Reporte de caso infrecuente de tumor odontogénico adenomatoide en mandíbula: seguimiento a 3 años
DOI:
https://doi.org/10.21270/archi.v10i8.5291Palabras clave:
Tumores Odontogénicos, Mandíbula, Tomografía Computarizada de Haz Cónico, DiagnósticoResumen
Este caso clínico mostró un TOA en una paciente de 12 años remitida para cirugía ortodóncica-quirúrgica de canino inferior derecho e incisivo lateral retenidos. La tomografía computarizada de haz cónico reveló una lesión mixta hiperdensa / hipodensa bien definida, que involucraba la corona del incisivo lateral inferior. La cirugía consistió en la exposición quirúrgica del canino inferior derecho y el incisivo lateral, unión del incisivo lateral para la tracción ortodóncica y legrado de la lesión mandibular. El examen histopatológico reveló varias células epiteliales columnares con poco tejido conjuntivo estromal, patrón lobulillar con rosetas y estructuras ductiles, lo que confirma el diagnóstico de TOA. Luego, el paciente fue derivado para tracción ortodóncica de los dientes impactados. En el período posoperatorio de 1 y 3 años, los exámenes de seguimiento mostraron una reparación ósea extensa, resolución de la retención dentaria y ausencia de recurrencia. Aunque la TOA es una lesión infrecuente en la mandíbula, debe considerarse en el diagnóstico diferencial de lesiones de perfil mixto en esta región.
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