Tumors Flashcards
Most common epithelial Odontogenic tumor
Ameloblastoma
Most common site for Ameloblastoma
Mandibular molar ramus area, can be associated with impacted teeth
Slow growing, painless and capable of causing large facial deformities
Ameloblastoma
Types of Ameloblastoma
Multicystic
Unicystic
Peripheral or extraosseous
Multilocular radiolucencies with well defined sclerotic margins - soap bubble or honey comb
Multicystic Ameloblastoma
Superficial saucerization of cortical plate, cup shaped radiolucency beneath elevated nodule
Peripheral or extraosseous ameloblastoma
Most common microscopic patterns of ameloblastoma
Follicular and plexiform
Tx if ameloblastoma
Simple Enucleation or en bloc / marginal resection
True mixed tumor epithelium and connnective tissue
Ameloblastic Fibroma
Mixed tumor similar to ameloblastic fibroma but contains odontoma
Ameloblastic Fibroma-odontoma
Molar ramus region, slow painless swelling, impacted molars, unilocular or multilocular radiolucent lesions with scalloped margins may contain calcified opaque structures
Pindborg tumor/ calcifying epithelial Odontogenic tumor
Sheets of large polygonal epithelial cells within connective tissue stroma with areas of amyloid that have concentric deposits, Liesegang rings
Pindborg tumor/ calcifying epithelial Odontogenic tumor
Females, 10-19 in anterior maxilla, asymptomatic tumor
Adenomatoid odontogenic tumor
Unilocular radiolucency surrounding unerupted canine crown, extends past CEJ
Adenomatoid Odontogenic tumor
Completely radiolucent but with fine snowflake calcifications, ductlike structures surrounded by thick fibrous capsule
Adenomatoid Odontogenic tumor
Agressive intraosseous lesion arising from odontogenic mesenchyme from dental pulp or follicular connective tissue
Odontogenic myxoma
Painless, slowly enlarging swelling, cortical expansion, teeth displacemeny and root resorption
Odontogenic myxoma
Unilocular or multilocular, margins irregular or scalloped, thin wispy trabeculae which gives soap bubble or tennis racket appearance
Odontogenic myxoma
Haphazardly arranged stellate, spindle shaped, round cells, loose myxoid stroma only few collagen fibrils
Odontogenic myxoma