Clear cell odontogenic carcinoma: A comprehensive analysis of treatment strategies

Charles S. Ebert, Marc G. Dubin, Craig F. Hart, Ara A. Chalian, William W. Shockley

Research output: Contribution to journalArticlepeer-review

Abstract

Background. Odontogenic neoplasms of predominately clear cells are unusual. They represent a diagnostic dilemma, and as a result, treatment strategies are diverse. Our goal is to present two new cases, summarize reported cases of clear cell odontogenic carcinoma (CCOC), assess potential risk factors for recurrence, and propose definitive surgical and therapeutic strategies. Methods. A literature search and analysis was performed. Regression models were used to predict risk factors for recurrence. Results. Forty-three cases of CCOC were reviewed, including two reported here. The overall rate of recurrent disease was 55%. Local recurrence rates were higher for curettage (80%) than for resection alone (43%). Age (p = .20), sex (p = .28), and tumor site (p = .50) did not predict risk for recurrence. Conclusions. CCOC is a potentially aggressive tumor with a tendency for recurrence. Treatment strategies should be directed toward wide surgical resection with confirmation of tumor-free margins. Lymph node dissection and adjuvant radiation therapy should be considered in selected cases.

Original languageEnglish (US)
Pages (from-to)536-542
Number of pages7
JournalHead and Neck
Volume27
Issue number6
DOIs
StatePublished - Jun 1 2005
Externally publishedYes

Keywords

  • Carcinoma
  • Clear cell
  • Jaw
  • Mandible
  • Maxilla
  • Odontogenic

ASJC Scopus subject areas

  • Otorhinolaryngology

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