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. 2022 Dec 8;17(2):562–570. doi: 10.1007/s12105-022-01514-w

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