Can clinical and radiological features predict recurrence in solitary keratocystic odontogenic tumors?

Oral Surg Oral Med Oral Pathol Oral Radiol. 2013 Feb;115(2):263-71. doi: 10.1016/j.oooo.2012.10.018.

Abstract

Introduction: The solitary keratocystic odontogenic tumor (KCOT) is a neoplasm, which recurs in 28% of cases. The purpose of this study is to determine whether clinicoradiographic features can predict recurrence.

Material and methods: From 2000 to 2009, 106 solitary KCOTs were retrieved from the Oral Biology Service of British Columbia. Among 58 KCOTs including all recurrent KCOTs (rKCOT) and nonrecurrent KCOTs (nrKCOT) (followed up for at least 5 years), only 29 had radiographs (rKCOT, 18; nrKCOT, 11).

Results: Patients with recurrences were significantly older than those without. Interestingly, those cases, which were considered KCOTs before surgery, were significantly more likely not to recur within 5 years of follow-up. Most radiological features did not differ between nrKCOT and rKCOT on the basis of panoramic radiography only.

MeSH terms

  • Adult
  • Biopsy
  • British Columbia
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Middle Aged
  • Neoplasm Recurrence, Local
  • Odontogenic Cysts / diagnosis
  • Odontogenic Cysts / pathology
  • Odontogenic Cysts / surgery
  • Odontogenic Tumors / diagnosis*
  • Odontogenic Tumors / pathology
  • Odontogenic Tumors / surgery
  • Predictive Value of Tests
  • Radiography, Panoramic
  • Treatment Outcome