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Case Reports
. 2022 Sep-Dec;13(3):475-478.
doi: 10.4103/njms.njms_494_21. Epub 2022 Dec 10.

Two sides of a coin: A report of two contrasting cases of adenomatoid odontogenic tumor with unusual presentations

Imran Khan  1 , Anshul Singhal  2 , Uqba Raza  3 , Shubhangi Premchandani  3
Affiliations
Case Reports

Two sides of a coin: A report of two contrasting cases of adenomatoid odontogenic tumor with unusual presentations

Imran Khan et al. Natl J Maxillofac Surg. 2022 Sep-Dec.

Abstract

This study aims to report two distinct cases of adenomatoid odontogenic tumor (AOT) with contrasting presentations. The first case involved a 12-year-old female patient with the presence of AOT in the posterior mandible extending into the mandibular ramus up till the coronoid process which is a rare reported site for AOT and the second case is of a 19-year-old male patient with the tumor in the anterior maxilla with an impacted central incisor. Both cases were successfully managed via surgical enucleation and are under regular follow-ups without any complication. The contrasting nature of the two clinical presentations with the same pathologic entity is reported here. Though AOT has been rarely reported extending into the mandibular ramus, a maxillofacial surgeon should be more circumspect of this pathology while dealing with benign swellings of the mandibular posterior region.

Keywords: Adenoameloblastoma; adenomatoid odontogenic tumor; mandible; maxilla; odontogenic tumor.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Orthopantomograph (OPG) and Computerised Tomographic Images (CT Images) showing the extent of the osteolytic lesion along with significant expansion and cortical perforation. (Case-1) (a-c)
Figure 2
Figure 2
Intra operative picture depicting the size of the lesion as well as successful tumor enucleation. Histomicropraphic picture and six months post operative panoramic view. (Case-1) (a-d)
Figure 3
Figure 3
Clinical and Radiographic Picture depicting the pathology, Tumor enucleated in toto along with impacted maxillary central incisor, Histomicrographic image indicating towards AOT. (Case-2) (a-d)
See this image and copyright information in PMC

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