Mandible / maxilla
Benign tumors / tumor-like conditions
Calcifying epithelial odontogenic tumor

Author: Nat Pernick, M.D. (see Authors page)

Revised: 21 June 2018, last major update October 2013

Copyright: (c) 2004-2018, PathologyOutlines.com, Inc.

PubMed Search: Calcifying epithelial odontogenic tumor [title]

Cite this page: Pernick, N. Benign tumors / tumor-like conditions: calcifying epithelial odontogenic tumor. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/mandiblemaxillacalcifyingepithelial.html. Accessed September 22nd, 2018.
Definition / general
  • Also called Pindborg tumor
  • Rare
  • Ages 30 - 49 years
  • May also occur within gingiva (peripheral tumor)
  • May be invasive and recur locally, but less aggressive than ameloblastoma
Sites
  • Premolar mandible
  • Often associated with embedded tooth
Radiology description
  • Resembles dentigerous cyst with occasional small radiopacities within large radiolucent area
Treatment
  • Less aggressive than ameloblastoma
Case reports
Microscopic (histologic) description
  • Sheets of polyhedral, eosinophilic squamous epithelial cells with focal psammoma bodies
  • Variable markedly pleomorphic cells with 2 - 3 nuclei
  • Amyloid bodies (containing degenerated keratin filaments)
  • Often scanty stroma, although epithelium / stromal ratio is variable between tumors
  • Clear cell variant has clear vacuolated cytoplasm
Microscopic (histologic) images

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Characterized by squamous epithelial cells

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Stained positively for cytokeratins

Positive stains
Electron microscopy images

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Large fibrillary deposit