Intraosseous dentinogenic ghost cell tumor: a clinical report and literature update

J Craniomaxillofac Surg. 2014 Jul;42(5):e305-11. doi: 10.1016/j.jcms.2013.10.011. Epub 2013 Nov 1.

Abstract

The dentinogenic ghost cell tumor (DGCT) is a relatively uncommon locally invasive neoplasm. This report describes the case of a 20-year-old Caucasian female patient who was diagnosed with an intraosseous DGCT in the left molar region of the mandible. Radiographic analysis revealed a well-circumscribed radiolucent lesion with focal radiopacity. Segmental resection of the mandible was performed by means of piezoelectric surgery. The histopathological examination yielded islands of odontogenic epithelium with clusters of ghost cells and dysplastic dentin, thus enabling the identification of the lesion as DGCT. Long-term surveillance of patients with intraosseous DGCTs is mandatory in order to detect in time any signs of recurrence. A literature update concerning intraosseous DGCTs is also provided.

Keywords: Dentinogenic; Ghost cell; Intraosseous; Mandible; Resection; Tumor.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Bone Plates
  • Cone-Beam Computed Tomography / methods
  • Dentin / pathology
  • Epithelium / pathology
  • Female
  • Humans
  • Imaging, Three-Dimensional / methods
  • Mandibular Neoplasms / diagnosis*
  • Mandibular Neoplasms / surgery
  • Mandibular Reconstruction / instrumentation
  • Odontogenic Tumors / diagnosis*
  • Odontogenic Tumors / surgery
  • Piezosurgery / methods
  • Radiography, Panoramic
  • Young Adult