Cystic Odontoma in a Patient with Hodgkin’s Lymphoma

Cystic odontoma is a rare entity, which is characterized by the association of a cyst with complex/compound odontoma. The aim of this study was to report the case of a 5-year-old male patient diagnosed previously with Hodgkin’s lymphoma and treated successfully with chemotherapy and radiotherapy, wh...

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Main Authors: Victor Costa, Adriana Rocha Caris, Jorge Esquiche León, Carolina Judica Ramos, Vaneska Jardini, Estela Kaminagakura
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2015/292819
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author Victor Costa
Adriana Rocha Caris
Jorge Esquiche León
Carolina Judica Ramos
Vaneska Jardini
Estela Kaminagakura
author_facet Victor Costa
Adriana Rocha Caris
Jorge Esquiche León
Carolina Judica Ramos
Vaneska Jardini
Estela Kaminagakura
author_sort Victor Costa
collection DOAJ
description Cystic odontoma is a rare entity, which is characterized by the association of a cyst with complex/compound odontoma. The aim of this study was to report the case of a 5-year-old male patient diagnosed previously with Hodgkin’s lymphoma and treated successfully with chemotherapy and radiotherapy, who developed a mandibular odontogenic lesion. Physical examination revealed a swelling on the right side of the mandible. Radiographically, a well-defined radiolucent area surrounded by radiopaque material was observed. An incisional biopsy was performed and microscopic analysis showed a cystic lesion consisting of an atrophic epithelium comprising 2-3 cell layers and the absence of inflammation in the cystic capsule. The cyst was decompressed and the lesion was removed after 3 months of follow-up. Microscopic analysis of the surgical specimen showed a cystic hyperplastic epithelium surrounded by an intense chronic inflammatory cell infiltrate, which was in close contact with mineralized tissue resembling dentin and cementum. The final diagnosis was cystic odontoma. Since chemotherapy can affect the growth and development of infant teeth, a relationship between chemotherapy-associated adverse events and cystic odontoma is suggested in the present case.
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issn 2090-6447
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language English
publishDate 2015-01-01
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series Case Reports in Dentistry
spelling doaj-art-22ae20eadb264afd844f0ed6a3f814342025-08-20T03:54:48ZengWileyCase Reports in Dentistry2090-64472090-64552015-01-01201510.1155/2015/292819292819Cystic Odontoma in a Patient with Hodgkin’s LymphomaVictor Costa0Adriana Rocha Caris1Jorge Esquiche León2Carolina Judica Ramos3Vaneska Jardini4Estela Kaminagakura5Bioscience and Oral Diagnosis Department, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), School of Dentistry, 12247-004 São José dos Campos, SP, BrazilBioscience and Oral Diagnosis Department, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), School of Dentistry, 12247-004 São José dos Campos, SP, BrazilOral Pathology Department, Ribeirão Preto Dental School, University of São Paulo, 14040-900 Ribeirão Preto, SP, BrazilPediatric Dentistry Department, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), School of Dentistry, 12247-004 São José dos Campos, SP, BrazilPediatric Oncology, “Fabiana Macêdo de Moraes” Children Treatment Center, 12244-010 São José dos Campos, SP, BrazilBioscience and Oral Diagnosis Department, Institute of Science and Technology, Universidade Estadual Paulista (UNESP), School of Dentistry, 12247-004 São José dos Campos, SP, BrazilCystic odontoma is a rare entity, which is characterized by the association of a cyst with complex/compound odontoma. The aim of this study was to report the case of a 5-year-old male patient diagnosed previously with Hodgkin’s lymphoma and treated successfully with chemotherapy and radiotherapy, who developed a mandibular odontogenic lesion. Physical examination revealed a swelling on the right side of the mandible. Radiographically, a well-defined radiolucent area surrounded by radiopaque material was observed. An incisional biopsy was performed and microscopic analysis showed a cystic lesion consisting of an atrophic epithelium comprising 2-3 cell layers and the absence of inflammation in the cystic capsule. The cyst was decompressed and the lesion was removed after 3 months of follow-up. Microscopic analysis of the surgical specimen showed a cystic hyperplastic epithelium surrounded by an intense chronic inflammatory cell infiltrate, which was in close contact with mineralized tissue resembling dentin and cementum. The final diagnosis was cystic odontoma. Since chemotherapy can affect the growth and development of infant teeth, a relationship between chemotherapy-associated adverse events and cystic odontoma is suggested in the present case.http://dx.doi.org/10.1155/2015/292819
spellingShingle Victor Costa
Adriana Rocha Caris
Jorge Esquiche León
Carolina Judica Ramos
Vaneska Jardini
Estela Kaminagakura
Cystic Odontoma in a Patient with Hodgkin’s Lymphoma
Case Reports in Dentistry
title Cystic Odontoma in a Patient with Hodgkin’s Lymphoma
title_full Cystic Odontoma in a Patient with Hodgkin’s Lymphoma
title_fullStr Cystic Odontoma in a Patient with Hodgkin’s Lymphoma
title_full_unstemmed Cystic Odontoma in a Patient with Hodgkin’s Lymphoma
title_short Cystic Odontoma in a Patient with Hodgkin’s Lymphoma
title_sort cystic odontoma in a patient with hodgkin s lymphoma
url http://dx.doi.org/10.1155/2015/292819
work_keys_str_mv AT victorcosta cysticodontomainapatientwithhodgkinslymphoma
AT adrianarochacaris cysticodontomainapatientwithhodgkinslymphoma
AT jorgeesquicheleon cysticodontomainapatientwithhodgkinslymphoma
AT carolinajudicaramos cysticodontomainapatientwithhodgkinslymphoma
AT vaneskajardini cysticodontomainapatientwithhodgkinslymphoma
AT estelakaminagakura cysticodontomainapatientwithhodgkinslymphoma