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Unusual clear cell tumors of the jaws - clinical and histopathological considerations: a case report.

Gasparini G, Boniello R, Moro A, Federico F, Castri F, Pelo S - J Med Case Rep (2008)

Bottom Line: Surgical treatment consisted of enucleating the lesion preserving the alveolar nerve and extracting of the retained tooth.Unexpectedly, the lesion presented as a solid.The histological characteristics of this tumor make it unique in the international literature.

View Article: PubMed Central - HTML - PubMed

Affiliation: Maxillo-Facial Surgery, Catholic University Medical School, Rome, Italy. giulio.gasparini@rm.unicatt.it

ABSTRACT

Introduction: Clear cell neoplasms of the jaw are very infrequent and a review of the literature reports only isolated cases of metastatic renal clear cell carcinoma of the jaw.

Case presentation: A 68-year-old man presented with an osteolytic lesion of the left hemimandible. The first diagnostic hypothesis was a third molar follicular cyst. Surgical treatment consisted of enucleating the lesion preserving the alveolar nerve and extracting of the retained tooth. Unexpectedly, the lesion presented as a solid.

Conclusion: The authors report a case of a clear cell neoplasm involving the jaw in which histopathological exam presented an indeterminate histology. The histological characteristics of this tumor make it unique in the international literature.

No MeSH data available.


Related in: MedlinePlus

Pre-operative panoramic radiography.
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Figure 1: Pre-operative panoramic radiography.

Mentions: A 68-year-old man presented to our center for treatment of an osteolytic lesion of the left hemimandible. The patient was completely asymptomatic and became aware of the lesion following a panoramic radiography. The lesion had spread into the linguo-vestibular thickness of the left hemimandible from the second premolar to the impacted third molar. Upon panoramic (Fig. 1) and computed tomography (CT) DentaScan investigation, the osteolytic lesion was seen to involve the first and second molar apex with amputation of the mesial root apex of the first molar. In spite of this, the teeth maintained pulp vitality. The lesion had clear edges and had eroded the lingual cortex.


Unusual clear cell tumors of the jaws - clinical and histopathological considerations: a case report.

Gasparini G, Boniello R, Moro A, Federico F, Castri F, Pelo S - J Med Case Rep (2008)

Pre-operative panoramic radiography.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2553086&req=5

Figure 1: Pre-operative panoramic radiography.
Mentions: A 68-year-old man presented to our center for treatment of an osteolytic lesion of the left hemimandible. The patient was completely asymptomatic and became aware of the lesion following a panoramic radiography. The lesion had spread into the linguo-vestibular thickness of the left hemimandible from the second premolar to the impacted third molar. Upon panoramic (Fig. 1) and computed tomography (CT) DentaScan investigation, the osteolytic lesion was seen to involve the first and second molar apex with amputation of the mesial root apex of the first molar. In spite of this, the teeth maintained pulp vitality. The lesion had clear edges and had eroded the lingual cortex.

Bottom Line: Surgical treatment consisted of enucleating the lesion preserving the alveolar nerve and extracting of the retained tooth.Unexpectedly, the lesion presented as a solid.The histological characteristics of this tumor make it unique in the international literature.

View Article: PubMed Central - HTML - PubMed

Affiliation: Maxillo-Facial Surgery, Catholic University Medical School, Rome, Italy. giulio.gasparini@rm.unicatt.it

ABSTRACT

Introduction: Clear cell neoplasms of the jaw are very infrequent and a review of the literature reports only isolated cases of metastatic renal clear cell carcinoma of the jaw.

Case presentation: A 68-year-old man presented with an osteolytic lesion of the left hemimandible. The first diagnostic hypothesis was a third molar follicular cyst. Surgical treatment consisted of enucleating the lesion preserving the alveolar nerve and extracting of the retained tooth. Unexpectedly, the lesion presented as a solid.

Conclusion: The authors report a case of a clear cell neoplasm involving the jaw in which histopathological exam presented an indeterminate histology. The histological characteristics of this tumor make it unique in the international literature.

No MeSH data available.


Related in: MedlinePlus