Tumor odontogênico queratocístico: aspectos clínicos, microscópicos e terapêuticos

• Autor(a) principal: Vicente, Larissa Martini [UNESP]
• Data de Publicação: 2011
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório Institucional da UNESP
• Texto Completo: http://hdl.handle.net/11449/149352; http://www.athena.biblioteca.unesp.br/exlibris/bd/capelo/2017-01-26/000839918.pdf
• topic: Organização Mundial da Saúde; Descompressão; Radiografia; Tumores odontogênicos; Decompression

Several studies searching new techniques to remove Keratocystic odontogenic tumor have been developed, mainly because its high recurrence rate. In 1992, it was defined by WHO (World Health Organization) as a odontogenic cyst, but in 2005 it has been named as keratocystic odontogenic tumor (KCOT) because its invasive and recurrent behavior. The KOCT has tumoral features, showing slowly and infiltrative growth, without metastasis and bone destruction in most cases. KOCT more frequently occur in men, between the 2nd and 4th decade. Usually asymptomatic, is frequently discovered in radiographic founds. However, when becomes larger may cause teeth dislocation, swelling due to cortical expansion, spontaneous drainage of cystic content and pain in cases of secondary infection. This work proposes to discuss the aspects related to diagnosis, prognosis and treatment of KCOT, through two case reports of a 18-year old and a 45-year old, male patients. Both were initially submitted to decompression due to its size and proximity of anatomic structures, in order to prevent pathological fractures. After clinical and radiographic follow up, there was regression of the size of tumor, and then the patients were submitted to total enucleation. So, with this work and follow up of the reported cases it is safe to say that these lesions are aggressive and require attention from professionals, relative to treatment plannig and surgical procedure