Case Report
Year: 2018 | Month: May | Volume: 8 | Issue: 5 | Pages: 415-420
Calcifying Cystic Odontogenic Tumor Conundrum Continues: A Case Report of Multiple Recurrences in Maxilla
VT Beena1, Shalu2, Sabu Paul3, Jasmin Jose4
1MDS Oral Pathology. Professor Dept. of Oral Pathology, Govt Dental College, Kottayam, Kerala.
2MDS Oral Pathology, Fellow at Head and Neck Pathology, Dharamshila Narayana Super speciality Hospital, Dallupura, New Delhi 110096. (Former Senior Resident, Dept. of Oral Pathology, Govt Dental College, Kottayam, Kerala.)
3MDS Oral Pathology. Associate Professor. Dept. of Oral Pathology, Govt Dental College, Kottayam, Kerala.
4MDS Oral Pathology. (Former Senior Resident, Dept. of Oral Pathology, Govt Dental College, Kottayam, Kerala.)
Corresponding Author: VT Beena
ABSTRACT
The calcifying cystic odontogenic tumour (CCOT) was first described as a distinct clinicopathological entity by Gorlin et al. in 1962. Ever since then, it has been a controversial lesion because if it’s variable presentation and confusion regarding its nomenclature and classification and the confusion still prevails. Here, we have discussed a case report of a 52 year male with the swelling in right side of maxilla with multiple recurrences demonstrating both solid and cystic areas. The lesion has recurred after 12 years from the last recurrence, so we strongly recommend a long term follow up in order to determine the long term recurrence rate, as the currently advised follow up by majority of the authors is 1-3 years. We also want to emphasize on the need of proper categorization of the cases for better understanding of the pathogenesis of each variant, and the need to alter the treatment modality accordingly.
Key words: calcifying; cystic; ghost cells; maxilla; recurrence; tumour.