Calcifying cystic odontogenic tumor associated with an odontome – a diverse lesion encountered

Abstract

Chourasia Radheshyam,1 Bandyopadhyay Alokenath,2 Harish Kumar,2 Panda Abikshyeet2 1Shri Medishine Hospital, Raipur, Chhattisgarh, India; 2Department of Oral and Maxillofacial Pathology, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India Abstract: The human jaw is an exclusive habitat for odontogenic lesions. Ghost cells associated odontogenic lesions are a diverse group with a variety of presentations in the jaws. Calcifying cystic odontogenic tumor is a benign cystic neoplasm of odontogenic origin which demonstrates ghost cells in the epithelial component. This tumor sometimes mimics the features of a cyst clinically and radiographically, but histopathologically as well as behavior-wise shows the features of a tumor. Many classification systems have been proposed and revised from time to time. Presently a dualistic concept is highlighted to classify this group of lesions. The present case highlights a case of calcifying cystic odontogenic tumor associated with a complex composite odontome, which appeared like a cyst clinically and radiographically. Keywords: calcifying cystic odontogenic tumor, calcifying odontogenic cyst, odontome, ghost cell