Journal of Oral Science Research ›› 2019, Vol. 35 ›› Issue (9): 889-893.DOI: 10.13701/j.cnki.kqyxyj.2019.09.017

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Imaging Features Analysis of Odontogenic Sclerosing Carcinoma and Literature Review

Pakezhati Seyiti1, ZHANG Lei2, WANG Tiemei1*, HUANG Xiaofeng2, LIN Zitong1, SUN Guowen3   

  1. 1. Department of Radiology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
    2. Department of Oral Pathology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China;
    3. Department of Oral and Maxillofacial Surgery, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China.
  • Received:2019-01-06 Online:2019-09-28 Published:2019-09-25

Abstract: Objective: To investigate the clinical and imaging features of sclerosing odontogenic carcinoma (SOC) and discuss its differential diagnosis after reviewing the literatures. Methods: The radiological and pathological appearances of a case diagnosed pathologically as SOC in our hospital were retrospected and summarized. After reviewing the literatures, its imaging diagnosis and differential diagnosis were discussed. Results: In our case, the lesion occupied the right mandible body to the left mandible ascending branch area, and showed irregular cavity-shaped radiolucency with an unclear border mixed with a patchy high density of ossifies. Obvious thickening was present on mandible body, the buccal and lingual cortex were absorbed, and osteogenesis of periosteum was also exists. According to literature review, the imaging classifications were proposed as localized type, diffuse type, and soft tissue mass type. Conclusion: As an extremely rare disease, the imaging manifestations of odontogenic sclerosing carcinoma are complex and diverse, but lack of characteristics. More case reports are quite essential to precisely diagnose this disease.

Key words: sclerosing odontogenic carcinoma, bone resorption, imaging classification