Reporte de caso infrecuente de tumor odontogénico adenomatoide en mandíbula: seguimiento a 3 años

Autores/as

  • Jéssica Daniela Andreis PhD Student, Department of Dentistry, State University of Ponta Grossa (UEPG), 84030-900 Ponta Grossa - PR, Brazil
  • Dayane Jaqueline Gross Oral and Maxillofacial Surgery Resident, Regional University Hospital of Campos Gerais (HU), 84031-510 Ponta Grossa - PR, Brazil.
  • Amanda Regina Fischborn Adjunct Professor, Department of Dentistry, Unicesumar University, 84036-350 Ponta Grossa - PR, Brazil
  • Leomar Emanuel Almeida Mecca Adjunct Professor, Department of Dentistry, Unicesumar University, 84036-350 Ponta Grossa - PR, Brazil
  • Lea Rosa Chioca Adjunct Professor, Department of Dentistry, State University of Ponta Grossa (UEPG), 84030-900 Ponta Grossa - PR, Brazil
  • Cristina Maria de Freitas Zanelato Laboratory of Pathology, Sample Diagnóstico, 84052-460 Ponta Grossa - PR, Brazil
  • Marcela Claudino Adjunct Professor, Department of Dentistry, State University of Ponta Grossa (UEPG), 84030-900 Ponta Grossa - PR, Brazil
  • Tito Lúcio Fernandes Adjunct Professor, Department of Dentistry, State University of Ponta Grossa (UEPG), 84030-900 Ponta Grossa - PR, Brazil https://orcid.org/0000-0002-3855-3968
  • Gilson Cesar Nobre Franco Adjunct Professor, Department of Dentistry, State University of Ponta Grossa (UEPG), 84030-900 Ponta Grossa - PR, Brazil

DOI:

https://doi.org/10.21270/archi.v10i8.5291

Palabras clave:

Tumores Odontogénicos, Mandíbula, Tomografía Computarizada de Haz Cónico, Diagnóstico

Resumen

Este caso clínico mostró un TOA en una paciente de 12 años remitida para cirugía ortodóncica-quirúrgica de canino inferior derecho e incisivo lateral retenidos. La tomografía computarizada de haz cónico reveló una lesión mixta hiperdensa / hipodensa bien definida, que involucraba la corona del incisivo lateral inferior. La cirugía consistió en la exposición quirúrgica del canino inferior derecho y el incisivo lateral, unión del incisivo lateral para la tracción ortodóncica y legrado de la lesión mandibular. El examen histopatológico reveló varias células epiteliales columnares con poco tejido conjuntivo estromal, patrón lobulillar con rosetas y estructuras ductiles, lo que confirma el diagnóstico de TOA. Luego, el paciente fue derivado para tracción ortodóncica de los dientes impactados. En el período posoperatorio de 1 y 3 años, los exámenes de seguimiento mostraron una reparación ósea extensa, resolución de la retención dentaria y ausencia de recurrencia. Aunque la TOA es una lesión infrecuente en la mandíbula, debe considerarse en el diagnóstico diferencial de lesiones de perfil mixto en esta región.

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Publicado

2021-07-16

Cómo citar

Andreis, J. D., Gross, D. J., Fischborn, A. R., Mecca, L. E. A., Rosa Chioca, L., Zanelato, C. M. de F., Claudino, M., Lúcio Fernandes, T., & Franco, G. C. N. (2021). Reporte de caso infrecuente de tumor odontogénico adenomatoide en mandíbula: seguimiento a 3 años. ARCHIVES OF HEALTH INVESTIGATION, 10(8), 1272–1276. https://doi.org/10.21270/archi.v10i8.5291

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