Mandibular reconstruction after Pindborg tumor: case report

Henrique Clasen Scarparo, Roniele Lima dos-Santos, Alexandre Maranhão Menezes Neto, Francisco Samuel Rodrigues Carvalho, Fabricio de Lamare Ramos, Fábio Wildson Gurgel Costa, Eduardo Costa Studart Soares

Pindborg tumor, or calcifying epithelial odontogenic tumor (CEOT), is a rare, benign neoplasm with locally aggressive biological behavior. It has higher incidence between the third and fifth decades of life, with no predilection for race or sex. It presents radiographically with mixed pattern containing radiolucent areas with calcified structures. The objective of this study was to present a clinical case of CEOT in a 42-year-old female patient, with a slight increase in volume in the posterior region of the mandible on the left side. An electronic data search was also carried out taking into account the last 10 years using the following electronic databases: PubMed, Cochrane database of systematic reviews, Embase, Medline and Electronic Journal Center. Imaging examinations demonstrated the presence of extensive radiolucent lesion with areas of scattered calcifications. The patient was submitted to an incisional biopsy of the lesion whose diagnosis was of CEOT. The patient was submitted to resection of the tumor, posterior reconstruction of the affected site with autogenous graft and implant-supported prosthesis. The patient was asymptomatic, under clinical-imaging follow-up for 2 years, with no signs of recurrence of the lesion, besides rehabilitation in which satisfactory aesthetic-functional results were obtained.

Keywords: Mandible. Mandibular reconstruction. Mandibular neoplasms.

How to cite: Scarparo HC, Dos-Santos RL, Menezes Neto AM, Carvalho FSR, Ramos FL, Costa FWG, Soares ECS. Mandibular reconstruction after Pindborg tumor: case report. J Braz Coll Oral Maxillofac Surg. 2019 Jan-Apr;5(1):46-52. DOI: https://doi.org/10.14436/2358-2782.5.1.046-052.oar

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