Adenomatoid odontogenic tumor: clinicopathological analysis of 34 cases from Karachi, Pakistan.

IF 3 Q3 PATHOLOGY
Summaya Zafar, Sehar Sulaiman, Madeeha Nisar, Poonum Khan, Nasir Ud Din
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引用次数: 0

Abstract

Background: Adenomatoid odontogenic tumor (AOT) is a benign slow-growing neoplasm of odontogenic epithelial origin that is relatively uncommon. Only a few studies have described its histological features. Hence, we aimed to describe the clinicopathological features of AOT in a cohort of patients.

Methods: AOT cases diagnosed between 2009 and 2024 were searched electronically. Glass slides were retrieved from archives and were reviewed by two pathologists to record the associated morphological features. Other data including patient demographics and tumor site were collected by reviewing histopathology reports.

Results: The age of patients ranged from 9 to 44 years (mean, 17.7 years), and most were female (55.9%). The maxilla (44.1%) was the most common tumor site. Histologically, a predominantly solid growth pattern (n = 34) accompanied by ducts with a cuboidal/columnar epithelial lining (n = 31), eosinophilic secretions (n = 31), calcifications (n = 31), lattice work pattern (n = 30), and cystic areas (n = 20) were observed. Less frequent features included calcifying epithelial odontogenic tumor (CEOT)-like areas (n = 13), osteodentin (n = 6), association with impacted tooth (n = 3), mucin in tubules (n = 7), fibrocollagenous stroma (n = 6), mucin in ducts (n = 3) and ossifying fibroma-like areas (n = 6). The association of ducts with a cuboidal/columnar epithelial lining, lattice work pattern, calcifications, and eosinophilic secretions with gingival tumors was statistically significant (p ≤ .05). Additionally, tooth tumors were significantly associated with CEOT-like areas (p = .03).

Conclusions: Our study confirms the trends in the clinicopathological features of AOT in previous case reports. Our results suggest that AOTs usually exhibit a predominantly solid pattern with duct-like spaces. Only a few cases with CEOT-like and ossifying fibroma-like areas were observed, similar to infrequent cases reported in the past.

巴基斯坦卡拉奇市腺瘤样牙源性肿瘤34例临床病理分析。
背景:腺瘤样牙源性肿瘤(AOT)是一种生长缓慢的良性牙源性上皮肿瘤,相对罕见。只有少数研究描述了其组织学特征。因此,我们旨在描述AOT患者队列的临床病理特征。方法:对2009 ~ 2024年诊断的辅助门诊病例进行电子检索。从档案中检索玻璃玻片,并由两名病理学家检查以记录相关的形态学特征。其他数据包括患者人口统计学和肿瘤部位通过回顾组织病理学报告收集。结果:患者年龄9 ~ 44岁,平均17.7岁,以女性居多(55.9%)。上颌是最常见的肿瘤部位(44.1%)。组织学上,观察到主要的固体生长模式(n = 34),伴有立方/柱状上皮内衬的导管(n = 31),嗜酸性分泌物(n = 31),钙化(n = 31),晶格模式(n = 30)和囊性区(n = 20)。较不常见的特征包括钙化上皮类牙源性肿瘤(CEOT)样区域(n = 13)、骨牙素(n = 6)、与阻生牙相关(n = 3)、小管粘蛋白(n = 7)、纤维胶原基质(n = 6)、导管粘蛋白(n = 3)和骨化纤维瘤样区域(n = 6)。具有立方/柱状上皮衬里的导管、晶格结构、钙化和嗜酸性分泌物与牙龈肿瘤的相关性具有统计学意义(p≤0.05)。此外,牙齿肿瘤与ceot样区域显著相关(p = .03)。结论:我们的研究证实了以往病例报告中AOT临床病理特征的趋势。我们的结果表明,aot通常表现为主要的实体模式,具有导管状空间。仅观察到少数ceot样和骨化纤维瘤样区域,与过去报道的罕见病例相似。
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来源期刊
CiteScore
5.00
自引率
4.20%
发文量
45
审稿时长
14 weeks
期刊介绍: The Journal of Pathology and Translational Medicine is an open venue for the rapid publication of major achievements in various fields of pathology, cytopathology, and biomedical and translational research. The Journal aims to share new insights into the molecular and cellular mechanisms of human diseases and to report major advances in both experimental and clinical medicine, with a particular emphasis on translational research. The investigations of human cells and tissues using high-dimensional biology techniques such as genomics and proteomics will be given a high priority. Articles on stem cell biology are also welcome. The categories of manuscript include original articles, review and perspective articles, case studies, brief case reports, and letters to the editor.
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