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Recurrent keratocystic odontogenic tumor in the masseter muscle overlying the boney perforations: a case report

  • Bing Liu
    Affiliations
    Associate Professor, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, China
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  • Yu Cai
    Affiliations
    Lecturer, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Wuhan, China
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  • Shi-Ping Wang
    Affiliations
    Clinical Professor, Department of Oral Radiology, School and Hospital of Stomatology, Wuhan University, Wuhan, China
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  • Yi-Fang Zhao
    Correspondence
    Reprint requests: Yi-Fang Zhao, DDS, MSc, Department of Oral and Maxillofacial Surgery, School and Hospital of Stomatology, Wuhan University, Luo Yu Road 237, Wuhan, China
    Affiliations
    Professor, Department of Oral and Maxillofacial Surgery, State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) and Key Laboratory of Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
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      Keratocystic odontogenic tumor (KCOT) is a benign intraosseous neoplasm of odontogenic origin with high recurrence rates and tendency to invade adjacent tissue. Most recurrences occur in the first 5 years after surgery and are usually located at the site of the primary tumor in the jaws. We report a rare case of KCOT which recurred in the masseter muscle 14 years after segmental mandibulectomy and autogenous frozen lesional mandible reimplantation. The patient had undergone enucleation of KCOT in the right mandible 20 years before segmental mandibulectomy. This case could further demonstrate the aggressive behavior of KCOT.
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