Aggressive maxillary squamous odontogenic tumour in a child: histological dilemma and adaptative surgical behaviour.

Int J Oral Maxillofac Surg

Stomatology and Maxillofacial Surgery Department, Pitié-Salpêtrière University Hospital, Paris VI University, Paris, France.

Published: September 2007

AI Article Synopsis

  • A 9-year-old boy presented with a maxillary osteolytic tumor, initially diagnosed as a benign squamous odontogenic tumor through histological analysis, but complications arose due to swelling and non-specific signs.
  • After a successful local surgical procedure, the tumor recurred aggressively after 10 months, causing further concerns about its nature.
  • Ultimately, collaboration among specialized pathologists confirmed it as a very aggressive form of squamous odontogenic tumor, prompting the need for radical surgery.

Article Abstract

A case of a maxillary osteolytic tumour is described in a 9-year-old boy. Histological analysis led to an initial diagnosis of benign squamous odontogenic tumour, although this was not straightforward due to swelling, and cellular pseudo-malignant and non-specific signs. Because of the young age of the patient, a local surgical tumourectomy was first chosen with respect to the mixed dentition. For 10 months, the evolution was satisfactory. Then, a very aggressive tumoural recurrence with lip and palate infiltration led to doubts as to the histologic nature of the tumour. Efficient collaboration between several specialized pathologist teams finally confirmed that this was a squamous odontogenic tumour but in a very aggressive form. Radical surgery was then carried out.

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http://dx.doi.org/10.1016/j.ijom.2007.03.002DOI Listing

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