Table 3.
Demographics, radiographic findings, histologic diagnoses and clinical outcomes of reported cases of sclerosing odontogenic carcinoma
| Demographics | Radiographic findings | Histologic diagnosis | Clinical | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pub | Age | Sex | Tumor site | Radiology | Initial diagnosis | Second sample | Third sample | Final excision | Definitive management | Recurrence/Management | F/u (mos) |
| Current case | 55 | M | Left maxilla | Large, well-defined low-density bony lesion with scalloped borders; external root resorption of adjacent teeth | SOC | N/A | N/A | SOC | Left infrastructure maxillectomy | (−) | 19 |
| Seyiti et al. [2] | 54 | F | Right mandibular body to left mandibular ramus | Irregular, extensive lytic changes with ill-defined borders and patchy calcifications. Buccal and lingual cortices with irregular resorption | Garrè’s osteomyelitis | SOC | N/A | SOC | Mandibulectomy | Not reported | Not reported |
| Todorovic et al. [3] | 62 | M | Left maxilla | Infiltrating lesion concerning for malignancy | Benign fibrosseous lesion | SOC | N/A | SOC | Resection | Recurrence at 5 months; 66 Gy in 33 fractions | 19 |
| Hanisch et al. [4] | 60 | M | Left mandible | Ill-defined lytic osseous changes with expansion, erosion, and perforation, highly suspicious of a malignant tumor | No signs of a neoplastic process | Low-grade squamous cell carcinoma | N/A | SOC |
1. Left hemi-mandibulectomy 2. Radical ipsilateral neck dissection |
(−) | 9 |
| Wood et al. [1] | 43 | F | Right anterior hard palate | 12 mm × 4.3 mm × 5.1 mm enhancing soft tissue mass with no evidence of bone destruction | Adenocarcinoma NOS | N/A | N/A | SOC | Right maxillectomy with wide margins | (−) | 17 |
| Tan et al. [5] | 31 | F | Right mandible | Well-circumscribed round radiolucent lesion measuring 1 cm, with scattered specks of radiopacities and a distinct sclerotic peripheral margin | SOC | N/A | N/A | N/A | Excisional biopsy by enucleation | (−) | 12 |
| Hussain et al. [6] | 54 | M | Right maxilla | Well demarcated radiolucency related to the upper right lateral incisor and canine teeth with loss of the lamina dura around the roots and irregular resorption of the canine | Poorly differentiated squamous cell carcinoma (metastatic). Revised to odontogenic carcinoma | N/A | N/A | SOC | Resection with 5 mm margins | (−) | 19 |
| Saxena et al. [7] | 42 | M | Left mandible | Well-defined unilocular lytic lesion in the left anterior region of the mandible with a smooth outline and no sclerotic margins. Perforation of buccal and lingual cortices | Epithelium-rich variant of central odontogenic fibroma | Primary intraosseous carcinoma of odontogenic origin | N/A | SOC |
1. Hemi-mandibulectomy 2. Radical neck dissection 3. Postoperative radiotherapy |
(−) | 10 |
| Irie et al. [8] | 67 | M | Left mandible | Mixed well and ill-defined radiolucency without definite root resorption, focally expansile with thinning and perforation of buccal cortex | Compatible with benign fibrosseous lesion | BFOL with hyperplastic and metaplastic odontogenic epithelia | Atypical odontogenic epithelium w/ fibrous component | SOC with BFOL |
1. Left segmental mandibulectomy 2. Postoperative chemotherapy |
(−) | 15 |
| Koutlas et al. [9] | 72 | M | Left mandible | Unavailable | Unavailable | N/A | N/A | SOC | 1. Extensive surgery 2. Ipsilateral neck dissection | (−) | 5 |
| Koutlas et al. [9] | 46 | F | Right mandible | Poorly defined osteolytic process with perforation of the buccal cortical plate and thinning of the lingual cortical bone | Unavailable | N/A | N/A | SOC | Extensive surgery | (−) | 12 |
| Koutlas et al. [9] | 73 | F | Right maxilla | Diffuse radiolucency that filled the alveolar ridge and extended into sinus | Poorly differentiated squamous cell carcinoma | N/A | N/A | SOC | 1. Extensive surgery 2. Postoperative radiation | (−) | 42 |
N/A not applicable