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      A Misdiagnosed Odontogenic Tumor: A Clinical Dilemma

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          Abstract

          Odontogenic myxomas are rarely occurring, slow-growing, asymptomatic, and locally aggressive odontogenic tumors with high rate of recurrence, mainly of ectomesenchymal origin. Three-dimensional imaging techniques can be used to diagnose such pathological lesions, but have limited use as they are not cost-effective and are selectively available for better outcome. Following is a case report of OM of a 5-year-old child with a brief discussion on its diagnosis and management.

          How to cite this article

          Mukherjee CG, Mukherjee U, Bansal A, Jha A. A Misdiagnosed Odontogenic Tumor: A Clinical Dilemma. Int J Clin Pediatr Dent 2017;10(2):205-207.

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          Surgical management of odontogenic myxoma: a case report and review of the literature

          Background Odontogenic myxoma is a benign odontogenic tumor with locally aggressive behavior, and is relatively rare in the oral cavity. There are currently no clear surgical management guidelines for odontogenic myxoma, and a variety of approaches may be used. This study evaluated the literature concerning the surgical management of odontogenic myxoma, and reports the long-term outcome of a case managed by using a more conservative surgical approach. Case presentation We managed a 40-year-old Japanese man with odontogenic myxoma in the right mandible by enucleation and curettage, a relatively conservative approach that has proved to have been justified by a lack of recurrence over 10 years. Our strategy was compared with others reported in the literature, which was identified by a PubMed search using the term “odontogenic myxoma”. Articles without full text or with missing data were excluded. The age and sex of patients, the tumor location (maxilla/mandible), treatment (conservative/radical), recurrence, and follow-up period were compared in the reported cases that we evaluated. From the initial 211 studies identified, 20 studies qualified as mandibular cases of odontogenic myxoma. Recurrence was reported in three cases that had been treated with a more conservative surgical approach. Conclusions Enucleation and curettage has proved an effective approach in several cases in ours there has been no recurrence more than 10 years after surgery but the risk of recurrence appears to be higher. We discuss the important factors that must be considered when determining the correct management approach to odontogenic myxoma.
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            Radiographic examination of 41 cases of odontogenic myxomas on the basis of conventional radiographs.

            There are some different radiographic appearances of odontogenic myxoma that have not been reported in the published literature. The purpose of this article is to offer rare views of odontogenic myxomas and analyse the characteristics of the radiographic appearances. We reviewed the radiographic appearances of 41 cases of odontogenic myxomas on conventional radiographs, recruited from patients who visited the Department of Oral Radiology, West China College of Stomatology, Sichuan University between 1964 and 2005. The diagnoses of the cases were verified by histopathology. On conventional radiographs, odontogenic myxomas presented varying radiographic appearances, which could be divided into six types as follows: Type I-unilocular; Type II-multilocular (including honeycomb, soap bubble and tennis racquet patterns); Type III-involvement of local alveolar bone; Type IV-involvement of the maxillary sinus; Type V-osteolytic destruction and Type VI-a mix of osteolytic destruction and osteogenesis. Odontogenic myxoma has variable radiographic appearances on conventional radiographs. This classification system helps us better understand the radiographic appearances of odontogenic myxoma on conventional radiographs.
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              Odontogenic myxoma: Report of two cases

              Odontogenic tumors represents a broad spectrum of lesions ranging from benign to malignant to dental hamartomas all arising from odontogenic residues, that is, the odontogenic epithelium, ectomesenchyme with variable amounts of dental hard tissues formed in the same sequence as in normal tooth development. We report two cases of myxoma, which were misdiagnosed initially and latter, reported as odontogenic myxoma; and were treated by conservative surgical excision in one case and radical resection with hemimandibulectomy in the other case.
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                Author and article information

                Journal
                Int J Clin Pediatr Dent
                Int J Clin Pediatr Dent
                IJCPD
                International Journal of Clinical Pediatric Dentistry
                Jaypee Brothers Medical Publishers
                0974-7052
                0975-1904
                Apr-Jun 2017
                01 June 2017
                : 10
                : 2
                : 205-207
                Affiliations
                [1 ]Professor and Head, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Magadh University Bodh Gaya, Bihar, India
                [2 ]Professor and Head, Department of Dentistry, KPC Medical College and Hospital Kolkata, West Bengal, India
                [3 ]Reader, Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
                [4 ]Postgraduate Student, Department of Pedodontics and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Patna, Bihar, India
                Author notes
                Chitrita G Mukherjee, Professor and Head, Department of Pediatric and Preventive Dentistry, Buddha Institute of Dental Sciences and Hospital, Magadh University Bodh Gaya, Bihar, India, Phone: +919830890411, e-mail: chitritagm@gmail.com
                Article
                10.5005/jp-journals-10005-1436
                5571394
                150f4391-e03a-4e99-a895-442048ff8aa2
                Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.

                This work is licensed under a Creative Commons Attribution 3.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/3.0/

                History
                : 15 September 2016
                : 29 November 2016
                Categories
                Case Report

                ameloblastomas,myxomas,odontogenic cysts.
                ameloblastomas, myxomas, odontogenic cysts.

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