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, Mariusz Szuta, Romana Tomaszewska, Jadwiga Stypułkowska, Hiba Alobaide, Marta Świerzy, Tomasz Kaczmarzyk

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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