Difference between revisions of "Amyloid-producing Odontogenic Tumour"
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+ | Also known as: '''''Calcifying epithelial odontogenic tumour | ||
− | == | + | ==Introduction== |
− | The lesions | + | The lesions are slow growing and locally invasive.The most prominent feature of this type of tumour is that it produces amyloid which tends to calcify. |
==Typical Signalment== | ==Typical Signalment== | ||
− | This is a | + | This is a rare tumour seen more often in cats and than in dogs. |
==Diagnosis== | ==Diagnosis== | ||
− | |||
===Clinical Signs=== | ===Clinical Signs=== | ||
Include halitosis, oral bleeding, dental disruption or loss, facial or mandibular deformity, excessive salivation, growth protruding from the mouth and rarely dysphagia. | Include halitosis, oral bleeding, dental disruption or loss, facial or mandibular deformity, excessive salivation, growth protruding from the mouth and rarely dysphagia. | ||
===Diagnostic Imaging=== | ===Diagnostic Imaging=== | ||
− | Skull radiography may show a soft tissue opacity with mineralization within the mass. Periosteal reaction of the adjacent bone may be visualised. If a malignant neoplasm is a | + | Skull radiography may show a soft tissue opacity with mineralization within the mass. Periosteal reaction of the adjacent bone may be visualised. If a malignant neoplasm is a diagnostic possibility, thoracic radiography should be carried out to evaluate for lung metastases. |
+ | |||
===Biopsy=== | ===Biopsy=== | ||
− | + | Biopsy is required for a definitive diagnosis. | |
− | + | Incisional biopsy is the best option, when undertaking cytological or grab procedures it is difficult to obtain a representative sample. | |
− | |||
− | |||
Histologically, the tumour appears to be well demarcated from the surrounding tissue but is not encapsulated. | Histologically, the tumour appears to be well demarcated from the surrounding tissue but is not encapsulated. | ||
==Treatment== | ==Treatment== | ||
− | + | Surgical excision with narrow margins is normally sufficient. | |
− | + | Radiation therapy should be considered in cases of incomplete surgical excision. | |
==Prognosis== | ==Prognosis== | ||
− | + | Good following complete surgical excision however recurrance following incomplete surgical excision is possible. | |
− | + | ||
+ | {{Learning | ||
+ | |literature search = [http://www.cabdirect.org/search.html?q=%28%28%28%22Amyloid+producing+Odontogenic+Tumor%22%29+OR+%28%22Calcifying+epithelial+odontogenic+tumor%22+%29%29%29+OR+%28%28%28%22Amyloid+producing+Odontogenic+Tumour%22%29+OR+%28%22Calcifying+epithelial+odontogenic+tumour%22+%29%29%29 Amyloid-producing Odontogenic Tumour publications] | ||
+ | |Vetstream = [https://www.vetstream.com/felis/Content/Disease/dis02424.asp Amyloidosis] | ||
+ | }} | ||
+ | |||
==References== | ==References== | ||
− | + | Tutt, C., Deeprose, J. and Crossley, D. (2007) '''BSAVA Manual of Canine and Feline Dentistry (3rd Edition)''' ''BSAVA'' | |
+ | |||
+ | Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''' ''Merial'' | ||
+ | |||
+ | |||
+ | {{review}} | ||
+ | |||
+ | {{OpenPages}} | ||
+ | |||
+ | [[Category:Oral Diseases - Cat]][[Category:Oral_Cavity_-_Proliferative_Pathology]][[Category:Teeth_-_Proliferative_Pathology]] | ||
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[[Category:Neoplasia]] | [[Category:Neoplasia]] | ||
+ | |||
+ | [[Category:Oral Diseases - Dog]] | ||
+ | [[Category:Expert Review - Small Animal]] | ||
+ | [[Category:Oral Proliferations]] | ||
+ | [[Category:LisaM reviewing]] |
Latest revision as of 09:54, 21 May 2016
Also known as: Calcifying epithelial odontogenic tumour
Introduction
The lesions are slow growing and locally invasive.The most prominent feature of this type of tumour is that it produces amyloid which tends to calcify.
Typical Signalment
This is a rare tumour seen more often in cats and than in dogs.
Diagnosis
Clinical Signs
Include halitosis, oral bleeding, dental disruption or loss, facial or mandibular deformity, excessive salivation, growth protruding from the mouth and rarely dysphagia.
Diagnostic Imaging
Skull radiography may show a soft tissue opacity with mineralization within the mass. Periosteal reaction of the adjacent bone may be visualised. If a malignant neoplasm is a diagnostic possibility, thoracic radiography should be carried out to evaluate for lung metastases.
Biopsy
Biopsy is required for a definitive diagnosis. Incisional biopsy is the best option, when undertaking cytological or grab procedures it is difficult to obtain a representative sample.
Histologically, the tumour appears to be well demarcated from the surrounding tissue but is not encapsulated.
Treatment
Surgical excision with narrow margins is normally sufficient. Radiation therapy should be considered in cases of incomplete surgical excision.
Prognosis
Good following complete surgical excision however recurrance following incomplete surgical excision is possible.
Amyloid-producing Odontogenic Tumour Learning Resources | |
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Canis, Felis, Lapis or Equis |
Literature Search Search for recent publications via CAB Abstract (CABI log in required) |
Amyloid-producing Odontogenic Tumour publications |
References
Tutt, C., Deeprose, J. and Crossley, D. (2007) BSAVA Manual of Canine and Feline Dentistry (3rd Edition) BSAVA
Merck & Co (2008) The Merck Veterinary Manual (Eighth Edition) Merial
This article has been peer reviewed but is awaiting expert review. If you would like to help with this, please see more information about expert reviewing. |
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