Case Report
 
Adenomatoid odontogenic tumor in pregnancy: A case report
G. Siva Prasad Reddy1, G.V. Reddy2, N.V.S. Sekhar Reddy1, K. Sravan Kumar Reddy3, Rehana Sulthana3, Phanitej G.3, E. Divya Jyothi3
1MDS, Professor, Oral and maxillofacial surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India.
2MDS, Professor & Head of the Department, Oral and maxillofacial surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India.
3BDS, Post Graduate Student, Oral and maxillofacial surgery, Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre, Hyderabad, Telangana, India.

Article ID: Z01201610CR10700GR
doi:10.5348/ijcri-2016112-CR-10700

Address correspondence to:
E. Divya Jyothi
BDS, Post Graduate Student, Oral and maxillofacial surgery
Panineeya Mahavidyalaya Institute of Dental Sciences and Research Centre
Road No. 5, Kamala Nagar, Dilsukhnagar, Hyderabad - 500 060
Telangana, India

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How to cite this article
Reddy GSP, Reddy GV, Reddy NVSS, Reddy KSK, Sulthana R, Phanitej G, Jyothi ED. Adenomatoid odontogenic tumor in pregnancy: A case report. Int J Case Rep Images 2016;7(10):633–639.


Abstract
Introduction: Benign odontogenic tumors of maxilla and mandible are asymptomatic to begin with and slowly exert their effects on the adjacent tissues as they increase in size. Adenomatoid odontogenic tumor is a benign odontogenic tumor comprising about 2.2–7.1% of all odontogenic tumors with a higher incidence in second and third decades of life. Clinically, adenomatoid odontogenic tumor (AOT) presents with slow and progressive growth often asymptomatic or may be associated with few subjective symptoms like cortical expansion and frequently associated with unerupted tooth.
Case Report: A 20-year-old female patient presented with a chief complaint of progressive swelling in upper right front region of face since four months. Patient gave history of appearance of swelling in last trimester of pregnancy (9th month) since then the swelling has gradually increased in size to the present condition. The lesion was completely enucleated along with impacted canine and extraction of first and second premolars was done under general anesthesia.
Conclusion: The rate of proliferation of odontogenic tumors during pregnancy is rapid, but definitive treatment can be delayed till parturition or may require immediate attention. Delayed treatment may cause increased morbidity. Enucleation is relatively easy as the tumor is well encapsulated and recurrence is rare. A larger case series is needed to definitely implicate growth of odontogenic tumors during pregnancy.

Keywords: Adenomatoid odontogenic tumor (AOT), BCL-2, Estrogen receptor, Immunohistochemistry, MIB1,Pregnancy, Progesterone


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Author Contributions
G. Siva Prasad Reddy – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
G.V. Reddy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
N.V.S. Sekhar Reddy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
K. Sravan Kumar Reddy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Rehana Sulthana – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Phanitej G. – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
E. Divya Jyothi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 G. Siva Prasad Reddy et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.