Benign odontogenic ghost cell lesions revisited and new considerations on dysplastic dentin

Objectives This study aimed to revisit benign odontogenic ghost cell lesions (BOGCL) by hematoxylin and eosin staining and immunohistochemistry. Materials and methods Thirty cases of calcifying odontogenic cyst (COC) and 6 cases of dentinogenic ghost cell tumor (DGCT) were selected for histopatholog...

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Veröffentlicht in:Clinical oral investigations 2019-12, Vol.23 (12), p.4335-4343
Hauptverfasser: Rosa, Ana Cláudia Garcia, Teixeira, Lucas Novaes, Passador-Santos, Fabricio, Furuse, Cristiane, Montalli, Victor Ângelo Martins, de Araújo, Ney Soares, de Araújo, Vera Cavalcanti
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container_end_page 4343
container_issue 12
container_start_page 4335
container_title Clinical oral investigations
container_volume 23
creator Rosa, Ana Cláudia Garcia
Teixeira, Lucas Novaes
Passador-Santos, Fabricio
Furuse, Cristiane
Montalli, Victor Ângelo Martins
de Araújo, Ney Soares
de Araújo, Vera Cavalcanti
description Objectives This study aimed to revisit benign odontogenic ghost cell lesions (BOGCL) by hematoxylin and eosin staining and immunohistochemistry. Materials and methods Thirty cases of calcifying odontogenic cyst (COC) and 6 cases of dentinogenic ghost cell tumor (DGCT) were selected for histopathological and immunohistochemical analysis. Sections stained for cytokeratin (K) 14, K-19, amelogenin, collagen type 1 (COL-1), and dentin matrix acidic phosphoprotein 1 (DMP-1) were evaluated using qualitative analysis. Sections stained for Ki-67 and minichromosome maintenance protein-2 (MCM-2) were evaluated using semi-quantitative analysis. Results A morphologic overlap was noticed in all BOGCL. Moreover, no differences were detected in the expression of K-14 and K-19. The expression of proliferative markers Ki-67 and MCM-2 was similar between cystic and tumor lesions ( p  > .05). The presence of COL-1 and absence of amelogenin in the so-called dysplastic dentin, associated with its histologic pattern, suggest that this is in fact an enameloid-like tissue. Conclusions The dysplastic dentin should be considered an enameloid-like tissue in these lesions. Clinical relevance The similarity in histology, protein expression, and proliferative marker indices between COC and DGCT suggest that they are a sole entity and likely represent types of the same neoplasia.
doi_str_mv 10.1007/s00784-019-02863-7
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Materials and methods Thirty cases of calcifying odontogenic cyst (COC) and 6 cases of dentinogenic ghost cell tumor (DGCT) were selected for histopathological and immunohistochemical analysis. Sections stained for cytokeratin (K) 14, K-19, amelogenin, collagen type 1 (COL-1), and dentin matrix acidic phosphoprotein 1 (DMP-1) were evaluated using qualitative analysis. Sections stained for Ki-67 and minichromosome maintenance protein-2 (MCM-2) were evaluated using semi-quantitative analysis. Results A morphologic overlap was noticed in all BOGCL. Moreover, no differences were detected in the expression of K-14 and K-19. The expression of proliferative markers Ki-67 and MCM-2 was similar between cystic and tumor lesions ( p  &gt; .05). The presence of COL-1 and absence of amelogenin in the so-called dysplastic dentin, associated with its histologic pattern, suggest that this is in fact an enameloid-like tissue. Conclusions The dysplastic dentin should be considered an enameloid-like tissue in these lesions. Clinical relevance The similarity in histology, protein expression, and proliferative marker indices between COC and DGCT suggest that they are a sole entity and likely represent types of the same neoplasia.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-019-02863-7</identifier><identifier>PMID: 30911844</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Benign ; Collagen Type I ; Cytokeratin ; Dental enamel ; Dentin ; Dentistry ; Dmp1 protein ; Humans ; Immunohistochemistry ; Keratins ; Medicine ; Odontogenic Cyst, Calcifying ; Odontogenic Tumors ; Original Article</subject><ispartof>Clinical oral investigations, 2019-12, Vol.23 (12), p.4335-4343</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Clinical Oral Investigations is a copyright of Springer, (2019). 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Materials and methods Thirty cases of calcifying odontogenic cyst (COC) and 6 cases of dentinogenic ghost cell tumor (DGCT) were selected for histopathological and immunohistochemical analysis. Sections stained for cytokeratin (K) 14, K-19, amelogenin, collagen type 1 (COL-1), and dentin matrix acidic phosphoprotein 1 (DMP-1) were evaluated using qualitative analysis. Sections stained for Ki-67 and minichromosome maintenance protein-2 (MCM-2) were evaluated using semi-quantitative analysis. Results A morphologic overlap was noticed in all BOGCL. Moreover, no differences were detected in the expression of K-14 and K-19. The expression of proliferative markers Ki-67 and MCM-2 was similar between cystic and tumor lesions ( p  &gt; .05). The presence of COL-1 and absence of amelogenin in the so-called dysplastic dentin, associated with its histologic pattern, suggest that this is in fact an enameloid-like tissue. 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Conclusions The dysplastic dentin should be considered an enameloid-like tissue in these lesions. Clinical relevance The similarity in histology, protein expression, and proliferative marker indices between COC and DGCT suggest that they are a sole entity and likely represent types of the same neoplasia.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>30911844</pmid><doi>10.1007/s00784-019-02863-7</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-8566-3174</orcidid></addata></record>
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subjects Benign
Collagen Type I
Cytokeratin
Dental enamel
Dentin
Dentistry
Dmp1 protein
Humans
Immunohistochemistry
Keratins
Medicine
Odontogenic Cyst, Calcifying
Odontogenic Tumors
Original Article
title Benign odontogenic ghost cell lesions revisited and new considerations on dysplastic dentin
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