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05 August 2022 : Case report  Japan

[In Press] Hypoproteinemia Associated with a Gigantic Odontogenic Tumor: A Report of 2 Cases

Rare coexistence of disease or pathology

Tadashi Kawai1AEF, Toshimi Chiba2DE, Kei Onodera1B, Naoko Tsunoda1B, Yuko Komatsu1B, Shuu Suzuki1B, Yuki Saito ORCID logo1B, Shintaro Kogi1BC, Yasunori Takeda3CDE, Hiroyuki Yamada1AE

DOI: 10.12659/AJCR.937301

Am J Case Rep In Press; DOI: 10.12659/AJCR.937301  

Available online: 2022-08-05, In Press, Corrected Proof

Publication in the "In-Press" formula aims at speeding up the public availability of the pending manuscript while waiting for the final publication. The assigned DOI number is active and citable. The availability of the article in the Medline, PubMed and PMC databases as well as Web of Science will be obtained after the final publication according to the journal schedule

Abstract

BACKGROUND
Hypoproteinemia is caused by a decrease in protein level in the blood. This report describes 2 cases of hypoproteinemia associated with a gigantic odontogenic tumor.
CASE REPORT
Case 1, a 65-year-old man, visited our hospital with the chief concern of swelling in the right mandible, approximately 100 mm in diameter, and ameloblastoma was diagnosed. Abscess drainage was observed in the fistula of the tumors. Total protein and albumin levels were low before surgery. Hemimandibulectomy was performed under general anesthesia. The final pathological diagnosis based on the specimen was ameloblastic carcinoma. After surgery, the total protein and albumin levels improved and remained stable 6 months after the operation. At 21 months after surgery, there were no signs of recurrence.
Case 2, a 60-year-old woman, visited our hospital with a chief concern of swelling in the left mandible, approximately 100 mm in diameter, and ameloblastoma was diagnosed. Abscess drainage was observed in the fistula of the tumors. The patient had a history of hypoproteinemia; preoperative levels of total protein and albumin were low, and edema of the body was observed before surgery. Hemimandibulectomy was performed under general anesthesia. The final pathological diagnosis based on the specimen was ameloblastoma. After surgery, the total protein and albumin levels improved, and remained stable 6 weeks after surgery. There were no signs of recurrence 9 months after surgery.
CONCLUSIONS
These 2 cases indicate the possibility that hypoproteinemia can be caused by plasma leakage from fistulas associated with gigantic odontogenic tumors.

Keywords: Hypoproteinemia; Odontogenic Tumors; Plasma Leakage; Abscess Drainage

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923