D S MacDonald-Jankowski1. 1. Division of Oral & Maxillofacial Radiology, Faculty of Dentistry, UBC, 2199 Wesbrook Mall, Vancouver V6T 1Z3, BC, Canada. dmacdon@interchange.ubc.ca
Abstract
OBJECTIVES: The aim of this review is to evaluate the principal clinical and conventional radiographic features of non-syndromic keratocystic odontogenic tumour (KCOT) by systematic review (SR), and to compare the frequencies between four global groups. METHODS: The databases searched were the PubMed interface of Medline and LILACS. Only those reports of KCOTs that occurred in a series of consecutive cases, in the reporting authors' caseload, were considered. RESULTS: 51 reports, of 49 series of cases, were included in the SR. 11 SR-included series were in languages other than English. KCOTs affected males more frequently and were three times more prevalent in the mandible. Although the mean age at first presentation was 37 years, the largest proportion of cases first presented in the third decade. The main symptom was swelling. Over a third were found incidentally. Nearly two-thirds displayed buccolingual expansion. Over a quarter of cases recurred. Only a quarter of all SR-included reported series of cases included details of at least one radiological feature. The East Asian global group presented significantly as well-defined, even corticated, multilocular radiolucencies with buccolingual expansion. The KCOTs affecting the Western global group significantly displayed an association with unerupted teeth. CONCLUSIONS: Long-term follow-up of large series that would have revealed detailed radiographic description and long-term outcomes of non-syndromic KCOT was lacking.
OBJECTIVES: The aim of this review is to evaluate the principal clinical and conventional radiographic features of non-syndromic keratocystic odontogenic tumour (KCOT) by systematic review (SR), and to compare the frequencies between four global groups. METHODS: The databases searched were the PubMed interface of Medline and LILACS. Only those reports of KCOTs that occurred in a series of consecutive cases, in the reporting authors' caseload, were considered. RESULTS: 51 reports, of 49 series of cases, were included in the SR. 11 SR-included series were in languages other than English. KCOTs affected males more frequently and were three times more prevalent in the mandible. Although the mean age at first presentation was 37 years, the largest proportion of cases first presented in the third decade. The main symptom was swelling. Over a third were found incidentally. Nearly two-thirds displayed buccolingual expansion. Over a quarter of cases recurred. Only a quarter of all SR-included reported series of cases included details of at least one radiological feature. The East Asian global group presented significantly as well-defined, even corticated, multilocular radiolucencies with buccolingual expansion. The KCOTs affecting the Western global group significantly displayed an association with unerupted teeth. CONCLUSIONS: Long-term follow-up of large series that would have revealed detailed radiographic description and long-term outcomes of non-syndromic KCOT was lacking.
Authors: H Myoung; S P Hong; S D Hong; J I Lee; C Y Lim; P H Choung; J H Lee; J Y Choi; B M Seo; M J Kim Journal: Oral Surg Oral Med Oral Pathol Oral Radiol Endod Date: 2001-03
Authors: N Utsumi; Y Tajima; T Oi; J Ohno; H Shikata; T Seki; N Miyamoto; K Kanada; S Yokoyama; J Shimada Journal: Meikai Daigaku Shigaku Zasshi Date: 1990
Authors: Daniel Berretta Moreira Alves; Fabrício Mesquita Tuji; Fábio Abreu Alves; André Caroli Rocha; Alan Roger Dos Santos-Silva; Pablo Agustin Vargas; Márcio Ajudarte Lopes Journal: Dentomaxillofac Radiol Date: 2018-06-05 Impact factor: 2.419