Adenomatoid odontogenic tumor in pregnancy: A case report

G. Siva Prasad Reddy ； G.V. Reddy ； N.V.S. Sekhar Reddy ； K. Sravan Kumar Reddy ； Rehana Sulthana ； Phanitej G. ； E. Divya Jyothi

《International Journal of Case Reports and Images (IJCRI)》 7卷10期 (2016/10) Pp. iii+633-639

https://doi.org/10.5348/ijcri-2016112-CR-10700

摘要

Introduction: Benign odontogenic tumors of maxilla and mandible are asymptomatic to begin with and slowly exert their effects on the adjacent tissues as they increase in size. Adenomatoid odontogenic tumor is a benign odontogenic tumor comprising about 2.2-7.1% of all odontogenic tumors with a higher incidence in second and third decades of life [1]. Clinically, adenomatoid odontogenic tumor (AOT) presents with slow and progressive growth often asymptomatic or may be associated with few subjective symptoms like cortical expansion and frequently associated with unerupted tooth. Case Report: A 20-year-old female patient presented with a chief complaint of progressive swelling in upper right front region of face since four months. Patient gave history of appearance of swelling in last trimester of pregnancy (9th month) since then the swelling has gradually increased in size to the present condition. The lesion was completely enucleated along with impacted canine and extraction of first and second premolars was done under general anesthesia. Conclusion: The rate of proliferation of odontogenic tumors during pregnancy is rapid, but definitive treatment can be delayed till parturition or may require immediate attention. Delayed treatment may cause increased morbidity. Enucleation is relatively easy as the tumor is well encapsulated and recurrence is rare. A larger case series is needed to definitely implicate growth of odontogenic tumors during pregnancy.

關鍵字

Adenomatoid odontogenic tumor (AOT) ； BCL-2 ； Estrogen receptor ； Immunohistochemistry ； MIB1,Pregnancy ； Progesterone