Reportamos un caso raro de carcinoma epidermoide intraóseo ubicado en región posterior de la maxila en una paciente de 22 años de edad. El artículo resume las principales características del proceso neoplásico, incluyendo las características clínico-patológicas, el tratamiento y el pronóstico.
Palabras clave:
carcinoma mucoepidermoide; diagnóstico oral; inmunohistoquímica
A) coronal section; B) axial section; C) sagital section.
A) alcian blue-PAS; B) mucicarmin.
PAS: periodic acid Schiff.
A) AE1/AE3; B) CK7; C) CK19.
CK: cytokeratin.
A) complete surgical resection of the tumor was performed; B) maxillary provisional obturator prosthesis was placed for rehabilitation.
| Author | Year | Age | Sex | Symptoms | Radiographic features | Clinical diagnostic hypothesis | Treatment |
|---|---|---|---|---|---|---|---|
| Namin et al.(1313 Namin AK, Moshref M, Shahoon H, et al. Intraosseous mucoepidermoid carcinoma of the maxilla in a teenager: a case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 100: 93-6.) | 2005 | 11 | F | Pain | Radiolucent multilocular | Infectious lesion | Left hemimaxillectomy |
| Raut, Khedkar(1414 Raut D, Khedkar S. Primary intraosseous mucoepidermoid carcinoma of the maxilla: a case report and review of literature. Dentomaxillofac Radiol. 2009; 38: 163-8.) | 2009 | 40 | M | Pain | Radiolucent unilocular | OC, nasopalatine duct cyst | Right maxillectomy with neck dissection |
| Sherin et al.(1515 Sherin S, Sherin N, Thomas V, et al. Central mucoepidermoid carcinoma of maxilla with radiographic appearance of mixed radiopaque-radiolucent lesion: a case report. Dentomaxillofac Radiol. 2011; 40: 463-5.) | 2011 | 29 | F | Asymptomatic | Radiolucent multilocular | Fibroosseous lesion, benign salivary gland tumor and vascular lesion | Radical resection and adjuvant radiotherapy |
| Takano et al.(1616 Takano M, Kasahara K, Matsui S, et al. A case of mucoepidermoid carcinoma associated with maxillary cyst. Bull Tokyo Dent Coll. 2012; 53: 119-25.) | 2012 | 18 | M | Asymptomatic | Radiolucent multilocular | OC | Right maxillectomy with neck dissection |
| Lakouichmi et al.(1717 Lakouichmi M, Touati MM, Zrara I, et al. Primary intraosseous mucoepidermoid carcinoma of the jaws. Rev Stomatol Chir Maxillofac Chir Orale. 2013; 114: 334-7.) | 2013 | 42 | F | Pain | Radiolucent multilocular | Cystic lesion | NI |
| Chan et al.(1818 Chan KC, Pharoah M, Lee L, et al. Intraosseous mucoepidermoid carcinoma: a review of the diagnostic imaging features of four jaw cases. Dentomaxillofac Radiol. 2013; 42: 20110162.) | 2013 | 51 | F | Asymptomatic | Multilocular/mixed | NI | NI |
| Chan et al.(1818 Chan KC, Pharoah M, Lee L, et al. Intraosseous mucoepidermoid carcinoma: a review of the diagnostic imaging features of four jaw cases. Dentomaxillofac Radiol. 2013; 42: 20110162.) | 2013 | 42 | M | Asymptomatic | Radiolucent multilocular | NI | NI |
| Rathore et al.(1919 Rathore AS, Ahuja P, Chhina S, et al. Primary intraosseous mucoepidermoid carcinoma of maxilla. J Oral Maxillofac Pathol. 2014; 18: 428-31.) | 2014 | 18 | M | Pain | Radiolucent unilocular | Cystic lesion | Right maxillectomy with neck dissection |
| Suresh et al.(2020 Suresh D, Raviraj J, Vijaykumar B, et al. Central mucoepidermoid carcinoma of the maxilla with unusual ground glass appearance and calcifications: a case report. Imaging Sci Dent. 2014; 44: 161-4.) | 2014 | 52 | M | Asymptomatic | Multilocular/mixed | Osteosarcoma and metastatic tumor | NI |
| Nallamilli et al.(1111 Nallamilli SM, Tatapudi R, Reddy RS, et al. Primary intraosseous mucoepidermoid carcinoma of the maxilla. Ghana Med J. 2015; 49: 120-3.) | 2015 | 36 | M | Pain | Radiolucent unilocular | OT | NI |
| Martins et al.(2121 Martins TH, Bonardi JP, Stabile GA. Mucoepidermoid carcinoma of the hard palate in a young patient. J Craniofac Surg. 2016; 27: e598-e9.) | 2016 | 17 | M | Asymptomatic | Hypodense image with well-defined edges involving dental apex of the elements 13, 14, and 15 | OC | Right maxillectomy with neck dissection |
| Purohit et al.(2222 Purohit S, Manjunatha BS, Dagrus K, et al. Intraosseous mucoepidermoid carcinoma of maxilla: a rare entity. J Exp Ther Oncol. 2016; 11: 207-11.) | 2016 | 28 | M | Asymptomatic | Mixed radiopaque-radiolucent lesion | OC | Left hemimaxillectomy |
| Razavi et al.(2323 Razavi SM, Yahyaabadi R, Khalesi S. A case of central mucoepidermoid carcinoma associated with dentigerous cyst. Dent Res J (Isfahan). 2017; 14: 423-6.) | 2017 | 43 | F | NI | Radiolucent unilocular | OC and adenomatoid odontogenic tumor | Left hemimaxillectomy |
| Present case | 2018 | 22 | F | Pain | Radiolucent unilocular | OC | Left hemimaxillectomy |
