Intra-osseous jaw lesions in paediatric patients: a retrospective study (original) (raw)
Related papers
2019
Objectives The aim of the present study was to document the frequency and clinicopathologic features of intra-osseous jaw lesions in an Iranian pediatric population over a 20-year period.Methods Data were obtained from the archives of the Oral Pathology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran. The lesions were classified into four groups: (A) odontogenic cysts, (B) odontogenic tumors, (C) benign bone pathologies and (D) malignant bone tumors. The patients were divided into two age groups of (A) children (≤12 years old) and (B) adolescents (13 to 18 years old).Results Of 5,722 biopsy samples, 475 (58.2%) were diagnosed as intra-osseous lesions in patients aged 0-18 years with a male (55.2%) and mandibular (60.6%) predilection. The patients’ age ranged from 3 months to 18 years with a mean age of 12.5 years. Odontogenic cysts presented the most prevalent subgroup (51.3%) followed by benign bone pathologies (26.5%), odontogenic tumors (18.9%) and malign...
The Diagnostic Dilemma of an Odontogenic Jaw Lesion in a Pediatric Patient: A Case Report
Cureus
This paper presents a case report of a 10-year-old child patient reported with the chief complaint of a painless, hard swelling in the lower right back region of the jaw. The clinical and radiographic examination, including intraoral periapical radiograph (IOPA) and cone-beam CT (CBCT), was performed. Conservative treatment was planned based on the clinical and radiological diagnosis of the cyst. But the histological examination revealed unicystic ameloblastoma (UA). This clinical case of UA, which was misdiagnosed as a combination of a radicular cyst and a dentigerous cyst, is being presented to highlight the importance of histopathologic investigation of all tissue specimens retrieved after surgery, particularly when the clinical and radiological findings are insignificant.
A Clinicopathological Study of Jaw Lesions at a Tertiary Care Centre
Journal of Evidence Based Medicine and Healthcare, 2016
BACKGROUND Jaw bones are exceptional developmentally in having embryonal neuroectodermal cells on one hand and tooth germs on other. They cause destruction of the jaw bones and pose diagnostic challenge. MATERIAL AND METHODS Patients attending Oral and Maxillofacial Surgery Department at Osmania General Hospital during the period January 2013-May 2016 presenting with complaints of gradually progressive of jaw swelling, toothache and with radiological evaluation showing osteolytic, sclerotic, and cystic change were subjected to surgical excision. Representative tissue samples were processed routinely and stained by haematoxylin and eosin. RESULTS A total of 55 cases of lesions involving jaw bones were studied out of which 21 cases occurred in females and 34 cases in males. 47 lesions were encountered in mandible and 7 lesions in maxilla. A single case of firm-to-hard submandibular swelling was also included in the study. The lesions were categorised into cysts, odontogenic tumours, reactive bone lesions, giant cell lesions, and primary bone tumours. Ameloblastoma was the most common odontogenic tumour type, 15/55; one ameloblastoma case was recurrent followed by radicular cyst 7/55 and dentigerous cyst accounting for six cases and variety of other lesions. CONCLUSION A whole gamut of lesions occurred in the jaws presented with a considerable overlap in clinical, histological, and radiological features. The present study revealed mostly cystic and benign neoplastic lesions.
Specificity of paediatric jawbone lesions: Tumours and pseudotumours
Journal of Cranio-Maxillofacial Surgery, 2014
Introduction: Characteristics and epidemiology of jaw tumours have been described mostly in adults. Compared with their adult counterparts, childhood jaw tumours show considerable differences. The aim of this study was to describe the different jaw tumours in children, define diagnostic tools to determine their specificity and describe optimal treatment. Methods: All children patients with jaw lesions, excluding cysts, apical granuloma and osteitis were included in our study between 1999 and 2009. The medical records were analyzed for clinical, radiological, and pathological findings, treatments and recurrences. Results: Mean patient age was 10.9 years old, ranging from 2 months to 18 years old. Of the 63 lesions, 18 were odontogenic and 45 non-odontogenic lesions. 6% of all cases were malignant tumours; the mean age of presentation was 7.25 years old, [ranging from 0.2 to 18 years old]. Approximately 80% of the tumours developed after 6 years of age. Odontogenic tumours occurred more often after the age of 6. Conclusion: Compared with their adult counterpart, childhood jaw tumours show considerable differences in their clinical behaviour and radiological and pathological characteristics. Clinical features of some tumours can be specific to children. Tumourigenesis is related to dental development and facial growth. Conservative treatment should be considered.
Clinicopathologic Study of Intra- Osseous Lesions of the Jaws in Southern Iranian Population
Journal of Dentistry, 2017
Statement of the Problem: It is necessary for surgeons and practitioners to know about relative incidence and clinicopathologic features of lesions for accurate diagnosis and approach of pathologic lesions. Data are limited about overall incidence of intra-osseous lesions of the jaws in Iranian patients. Purpose: This study evaluated the clinicopathologic features of intra- osseous lesions of the jaws in an Iranian population, in a 22-year period. Materials and Method: In this cross- sectional retrospective analytical study, 4500 specimens in a 22- year period were reviewed. Baseline data of all patients with intra- osseous lesions including type and location of lesions as well as patients’ age and gender, were collected and analyzed by SPSS software using descriptive analysis and Chi-square test. Results: There were 1121 (25%) intra-osseous lesion. Odontogenic cysts and benign non- odontogenic bone lesions were the most common categories, respectively. The mean age of the patients ...
Introduction:The term ''odontogenic tumors'' comprises a group of neoplasms and hamartomatous lesions derived from cells of tissues involved in the formation of teeth or remnants of tissues that has been involved in the Odontogenesis .1 The tumors occur exclusively in three locations(i) intraosseous (centrally) in the maxillofacial skeleton(ii) extraosseous (peripherally) in the gingiva or alveolar mucosa overlying tooth bearing areas.TheyArise denovo without any causative factor 2 .Developmental odontogenic cysts may contribute to the formation of some Odontogenic tumors and Intraosseous Squamous cell carcinoma. Materials and methods:-The present study was carried out in the Department of Pathology, Siddhartha Medical College, Vijayawada in the period between January 2016 to December 2017. Total number of cases were 41. Results: Of 41 cases, 13 cases were odontogenic cysts and 28 cases were odontogenic tumours.21 lesions were in mandible and 20 were in maxilla. Ameloblastoma was the most common tumour followed by adenomatoidodontogenictumour. The Most common age at occurrence was 2 nd-4 th decade. Conclusion: Odontogenic lesions can be solid and cystic. Solid lesions can be benign or malignant.They may present as gingival swellings.communincation with clinician and radiologist is essential in proper identification of these lesions.
Jaw and gum tumours in children
Pediatric Surgery International, 2009
Introduction Jaw and gum tumours are rare conditions in children. Children presenting with jaw tumours during 2001 till 2007 are presented. Their modes of presentation, operative procedures and findings, histology and post operative results have been described. Materials and methods Fourteen children presenting with jaw and gum tumours are retrospectively analysed. Acute inflammatory and developmental cyst are excluded from the study. Relevant literature of three rare tumours noted in our series are reviewed. Results Eight patients had epulis, two of them had rare congenital epulis. Two patients had aneurysmal bone cyst. Melanotic neuroectodermal tumour of infancy was noted in two patients. Ameloblastic fibrosis, another rare tumour in children, and non-osseus fibroma were noted in one patient each. Excision of the mass was done in all except two patients with aneurysmal bone cyst, in whom curettage of the cyst was done. Patients were followed up from 3 months to 6 years. Conclusion Jaw and gum tumours in children are usually benign. Excision of the tumour or curettage is curative in most of them.
Odontogenic tumours in children and adolescents: a review of forty-eight cases
Annals of Ibadan postgraduate medicine, 2013
Odontogenic tumours comprise a large heterogeneous group of lesions originating from odontogenic epithelium and/or ectomesenchyme and its vestiges. The aim of this study was to analyze odontogenic tumours in children and adolescents seen at a tertiary institution in South Western Nigeria and compare with results from previous studies. Archival records of the Department of Oral Pathology, University College Hospital Ibadan were reviewed. All histologically diagnosed odontogenic tumours in patients 19 years and below spanning a period of 21 years (1990-2011) were retrieved. Data regarding age, gender, and tumor topography were analyzed using SPSS for Window (version 18.0; SPSS Inc. Chicago, IL). One hundred and forty seven jaw swellings were seen in children and adolescents aged 19 or less during the study period, out of which 48 (32.7%) were odontogenic tumours. More cases were seen in males than females with a male: female ratio of 7:5. The mandible was the commonest site of occurre...
Odontogenic Tumours of Jaw: A Prospective Study on Clinico-Pathological Profile and Their Management
Indian Journal of Otolaryngology and Head & Neck Surgery, 2017
Odontogenic tumours are a group of heterogeneous diseases that range from hamartomatous or nonneoplastic tissue proliferations to benign neoplasms to malignant tumours with metastatic potential. They are rare, comprising about \2-3% of all oral and maxillofacial biopsy specimens. The aim of the present study was to determine the clinico-pathological presentation of this heterogeneous group of lesions and review of literature. The present study was conducted in the ENT department of a Government Medical College and Hospital, West Bengal, India, over the period of 5 years from January 2011 to December 2015. It included a total of 15 patients who were clinico-radiologically diagnosed as odontogenic tumours, and were given appropriate treatment. Their diagnostic and management approaches are discussed. Among 15 odontogenic tumours, 13 were benign and two were malignant. Male to female ratio was 2:3. Mandible to maxilla ratio was 1.8:1. The patients were in between 4 and 56 years of age with highest incidence in 3rd decade of life. All patients are doing well till date with a minimum follow-up of 1 year. Incisional biopsy is considered as gold standard for preoperative diagnosis but FNAC can offer clinicians a less invasive alternative. CT is the choice of investigation for study of lesion, analysis of its extension and surgical planning. The challenge to proper management lies in balancing between conservative and radical approach to reduce morbidity and recurrence both. Final diagnosis is made by post-operative histopathological examination.
An analysis of oral and maxillofacial pathology found in children over a 30-year period
International Journal of Paediatric Dentistry, 2006
Summary. Aim. The vast majority of oral diseases are confined to oral tissues, but numerous underlying systemic conditions may present with signs and symptoms within the oral cavity. Since the epidemiology of diseases is variable between regions, the authors carried out Europe's first paediatric-based survey of oral and maxillofacial pathology specimens submitted for diagnosis.Design. All entries for specimens from children between the ages of 0 and 16 years during the 30-year period from 1973 to 2002 were retrieved and compiled into 12 diagnostic categories.Results. During the study period, 4406 (8·2%) specimens came from children between the ages of 0 and 16 years, with a male to female ratio of 1·01. The diagnostic category with the largest number of specimens was tooth pathology (22·1%), followed by salivary gland disease (19·1%) and mucosal pathology (12·1%). In all, there were 114 benign tumours of nonodontogenic origin, 43 odontogenic tumours and 31 malignant tumours. The most frequently diagnosed lesions were mucous extravasation cysts, which accounted for over 16% of cases. Periapical pathology in the form of a radicular cyst, residual cyst or chronic periapical granuloma formed almost 13% of all cases.Conclusions. This survey shows that, while nearly 10% of specimens submitted to the authors’ laboratory are from children under 16 years of age, the majority of lesions are of a benign nature, requiring minimal intervention; less than 1% of cases comprise malignant lesions. Odontogenic tumours are relatively rare in this age group; however, certain lesions such as adenomatoid odontogenic tumour and ameloblastic fibroma occur predominantly in children and, therefore, remain an important diagnostic consideration.