eISSN: 2299-551X
ISSN: 0011-4553
Journal of Stomatology
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4/2018
vol. 71
 
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abstract:
Case report

High-grade central mucoepidermoid carcinoma arising in an odontogenic cyst: a case report and review of the literature

Paweł Świerzy
1
,
Mariusz Szuta
2
,
Romana Tomaszewska
3
,
Jadwiga Stypułkowska
1
,
Hiba Alobaide
4
,
Marta Świerzy
5
,
Tomasz Kaczmarzyk
6

1.
Department of Oral Surgery, University Dental Clinic, Cracow, Poland
2.
Department of Craniomaxillofacial, Oncologic, and Reconstruction Surgery, Jagiellonian University School of Medicine, Cracow, Poland
3.
Department of Diagnostic Pathomorphology, University Hospital of Cracow, Poland
4.
Students’ Scientific Circle at the Department of Oral Surgery, Jagiellonian University School of Medicine in English, Cracow, Poland
5.
Department of Orthodontics, Voivodeship Dental Polyclinic, Cracow, Poland
6.
Department of Oral Surgery, Jagiellonian University School of Medicine, Cracow, Poland
J Stoma 2018; 71, 4: 365-372
Online publish date: 2019/01/28
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Central mucoepidermoid carcinoma (CMEC) is a very rare neoplasm comprising 2% to 4% of all mucoepidermoid carcinomas. We herby present an unusual case of high-grade CMEC of the maxilla of a 53-year-old male patient, who was referred to the Department of Oral Surgery by a general dentist due to accidentally detected on X-ray unilocular radiolucent lesion on the premolar region of the left maxilla. Intraoral examination revealed asymmetry of the vestibule with palpable swelling in the region of 24-26 with a positive fluctuation and crepitation. After CBCT examination and core needle biopsy, preliminary diagnosis of residual cyst was made, and the cystic lesion was excochleated. Histopathological examination revealed a high-grade CMEC. Patient was reported to the Department of Cranio-Maxillofacial Surgery, where he underwent a subtotal maxillectomy and selective neck dissection. The patient remains in follow-up, having had no recurrences during 12-month period after surgery.
keywords:

mucoepidermoid carcinoma, radicular cyst, residual cyst, odontogenic cyst, oral surgery

 
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