posterior), and a bimodal age distribution (modes: 27.7 years, 62.7 years). OCS presented as masses (100%), often with pain (55%), and paresthesia (45%). Tumors were typically radiolucent (88.9%), with bone destruction (61.1%), and/or tooth effacement (27.8%). Preoperative biopsy was sensitive for malignancy (85.7%). At least 45% show evidence for a precursor lesion. 3-year DSS and DFS were 58% and 35%, respectively. Regional and distant (usually lung) metastatic rates were 25% and 31.3%, respectively. Increased mitotic rates and presence of tumor necrosis trended toward worse DSS and DFS. CONCLUSION OCS is a rare but aggressive malignancy, often arising from precursor tumors and may represent a terminal phenotype rather than a distinct entity. We describe novel clear-cell and sclerosing morphologies. Wnt pathway alterations appear important. Mitotic rates and necrosis may be adverse prognosticators. In keeping with nomenclature trends in other sites, OCS may be more appropriately designated as "biphasic sarcomatoid odontogenic carcinomas."
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Affiliation(s)
- Grayson Cole
- Department of Diagnostic Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - Angela Chi
- Woody L. Hunt School of Dental Medicine, Texas Tech University Health Science Center, El Paso, TX, USA
| | - Daniel R Cook
- Carolina Centers for Oral and Facial Surgery, Charlotte, NC, USA
| | - Mark Kubik
- Department of Otolaryngology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA
| | - Elizabeth A Bilodeau
- Department of Diagnostic Sciences, School of Dental Medicine, University of Pittsburgh, Pittsburgh, PA, USA
| | - Raja R Seethala
- Department of Pathology and Laboratory Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
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Ogane S, Fujii A, Suzuki T, Hashimoto K, Hashimoto S, Takano M, Katakura A, Nomura T. Ameloblastic carcinoma of the mandible: a case report. Maxillofac Plast Reconstr Surg 2023; 45:17. [PMID: 37101080 PMCID: PMC10133431 DOI: 10.1186/s40902-023-00380-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 02/13/2023] [Indexed: 04/28/2023] Open
Abstract
BACKGROUND Ameloblastic carcinoma is a malignant form of ameloblastoma and a very rare odontogenic tumor. We report a case of ameloblastic carcinoma that occurred after removal of a right-sided mandibular dental implant. CASE PRESENTATION A 72-year-old female patient visited her family dentist with a complaint of pain around a lower right implant placed 37 years previously. Although the dental implant was removed with the diagnosis of peri-implantitis, the patient experienced dullness of sensation in the lower lip and was followed up by her dentist, but after no improvement. She was referred to a highly specialized institution where she was diagnosed with osteomyelitis and treated the patient with medication; however, there was no improvement. In addition, granulation was observed in the same area leading to a suspicion of malignancy, and the patient was referred to our oral cancer center. The diagnosis of squamous cell carcinoma was made after a biopsy at our hospital. Under general anesthesia, the patient underwent mandibulectomy, right-sided neck dissection, free flap reconstruction with an anterolateral thigh flap, immediate reconstruction with a metal plate, and tracheostomy. Histological analysis of the resected specimen on hematoxylin and eosin staining showed structures reminiscent of enamel pulp and squamous epithelium in the center of the tumor. The tumor cells were highly atypical, with nuclear staining, hypertrophy, irregular nuclear size, and irregular nuclear shape, all of which were suggestive of cancer. Immunohistochemical analysis showed that Ki-67 was expressed in more than 80% of the targeted area, and the final diagnosis was primary ameloblastic carcinoma. CONCLUSION After reconstructive flap transplantation, occlusion was re-established using a maxillofacial prosthesis. The patient remained disease-free at the 1-year 3-month follow-up.
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Affiliation(s)
- Satoru Ogane
- Oral Cancer Center, Tokyo Dental College, 5-11-13 Sugano, Ichigawa, Chiba, Japan
- Department of Plastic, Oral and Maxillofacial, Teiko University School of Medicine, 2-11-1 Kaga Itabashi-ku, Tokyo, Japan
| | - Arisa Fujii
- Department of Oral Pathobiological Science and Surgery, Tokyo Dental College, 2-9-18 Kandamisaki, Chiyoda-ku, Tokyo, Japan
| | - Taiki Suzuki
- Oral Cancer Center, Tokyo Dental College, 5-11-13 Sugano, Ichigawa, Chiba, Japan
- Department of Oral Oncology, Oral and Maxillofacial Surgery, Tokyo Dental College, 5-11-13 Sugano, Ichikawa, Chiba, Japan
| | - Kazuhiko Hashimoto
- Division of Clinical Laboratory, Ichikawa General Hospital, Tokyo Dental College, 5-11-13 Sugano, Ichikawa, Chiba, Japan
| | - Sadamitsu Hashimoto
- Department of Biology, Tokyo Dental College, 2-9-7 Kandasurugadai Chiyoda-ku, Tokyo, Japan
| | - Masayuki Takano
- Department of Oral and Maxillofacial Surgery, Tokyo Dental College, 2-9-18 Kandamisaki-cho, Chiyoda-ku, Tokyo, Japan
| | - Akira Katakura
- Department of Oral Pathobiological Science and Surgery, Tokyo Dental College, 2-9-18 Kandamisaki, Chiyoda-ku, Tokyo, Japan.
| | - Takeshi Nomura
- Department of Oral Oncology, Oral and Maxillofacial Surgery, Tokyo Dental College, 5-11-13 Sugano, Ichikawa, Chiba, Japan
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Li H, Qu H, Wang J. Application of a Low-Temperature Plasma Knife to Excise a Spindle Cell Tumor of the Nasal Cavity: A Case Report. EAR, NOSE & THROAT JOURNAL 2022:1455613221139401. [PMID: 36355392 DOI: 10.1177/01455613221139401] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/22/2023] Open
Abstract
To describe a rare case of spindle cell tumor in the nasal cavity of a young female, along with its successful surgical management using a low-temperature plasma knife. A 38-year-old female patient presented with a 6-month history of nasal blockage, hyposmia, and local tenderness. The patient denied a history of definite diagnosis or special treatment. A preoperative magnetic resonance imaging scan revealed the size and extent of the tumor in her nasal cavity. She underwent endoscopic surgery for the sinus using a low-temperature plasma knife. The procedure was performed without complications, and her symptoms resolved within 1 month. The postoperative pathology report suggested a spindle cell tumor in her nasal cavity. Nasal spindle cell tumor is rare and usually presents with no specific clinical symptoms, which should be taken into consideration during diagnosis. In this case, we demonstrate that the effectiveness and safety of sinus surgery can be improved and aided by a low-temperature plasma knife and nasal endoscopy.
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Affiliation(s)
- Hangjin Li
- Department of Otolaryngology-Head and Neck Surgery, Second Hospital of Dalian Medical University, Dalian, China
| | - Hui Qu
- Department of Otolaryngology-Head and Neck Surgery, Second Hospital of Dalian Medical University, Dalian, China
| | - Jizhe Wang
- Department of Otolaryngology-Head and Neck Surgery, Second Hospital of Dalian Medical University, Dalian, China
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Majumdar S, Uppala D, Sreekanth K, Alekhya B. Odontogenic carcinosarcoma - A rare case report with review of literature. J Oral Maxillofac Pathol 2022; 26:S51-S58. [PMID: 35450233 PMCID: PMC9017839 DOI: 10.4103/jomfp.jomfp_408_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Revised: 08/04/2021] [Accepted: 11/10/2021] [Indexed: 11/04/2022] Open
Abstract
Odontogenic carcinosarcoma (OCS) is a rare malignant odontogenic tumor (OT) with only a few cases reported in the literature. Its synonyms are ameloblastic carcinosarcoma, malignant mixed OT. It is characterized by a true mixed tumor showing malignant cytology of both epithelial and mesenchymal components. The tumor invaded into adjacent tissues by destroying the bone. A 24-year-old patient visited the outpatient clinic of GITAM Dental College and Hospital, with a chief complaint of growth in the lower right back tooth region for 6 months. Based on clinical and radiographic features, it has been diagnosed as an aggressive central jaw lesion. The patient was further referred for histological examination for confirmatory diagnosis. It has been diagnosed as an adenomatoid OT. The OCS most commonly affects the posterior part of the mandible. A larger number of cases were reported recently, and prolonged follow-up is needed to further clarify the nature of OCS.
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Affiliation(s)
- Sumit Majumdar
- Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India
| | - Divya Uppala
- Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India
| | - Kotina Sreekanth
- Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India
| | - Bandi Alekhya
- Department of Oral Pathology and Microbiology, GITAM Dental College and Hospital, Visakhapatnam, Andhra Pradesh, India
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Puri PD, Krishna A, Gosavi S, Nayyar V. Hemangiomatous Ameloblastoma with Spindle Cell Proliferation: A Rare Case Report and Review of Literature. J Oral Maxillofac Pathol 2022; 26:132-133. [PMID: 35571309 PMCID: PMC9106244 DOI: 10.4103/jomfp.jomfp_394_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2021] [Revised: 12/30/2021] [Accepted: 01/21/2022] [Indexed: 12/02/2022] Open
Abstract
Ameloblastoma is a locally aggressive neoplasm with varied histological patterns. The histomorphologic variants of ameloblastoma bear no prognostic or biologic behavioral significance with possible exceptions of desmoplastic and hemangioameloblastoma. The present paper aims at reporting a case of 38-year-old male with a huge lesion present in the mandibular symphysial region crossing the midline, histopathologically showing hemangiomatous component in follicular and plexiform ameloblastoma along with spindle cell differentiation in the ameloblastic follicles. Spindle cell differentiation in ameloblastoma is rarely reported and the prognostic significance is yet not clear. The present paper also reviews the literature since the diagnosis of this lesion is must as it may lead to surgical complications.
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Affiliation(s)
- Pavan D Puri
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Abhinandh Krishna
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Suchitra Gosavi
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Nagpur, Maharashtra, India
| | - Vivek Nayyar
- Department of Oral Pathology and Microbiology, Government Dental College and Hospital, Nagpur, Maharashtra, India
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Niu X, Huang B, Yang J, Qiao X, Chen L, Liu J, Xu J, Zhong M. Odontogenic carcinosarcoma with dentinoid: a rare case report. J Int Med Res 2021; 49:3000605211045555. [PMID: 34586932 PMCID: PMC8485321 DOI: 10.1177/03000605211045555] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022] Open
Abstract
Odontogenic carcinosarcoma is a very rare malignant odontogenic tumor, characterized by malignant epithelial and mesenchymal components. Studies have reported several cases of odontogenic carcinosarcoma, mainly in the upper and lower jaws, with malignant clinical manifestations. Herein, we present the case of a 58-year-old woman with odontogenic carcinosarcoma with dentinoid in the left maxilla. The invasion range was large, and the left maxillary molar was missing. Histology revealed odontogenic carcinosarcoma with bidirectional differentiation characteristics and comprising three components: malignant epithelium, malignant interstitium, and dentinoid. The patient subsequently underwent nasal endoscopic sinus tumor resection, and she recovered well after surgery. After a strict 4-year follow-up, to date, there are still no signs of disease or local recurrence. To our knowledge, this is the first reported case of odontogenic carcinosarcoma with dentinoid. Our study describes the clinical, morphological, and immunohistochemical characteristics of this case, and distinguishes it from related diseases.
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Affiliation(s)
- Xing Niu
- Department of Stomatology, Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China
| | - Biying Huang
- Department of Oral Histopathology, School and Hospital of Stomatology, China Medical University, Liaoning Province Key Laboratory of Oral Disease, Shenyang, Liaoning, China
| | - Jing Yang
- Department of Pathology, 457651First Affiliated Hospital of Jinzhou Medical University, The First Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, China
| | - Xue Qiao
- Department of Central Laboratory, School and Hospital of Stomatology, China Medical University, Liaoning Province Key Laboratory of Oral Disease, Shenyang, Liaoning, China
| | - Lijie Chen
- Department of Stomatology, Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China
| | - Jinwen Liu
- Department of Oral Histopathology, School and Hospital of Stomatology, China Medical University, Liaoning Province Key Laboratory of Oral Disease, Shenyang, Liaoning, China
| | - Jingping Xu
- Department of Stomatology, Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China
| | - Ming Zhong
- Department of Stomatology, Xiang'an Hospital of Xiamen University, Xiamen, Fujian, China
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Report of a Rare Case of Spindle Cell Ameloblastic Carcinoma and the Diagnostic Utility of Immunohistochemistry. Appl Immunohistochem Mol Morphol 2021; 29:394-400. [PMID: 33480603 DOI: 10.1097/pai.0000000000000898] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Accepted: 11/11/2020] [Indexed: 11/26/2022]
Abstract
Ameloblastic carcinoma is a rare aggressive malignant epithelial odontogenic tumor. The spindle cell variant of ameloblastic carcinoma (SCAC) is exceedingly rare with 15 cases of SCAC having been reported. Therefore, because of the paucity of cases in literature related to SCAC, the biological behavior of the entity has not been well evaluated. Herein the authors report a case of incidentally diagnosed SCAC in a 20-year-old woman identified on imaging as part of the evaluation of a work-related facial injury. Histologically, the tumor had background of cystic ameloblastoma with areas of dense hypercellular spindle cells with short-to-long intersecting fascicles and occasional herringbone pattern intermixed with solid epithelial nests. Both the epithelial and spindle cells were positive for cytokeratin including cytokeratin 19, D2-40, and transducin-like enhancer of split proteins-1 immunohistochemical stains. The patient was followed for 18 months with no evidence of recurrence or metastasis. To the knowledge this is a first case of reporting D2-40 positivity in spindle ameloblastic carcinoma and this immunostain could be used as helpful marker to diagnose this entity.
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McLean-Holden AC, Bishop JA, Kessler HP, Myers LL, Radwan AM, Wildey TC, Wright JM, Cheng YSL. Spindle-cell variant of ameloblastic carcinoma: a report of 3 cases and demonstration of epithelial-mesenchymal transition in tumor progression. Oral Surg Oral Med Oral Pathol Oral Radiol 2019; 128:e113-e121. [PMID: 30928327 DOI: 10.1016/j.oooo.2019.01.071] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2018] [Revised: 01/04/2019] [Accepted: 01/29/2019] [Indexed: 12/13/2022]
Abstract
Ameloblastic carcinoma is a rare odontogenic neoplasm that demonstrates the histologic characteristics of ameloblastoma, accompanied by the cytologic features of malignancy. The spindle-cell variant of ameloblastic carcinoma (SCAC) is exceptionally rare, with a total of 10 cases having been reported in the literature to date. Histologically, a prominent sarcomatoid cell population appears to originate from the epithelial (ameloblastic) component. Like conventional ameloblastic carcinoma, most cases of SCAC occur in individuals older than 40 years of age. Here, 3 additional cases of SCAC are reported, 2 of which occurred in young individuals. Diagnostic criteria to aid in the identification of SCAC are proposed. Finally, histologic and immunohistochemical evidence supporting the occurrence of epithelial-mesenchymal transition in SCAC is presented.
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Affiliation(s)
- Anne C McLean-Holden
- Resident, Oral & Maxillofacial Pathology, Department of Diagnostic Sciences, Texas A&M University College of Dentistry, Dallas, TX, USA.
| | - Justin A Bishop
- Director of Surgical Pathology and Head & Neck Pathology, Department of Pathology, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Harvey P Kessler
- Professor, Department of Diagnostic Sciences, Texas A&M University College of Dentistry, Dallas, TX, USA
| | - Larry L Myers
- Associate Professor, Department of Otolaryngology - Head & Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Alaaaldin M Radwan
- Resident, Division of Oral & Maxillofacial Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA
| | - Tyler C Wildey
- Resident, Department of Oral & Maxillofacial Surgery, Texas A&M University College of Dentistry, Dallas, TX, USA
| | - John M Wright
- Regents Professor, Head, Department of Diagnostic Sciences, Texas A&M University College of Dentistry, Dallas, TX, USA
| | - Yi-Shing Lisa Cheng
- Professor, Department of Diagnostic Sciences, Texas A&M University College of Dentistry, Dallas, TX, USA
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dos Santos JN, Servato JPS, Cardoso SV, de Faria PR, Pires BC, Loyola AM. Odontogenic carcinosarcoma: morphologic and immunohistochemical description of a case. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 126:e264-e270. [DOI: 10.1016/j.oooo.2018.05.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2017] [Revised: 05/24/2018] [Accepted: 05/27/2018] [Indexed: 12/27/2022]
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Reconnoitre ameloblastic carcinoma: A prognostic update. Oral Oncol 2018; 77:118-124. [PMID: 29362117 DOI: 10.1016/j.oraloncology.2017.12.018] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2017] [Revised: 11/28/2017] [Accepted: 12/23/2017] [Indexed: 12/13/2022]
Abstract
AIM Malignant odontogenic tumor, ameloblastic carcinoma (AC) is challenging to study owing to its rarity, complexity and limited availability of literature. This further makes it difficult to establish its clinical characteristics and prognosis. Our study aimed to evaluate AC's clinico-demographic factors and their relation with prognosis and survival. MATERIALS AND METHODS Literature was systematically reviewed for cases pertaining to AC, starting from January 2000 to December 2016. All the required data was obtained, arranged and analysed using Cox regression ratio and Kaplan Meir survival analysis. From the database, 153 cases were retrieved as per the inclusion/exclusion criteria. RESULTS The results demonstrated that age of patient, mode of treatment and metastasis affects overall survival. The categorisation of AC as primary or secondary type does not have any role in determining prognosis. CONCLUSION Overall survival of AC patient depends upon age, site, treatment and metastasis. For a better prognosis early surgical management of the tumor appears to be the most favourable mode of treatment.
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Kiresur MA, Kunche A, Ananthaneni A, Bagalad BS, Kuberappa PH. A Rare Case Report of Spindle Cell Ameloblastic Carcinoma Involving the Mandible. J Clin Diagn Res 2017; 11:ZD25-ZD27. [PMID: 28274070 DOI: 10.7860/jcdr/2017/23818.9205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2016] [Accepted: 11/03/2016] [Indexed: 11/24/2022]
Abstract
Ameloblastic Carcinoma (AC) is uncommon malignant epithelial odontogenic tumour of jaw, with characteristic histologic features and behavior. Clinically, it has aggressive, infiltrative growth pattern with a distinct predilection for mandible. It exhibits histologic features of ameloblastoma and gets dedifferentiated overtime to culminate in carcinoma. Majority of the cases arise denovo (primary) and only few cases arise from a pre-existing ameloblastoma (secondary). Spindle-cell differentiation in ameloblastic carcinoma is rare; Salter described it as a separate entity "low-grade spindle cell ameloblastic carcinoma. Here we report a case of 32-year-old female patient who presented with a swelling present for past six months. It was diagnosed as Spindle cell Ameloblastic Carcinoma (SpAC), after the hemimandibulectomy the patient was under regular follow up for 14 months, no sign of recurrence was seen.
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Affiliation(s)
- Mohammad Asif Kiresur
- Senior Lecturer, Department of Oral and Maxillofacial Pathology, St. Joseph Dental College , Eluru, Andhra Pradesh, India
| | - Arunodaya Kunche
- Postgraduate Student, Department of Oral and Maxillofacial Pathology, St. Joseph Dental College , Eluru, Andhra Pradesh, India
| | - Anuradha Ananthaneni
- Professor, Department of Oral and Maxillofacial Pathology, St. Joseph Dental College , Eluru, Andhra Pradesh, India
| | - Bhavana S Bagalad
- Senior Lecturer, Department of Oral and Maxillofacial Pathology, St. Joseph Dental College , Eluru, Andhra Pradesh, India
| | - Puneeth Horatti Kuberappa
- Senior Lecturer, Department of Oral and Maxillofacial Pathology, St. Joseph Dental College , Eluru, Andhra Pradesh, India
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Ameloblastic carcinoma (secondary type) with extensive squamous differentiation areas and dedifferentiated regions. Oral Surg Oral Med Oral Pathol Oral Radiol 2016; 121:e154-61. [DOI: 10.1016/j.oooo.2015.09.021] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 09/21/2015] [Accepted: 09/24/2015] [Indexed: 12/28/2022]
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