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A clinicopathological and immunohistochemical study of the calcifying epithelial odontogenic tumour (Pindborg tumour) in Malaysians

Published online by Cambridge University Press:  29 June 2007

K. H. Ng*
Affiliation:
Division of Stomatology, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur
C. H. Siar
Affiliation:
Department of Oral Pathology, Oral Medicine, and Periodontology, Faculty of Dentistry, University of Malaya, 50603 Kuala Lumpur, Malaysia
*
Address for correspondence: K. H. Ng, F.D.S.R.C.P.S. (Glas.), M.R.C. Path., Division of Stomatalogy, Institute for Medical Research, Jalan Pahang, 50588 Kuala Lumpur, Malaysia. Fax: 03-2938306

Abstract

We reviewed the clinicopathological characteristics of 13 cases of calcifying epithelial odontogenic tumour (CEOT) (Pindborg tumour) diagnosed in the Division on Stomatology, Institute for Medical Research, Kuala Lumpur, over a 29-year period. There were eight female and five male patients. These consisted of eight (61.5 per cent) Malays, three (23.1 per cent) Chinese, one (7.7 per cent) Indian and one (7.7 per cent) Melanau. Their ages at presentation ranged from 19–61 years (mean age, 31.8 years). There were 12 central and one peripheral CEOT. Of these, 76.9 per cent of cases were located in the maxilla, the remaining in the mandible. The commonest clinical diagnosis was a dentigerous cyst (66.7 per cent). Enucleation was the main mode of treatment. Histologically, sheets and strands of polyhedral epithelial cells containing eosinophilic, homogeneous globules with Liesegang rings were observed. One case also showed extensive calcification and clear cell differentiation. Immunohistochemistry revealed a variable keratin staining of the CEOT epithelium, confirming its heterogeneity.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1996

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References

Ai-Ru, L., Zhen, L., Jian, S. (1982) Calcifying epithelial odontogenic tumours: A clinicopathologic study of nine cases. Journal of Oral Pathology 11: 399406.CrossRefGoogle ScholarPubMed
Andrade, M., Madeiros, R. J., Prado, R., Sampaio, R. (1992) Calcifying epithelial odontogenic tumour (Pindborg tumour): Report of case.Journal of Oral and Maxillofacial Surgery 50: 13241326.CrossRefGoogle ScholarPubMed
Asano, M., Takahashi, T., Kusama, K., Iwase, T., Hori, M., Yamanoi, H., Tanaka, H., Moro, J. (1990) A variant of calcifying epithelial odontogenic tumour with Langerhans cells. Journal of Oral Pathology and Medicine 19: 430434.CrossRefGoogle ScholarPubMed
Baunsgaard, P., Lontoft, E., Sorensen, M. (1983) Calcifying epithelial odontogenic tumour (Pindborg tumour): An unusual case. Laryngoscope 93: 635638.CrossRefGoogle ScholarPubMed
Damm, D. D., White, D. K., Drummond, J. F., Poindexter, J. B., Henry, B. B. (1983) Combined epithelial odontogenic tumour: Adenomatoid odontognic tumour and calcifying epithelial odontognic tumour. Oral Surgery, Oral Medicine, Oral Pathology 55: 487496.CrossRefGoogle Scholar
El-Labban, N. G. (1990) Cementum-like material in a case of Pindborg tqmour. Journal of Oral Pathology and Medicine 19: 166169.CrossRefGoogle Scholar
Franklin, C. D., Hindle, M. O. (1976) The calcifying epithelial odontogenic tumour. Report of four cases, two with long-term follow-up. British Journal of Oral Surgery 13: 230238.CrossRefGoogle ScholarPubMed
Franklin, C. D., Pindborg, J. J. (1976) The calcifying epithelial odontogenic tumour. A review and analysis of 113 cases. Oral Surgery, Oral Medicine, Oral Pathology 42: 753765.CrossRefGoogle ScholarPubMed
Greer, R. O., Richardson, J. F. (1976) Clear-cell calcifying odontogenic tumour viewed relative to the Pindborg tumour. Oral Surgery, Oral Medicine, Oral Pathology 42: 775779.CrossRefGoogle Scholar
Kramer, I. R. H., Pindborg, J. J., Shear, M. (1992) Histological Typing of Odontogenic Tumours. 2nd Edition. Springer-Verlag, Berlin, Heidelberg, pp 79, 1516, 5860.CrossRefGoogle ScholarPubMed
Krolls, S. O., Pindborg, J. J. (1974) Calcifying epithelial odontogenic tumour. A survey of 23 cases and discussion of histomorphologic variants. Archives of Pathology 98: 206210.Google Scholar
Lee, C. Y. S., Mohammadi, H., Mostofi, R., Habibi, A. (1992) Calcifying epithelial odontogenic tumour of the maxillarysinus. Journal of Oral and Maxillofacial Surgery 50: 13261328.CrossRefGoogle Scholar
Leipzig, B., Yau, P. C. (1982) Pindborg tumour of the mandible. Otolaryngology – Head and Neck Surgery 90: 6974.CrossRefGoogle ScholarPubMed
Mori, M., Tatemoto, Y., Yamamoto, N., Okada, Y. (1988) Immunohistochemical localization of intermediate filament proteins in calcifying epithelial odontogenic tumours. Journal of Oral Pathology 17: 236240.CrossRefGoogle Scholar
Oikarinen, V. J., Calonius, P. E. B., Meretoja, J. (1976) Calcifying epithelial odontogenic tumour (Pindborg tumour) Case report. International Journal of Oral Surgery 5: 187191.CrossRefGoogle ScholarPubMed
Patterson, J. T., Martin, T. H., DeJean, E. K., Burzynski, N. J. (1969) Extraosseous calcifying epithelial odontogenic tumour. Oral Surgery, Oral Medicine, Oral Pathology 27: 363367.CrossRefGoogle Scholar
Pindborg, J. J. (1955) Calcifying epithelial odontogenic tumour. Acta Pathologica, Microbiologica Scandinavia (suppl) 11: 71.Google Scholar
Richardson, J. F., Balogh, K., Merk, F., Booth, D. (1974) Pigmented odontogenic tumour of jawbone. A previously undescribed expression of neoplastic potential. Cancer 34: 12441251.3.0.CO;2-J>CrossRefGoogle ScholarPubMed
Siar, C. H., Ng, K. H. (1987) Combined calcifying epithelial odontogenic tumour and adenomatoid odontogenic tumour. International Journal of Oral Maxillofacial Surgery 16: 214216.CrossRefGoogle Scholar
Siar, C. H., Ng, K. H. (1991) The combined epithelial odontogenic tumour in Malaysians. British Journal of Oral and Maxillofacial Surgery 29: 106109.CrossRefGoogle ScholarPubMed
Siar, C. H., Ng, K. H., Murugasu, P. (1987) Adenomatoid odontogenic tumour. Gross and histological examination of 45 cases. Singapore Medical Journal 28: 180189.Google ScholarPubMed
Slootweg, P. J. (1991) Bone and cementum as stromal features in Pindborg tumour. Journal of Oral Pathology and Medicine 20: 9395.CrossRefGoogle Scholar
Takata, T., Ogawa, I., Miyauchi, M., Ijuhin, N., Nikai, H., Fujita, M. (1993) Non-calcifying Pindborg tumour with Langerhans cells. Journal of Oral Pathology and Medicine 22: 378383.CrossRefGoogle ScholarPubMed
Takeda, Y., Suzuki, A., Sekiyama, S. (1983) Peripheral calcifying epithelial odontogenic tumour. Oral Surgery, Oral Medicine, Oral Pathology 56: 7175.CrossRefGoogle Scholar
Vap, D. R., Dahlin, D. C., Turlington, E. G. (1970) Pindborg tumour: the so-called calcifying epithelial odontogenic tumour. Cancer 25: 629636.3.0.CO;2-H>CrossRefGoogle Scholar
Wallace, J., MacDonald, G. D. (1974) Calcifying epithelial odontogenic tumour (‘Pindborg tumour’): a case report. British Journal of Plastic Surgery 27: 2830.CrossRefGoogle ScholarPubMed