DOI: 10.26717/BJSTR.2017.01.000274
Corresponding author:
Shermil Sayd, MDS Department of Oral and Maxillofacial Surgery Kannur Dental College, IndiaReceived: August 08, 2017; Published: August 17, 2017
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Clear cell odontogenic carcinoma is a rare jaw lesion with predominantly clear cell characteristics. Although touted as a benign lesion in the initial stages, once the aggressive nature of the lesion became evident, it was reclassified as a malignant tumor by the World Health Organization. Etiology of this lesion remains elusive, and association with any precursory lesion is yet to be proved. It may have their origins from odontogenic epithelium, salivary gland pathologies or even as metastasis from distant locations like kidneys. That the ideal treatment plan should be composite resection along with elective neck dissection, followed by reconstruction of the defect. If clinical and radiological examination of the patient reveals, extensive soft tissue invasion, perineural spread, lymph node metastasis with an extra - nodal involvement or in those where tumor-free margins are not possible, then, the use of adjuvant radiation therapy should be considered and employed at the surgeon’s discretion. Even though initial tumor free margins are attained, it is emphasized that the patient should be kept under the long-term follow-up to identify recurrences
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