치아종과 관련된 석회화 치성낭종

이재휘(Lee Jae Hwy),배정수(Bae Jung Soo),장동수(Jang Dong Soo),김진(Kim Jin),전용찬(Chun Young Chan) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.2

The calcifying odontogenic cyst was first recognized as a separate entity by Gorlin and his associates in 1962. It is a rare lesion and accounts for only about 2% of all odontogenic tumors and cysts. The majority of calcifying odontogenic cysts are cystic, although approximately 15% are solid lesions. Hence, WHO in 1971 classified calcifying odontogenic cyst as a benign odontogenic tumor. The calcifying odontogenic cyst often occurs in association with, or contains areas histologically similar to, a variety of odontogenic tumors, such as complex and compound odontomas, ameloblastoma, ameloblastic fibroma, ameloblastic fibro-odontoma, odonto-ameloblastoma, calcifying epithelial odontogenic tumor, and adenomatoid odontogenic tumor. Among these, odontoma is most often found in relation to the calcifying odontogenic cyst, although only a few reports of calcifying odontogenic cyst found concurrently with true odontoma have been pulished. This report presents a case of calcifying odontogenic cyst associated with odontoma, reviews the current knowledge concerning this lesion, and attempts to clarify certain ambiguous histologic features of the tumor.

석회화치성낭양 변화를 동반한 법랑모세포섬유치아종

권혁록,한진우,이진호,최항문,박인우,이석근 대한구강악안면방사선학회 2001 Imaging Science in Dentistry Vol.31 No.3

Thirteen-year-old girl complaining of the swelling and pain on the left midface visited our dental hospital. On the radiogaphic examination, well-defined radiolucent lesion with hyperostotic border was found in the left maxilla accompanying with the external root resorption of the involved teeth and the displaced second molar. CT showed calcified bodies, thinning of hard palate, inferior orbital wall and lateral wall of nasal fossa, and thinning and perforation of the buccal plate of the maxilla. Enucleation and curettage of the lesion and nasoantrostomy was carried out and histopathologic examination mainly showed a solid tumor tissue composed of odontogenic epithelium and pulp tissues admixed with dentin and enamel formation. And some part of reduced follicular epithelium of tooth germ showed a change mimicking calcifying odontogenic cyst, Taken together, we concluded the lesion is an ameloblastic fibro-odontoma with a change of calcifying odontogenic cyst. (Korean J Oral Maxillofac Radiol 2001; 31 : 181-4)

치아종을 동반한 석회화 치성낭에 관한 증례보고 : CASE REPORT

이난영,이선숙,이창섭,이상호 大韓小兒齒科學會 2006 大韓小兒齒科學會誌 Vol.33 No.1

석회화 치성낭은 상악 전치부에 호발하는 발육성 치성낭이나 조직학적 소견이 다양하고 따라서 분류 체계도 다양하다. 악골 내에서 느리게 진행되는 무통성 종창이 일반적이며 24-30%에서 매복치 및 치아종과 연관되어 나타난다. 피복 상피에 나타나는 유령세포는 결합 조직에 노출되어 석회화 조직을 형성한다. 이 증례는 14세 여아의 상악 견치부에 발생한 치아종을 동반한 석회화 치성낭으로, 매복된 상악 좌측 견치 치관 주위로 경계가 명확한 방사선 투과성 병소와 다발성의 방사선 불투과성 석회화 물질이 혼재된 병소였다. 조직병리학적으로 중층 편평상피로 이장되어잇고 상피 내에 유령세포가 관찰되었다. 석회화된 물질은 복합 치아종의 소견을 보여 Preatorius의 조직학적 분류에 의한 석회화 치성낭 Type IB로 진단되었다. 병소의 적출 및 병소에 이환된 견치 발치를 시행하였다. 현재 염증 소견이 관찰되어 병소에 이환된 상악 좌측 제1소구치는 치수치료를 시행하였으며 환아 및 보호자가 포괄적인 교정 치료를 원하여 현재 공간 유지 장치를 장착 중이다. The calcifying odontogenic cyst(COC) predominantly affected Maxillary anterior segment and it is developmental cyst. But COC showed diverse terminology or classification, clinicopathologic features as well as its biologic behavior. COC usually presents as slowly enlarging but otherwise symptomless swelling. Association with impacted teeth and odontoma is described in 24~30%. The epithelial lining of COC(ghost cell) appears to have ability to induce the formation of dental tissues in the asjcents connective tissue wall. This case is a COC associated with a odontoma involving an impacted left maxillary canine in 14-year old female child. Radiographic examination revealed a well-demarcated radiolucent lesion partially occupied by a radiopaque mass, involving the left canine. The histologic sections showed cystic cavity lined with ameloblastic epithelium containing ghost cell masses with regular and irregular shape odontoma. The final pathologic diagnosis was calcifying odontogenic cyst with odontoma(Type IB by Preatorius). Enucleation and elimination of the included tooth were performed. Now endodontic treatment was preformed on the 1st premolar of the upper left jaw, which had a lesion. And the patient and their parents want to have the orthodontic treatment performed and would like to keep the space maintainer.

치성석회화 낭종 :

조성웅(Seong-Woong Cho),서동원(Dong-Won Suh),김동형(Dong-Hyung Kim),이준(Jun Lee),강지연(Ji-Youn Kang),심재환(Jae-Hwan Shim),이동근(Dong-Keun Lee),김상중(Sang-Jung Kim) 대한구강악안면외과학회 2008 대한구강악안면외과학회지 Vol.34 No.3

The calcifying odontogenic cyst(COC) is considered to occupy a position between a cyst and an odontogenic tumor-having charateristics of both. Gorlin and col. described the COC for first time as an own pathological entity in 1962. Clinically, the COC represents 1% of the odontogenic lesion. It is possible to be found from the first decade to the eight decade but is more frequent during the second decade. It affects in same proportion the maxilla and jaw, being the most in tooth-bearing area of the jaw. This case of COC associated with an unerupted tooth which appeared in the right mandible of 22-year-old woman, was reported. This case report is to present a review of the literature relates to this case of COC and its treatment, discuss clinical, radiographic, histological and therapeutic aspects.

상악 매복 견치와 관련된 석회화 치성낭

윤숙자,김영희,이재서 대한구강악안면방사선학회 2000 Imaging Science in Dentistry Vol.30 No.3

A 35-year-old man was referred to the department of Oral and maxillofacial surgery of Chonnam university hospital for the chief complaint of asymptomatic swelling on the buccal vestibule of upper right canine area. Radiographs revealed that the upper right canine was impacted and there was a well-circumscribed pericoronal radiolucency related with the canine. Multiple radiopaque foci were scattered in the radiolucent lesion, and the roots of the lateral incisor and the first premolar related to the lesion showed external resorption. The radiographic features of this lesion were typical of adenomatoid odontogenic tumor, but considering the gender and age of the patient, the tentative diagnosis was made as calcifying odontogenic cyst. Microscopically this lesion was diagnosed as calcifying odontogenic cyst, Because calcifying odontogenic cyst has no pathognomonic feature of radiographs, to consider radiographic features with clinical findings is necessary in order to establish more correct diagnosis.(Korean J Oral Maxillofac Radiol 2000; 30: 223-227)

Ghost cell odontogenic carcinoma on right mandible and its respective surgical reconstruction: a case report

Sang Yoon Park,Joon hyoung Park,Do Hyun Kwon,Jae ho Jeon,Soung Min Kim,Hoon Myoung,Jong Ho Lee 대한구강악안면외과학회 2017 대한구강악안면외과학회지 Vol.43 No.6

Calcifying cystic odontogenic tumor (CCOT) is defined as an odontogenic cyst-like benign neoplasm that characteristically contains several ghost cells, ameloblastoma-like epithelium, and occasional calcification. Ghost cell odontogenic carcinoma (GCOC), a malignant form of CCOT, is an exceptionally rare malignant tumor. In this report, we present a case of a 53-year-old man whose chief complaint was a solitary mass on the right mandible area. The mass was completely removed through an extraoral surgical approach and reconstructive surgery was performed in two phases.

상아질성 유령세포종양: 증례보고와 문헌고찰

김성민,최소영,이재일,허경회,명훈,이종호,Kim, Soung Min,Choi, So Young,Lee, Jae Il,Huh, Kyung Hoe,Myoung, Hoon,Lee, Jong Ho 대한악안면성형재건외과학회 2013 Maxillofacial Plastic Reconstructive Surgery Vol.35 No.1

Dentinogenic ghost cell tumor (DGCT) is a rare epithelial odontogenic neoplasm, representing 1.9% to 2.1% of all odontogenic tumors. It is the neoplastic counterpart of the calcifying odontogenic cyst (COC), and characteristic islands of odontogenic epithelical cells contain numerous ghost cells and dysplastic dentin, and also have many common histological features with ameloblastoma. The 2005 World Health Organization (WHO) Classification of Odontogenic Tumours re-named this entity as calcifying cystic odontogenic tumor (CCOT) and defined the clinico-pathological features of the ghost cell odontogenic tumours, CCOT, DGCT and ghost cell odontogenic carcinoma (GCOC). We report a rare case of central DGCT in the posterior maxilla of a 31-year-old female with literature review, for the emphasis of Oral and Maxillofacial surgeon's role.

석회화 낭성 치성종양과 법랑모세포 섬유치아종이 혼합된 치성종양

김형수,윤정훈,최승현,나종찬,안미영,이준 대한구강악안면병리학회 2015 대한구강악안면병리학회지 Vol.39 No.2

Calcifying cystic odontogenic tumor (CCOT), also known as calcifying odontogenic cyst or Gorin cyst is a rare developmental lesion which arises from odontogenic epithelium. It has been classified as a benign odontogenic neoplasm related to odontogenic apparatus by the World Health Organization. CCOT may be associated with other odontogenic tumors, most frequently odontoma, a finding that is a rare event in other types of odontogenic cysts or tumors. This report describes a case of hybrid odontogenic tumor composed of CCOT and ameloblastic fibroma-odontoma of the impacted right maxillary canine region that occurred in a 14-year-old female.

석회화 낭성 치성종양과 법랑모세포 섬유치아종이 혼합된 치성종양

김형수,최승현,나종찬,안미영,이준,윤정훈 대한구강악안면병리학회 2015 대한구강악안면병리학회지 Vol.39 No.2

Calcifying cystic odontogenic tumor (CCOT), also known as calcifying odontogenic cyst or Gorin cyst is a rare developmental lesion which arises from odontogenic epithelium. It has been classified as a benign odontogenic neoplasm related to odontogenic apparatus by the World Health Organization. CCOT may be associated with other odontogenic tumors, most frequently odontoma, a finding that is a rare event in other types of odontogenic cysts or tumors. This report describes a case of hybrid odontogenic tumor composed of CCOT and ameloblastic fibroma-odontoma of the impacted right maxillary canine region that occurred in a 14-year-old female.

멜라닉 착색을 보인 석회화 치성낭

윤정훈,임경수,김영균 조선대학교 구강생물학연구소 2003 口腔生物學硏究 Vol.27 No.1

A case of the pigmented calcifying odontogenic cyst occurring in a 20-year-old male is reported. In addition to the characteristic histopathologic features of calcifying odontogenic cyst, dendritic cells containing melanin pigment were widely distributed in the lining epithelium and adjacent cyst wall. Although no conclusion could be drawn from the present examination as to the origin of melanin pigment in the calcifying odontogenic cyst, it is thought that the role of racial pigmentation is one of the important factors in occurrence of pigmented odontogenic lesions.