Abordagem clínica e terapêutica sobre o Tumor Odontogênico Ceratocístico: uma revisão abrangente da literatura

Autores

  • Natália da Silva Medeiros Pontifícia Universidade Católica do Rio Grande do Sul
  • Eduardo Madruga Lombardo Pontifícia Universidade Católica do Rio Grande do Sul
  • Fábio Luiz Dal Moro Maito Pontifícia Universidade Católica do Rio Grande do Sul
  • Cláiton Heitz Pontifícia Universidade Católica do Rio Grande do Sul

DOI:

https://doi.org/10.22456/2177-0018.67946

Palavras-chave:

Ceratocistos, Cistos odontogênicos, Tumor odontogênico ceratocístico

Resumo

O ceratocisto odontogênico (CO) é um tumor benigno intra-ósseo de origem odontogênica cuja prevalência corresponde a 11% das lesões císticas da maxila e mandíbula. Objetivo: realizar uma revisão da literatura sobre o CO. Metodologia: Foi realizada uma busca de relatos de caso clínico na base de dados PubMed sob os critérios: tipo de estudo (relato de caso), na língua inglesa, realizados apenas em humanos, sem limites de data de publicação. Resultados: Selecionou-se 85 artigos dos quais foram registrados os dados relevantes sobre os casos clínicos. Constatou-se que o CO possui predileção por pacientes do sexo masculino, entre a terceira e quarta décadas de idade. Ocorre comumente em mandíbula, preferencialmente em região posterior. O aspecto clínico inicial mais frequente foi aumento de volume. Em relação aos aspectos imaginológicos, pode apresentar imagem radiolúcida única ou múltipla, uni ou multilocular. O exame histopatológico é fundamental para o diagnóstico. Teve enucleação como conduta terapêutica instituída na maioria dos casos. Em casos de múltiplas lesões, a investigação voltada para Síndrome de Gorlin-Goltz deve ser considerada. O tempo de acompanhamento, a taxa de recorrência e de transformação maligna foram variáveis. Considerações finais: É fundamental o exame histopatológico para o diagnóstico do CO. A conduta terapêutica mais indicada é a enucleação associada a outro tratamento adjuvante. O acompanhamento periódico é mandatório visto o alto potencial de recorrência deste tipo de lesão.

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Biografia do Autor

Natália da Silva Medeiros, Pontifícia Universidade Católica do Rio Grande do Sul

Graduanda em Odontologia, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

Eduardo Madruga Lombardo, Pontifícia Universidade Católica do Rio Grande do Sul

Mestrando em Cirurgia e Traumatologia Bucomaxilofaciais, Departamento de Cirurgia, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

Fábio Luiz Dal Moro Maito, Pontifícia Universidade Católica do Rio Grande do Sul

Doutor em Biologia Celular e Molecular, Professor adjunto, Departamento de Cirurgia, área de Estomatologia, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

Cláiton Heitz, Pontifícia Universidade Católica do Rio Grande do Sul

Doutor em Estomatologia Clínica pela Pontifícia Universidade Católica do Rio Grande do Sul, Professor Titular, Departamento de Cirurgia, área de Cirurgia e Traumatologia Bucomaxilofaciais, Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, RS, Brasil.

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2019-07-12

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Medeiros, N. da S., Lombardo, E. M., Maito, F. L. D. M., & Heitz, C. (2019). Abordagem clínica e terapêutica sobre o Tumor Odontogênico Ceratocístico: uma revisão abrangente da literatura. Revista Da Faculdade De Odontologia De Porto Alegre, 60(1), 52–85. https://doi.org/10.22456/2177-0018.67946

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Revisão de literatura