Clear cell variant of calcifying epithelial odontogenic tumor (CEOT) in the maxilla: report of a case with immunohistochemical and ultrastructural investigations

J Oral Pathol Med. 1999 Apr;28(4):187-91. doi: 10.1111/j.1600-0714.1999.tb02022.x.

Abstract

A rare case of clear cell variant of calcifying epithelial odontogenic tumor is presented with immunohistochemical and ultrastructural investigations. A 14-year-old Japanese girl was admitted with a complaint of swelling in the right posterior maxilla. Radiological examination showed a well-circumscribed radiolucent lesion located close to the impacted third molar. After only a partial tumor excision, the tumor recurred 13 years later. It appeared radiologically as an irregular radiodensity, and a subtotal maxillectomy was performed. Histological examination showed sheets and/or strands composed almost entirely of clear vacuolated epithelial cells in a stroma containing intercellular amyloid-like material and calcification. Histochemical and ultrastructural analysis detected cytoplasmic glycogen granules in the clear cells, and positive immunoreactivities for cytokeratins 8, 13 and 19; filaggrin and anti-ameloblastoma antibodies suggested an odontogenic epithelial origin.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Amyloid / analysis
  • Antibodies, Neoplasm / analysis
  • Calcinosis / pathology
  • Epithelial Cells / chemistry
  • Epithelial Cells / pathology
  • Female
  • Filaggrin Proteins
  • Glycogen / analysis
  • Humans
  • Immunohistochemistry
  • Intermediate Filament Proteins / analysis
  • Intermediate Filaments / pathology
  • Keratins / analysis
  • Maxillary Neoplasms / chemistry
  • Maxillary Neoplasms / pathology*
  • Maxillary Neoplasms / ultrastructure
  • Microscopy, Electron
  • Odontogenic Tumors / chemistry
  • Odontogenic Tumors / pathology*
  • Odontogenic Tumors / ultrastructure

Substances

  • Amyloid
  • Antibodies, Neoplasm
  • FLG protein, human
  • Filaggrin Proteins
  • Intermediate Filament Proteins
  • Keratins
  • Glycogen