Oral pathology: cysts and odontogenic tumours: adenomatoid odontogenic tumour management: practice question

A Dentistry question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Dentistry · Oral pathology: cysts and odontogenic tumours: adenomatoid odontogenic tumour management

Sample item

Histology of a well-encapsulated lesion around an unerupted maxillary canine shows duct-like structures lined by columnar cells, rosettes of spindle cells and eosinophilic droplets. What is the appropriate treatment?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Conservative enucleation

The adenomatoid odontogenic tumour is a benign encapsulated hamartoma-like lesion, and enucleation is curative. Recurrence is extremely rare. The tumour shows duct-like structures and rosettes in a fibrous capsule.

Option by option

  • A. Conservative enucleation (correct)

    Correct. A capsule and benign behaviour mean enucleation is curative.

  • B. Radiotherapy

    Radiotherapy is not used for this benign tumour.

  • C. Chemotherapy

    Chemotherapy has no role in this benign lesion.

  • D. Segmental resection

    Resection is unnecessary for an encapsulated benign lesion.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this Dentistry question

What is the answer to this Dentistry question?

The best answer is A, Conservative enucleation. The adenomatoid odontogenic tumour is a benign encapsulated hamartoma-like lesion, and enucleation is curative.

Why is "Radiotherapy" not the answer?

Radiotherapy is not used for this benign tumour.

Why is "Chemotherapy" not the answer?

Chemotherapy has no role in this benign lesion.

Why is "Segmental resection" not the answer?

Resection is unnecessary for an encapsulated benign lesion.

What concept does this question test?

It tests Oral pathology: cysts and odontogenic tumours: adenomatoid odontogenic tumour management in Dentistry. Recurrence is extremely rare. The tumour shows duct-like structures and rosettes in a fibrous capsule.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Oral pathology: cysts and odontogenic tumours: adenomatoid odontogenic tumour management?

Learn the dental formula, eruption ages and tooth structure once, as tables. Then use the flashcards and the other Dentistry questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.