Abstract
The calcifying odontogenic cyst (COC) is an uncommon odontogenic lesion, presenting with histopathologic diversity and variable clinical behavior. Herein we report on a case of a male patient, 59 years old, referred for evaluation of an asymptomatic swelling, slow growth, soft consistency areas, in the anterior maxilla, identified 2 years ago. On radiographic examination, there was a radiolucent lesion, unilocular, and relatively well defined. A biopsy was performed and histopathologic examination revealed pathologic cavity presenting cystic lining, with inverted nuclear polarization of the basal layer and similar cells to the stellate reticulum of the enamel organ and numerous ghost cells. Under the diagnosis of COC, marsupialization was performed followed by enucleation of the lesion 2 months after. Six months after treatment, no tumor recurrence was seen. Enucleation is the appropriate treatment for most COC and, although it has low recurrence rates, it emphasizes the importance of close monitoring of patients.
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