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Momeni Roochi M, Tavakoli I, Ghazi FM, Tavakoli A. Case series and review of glandular odontogenic cyst with emphasis on treatment modalities. J Craniomaxillofac Surg 2015; 43:746-50. [PMID: 25971944 DOI: 10.1016/j.jcms.2015.03.030] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2014] [Revised: 02/14/2015] [Accepted: 03/25/2015] [Indexed: 11/28/2022] Open
Abstract
Glandular odontogenic cyst is a newly determined jaw entity with aggressive behavior and a high rate of recurrence. There is histopathologic resemblance to other lesions of the jaw such as intraosseous mucoepidermoid carcinoma. Although enucleation and curettage are not the treatment of choice for this cystic lesion, they comprise the most common method. On the other hand, filling the defect is a controversial matter, especially in lesions with large size. We introduce 4 cases of GOC, of which 2 are cases of recurrence. We applied bone material substitutes in 3 of these cases with success.
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Affiliation(s)
- Mehrnoush Momeni Roochi
- Department of Oral & Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran
| | - Iman Tavakoli
- Department of Oral & Maxillofacial Surgery, Tehran University of Medical Sciences, Tehran, Iran.
| | - Fatemeh Mojgan Ghazi
- Department of Oral & Maxillofacial Pathology, Tehran University of Medical Sciences, Tehran, Iran
| | - Ali Tavakoli
- Department of Oral & Maxillofacial Pathology, Shahid Sadoughi University of Medical Sciences and Health Services, Yazd, Iran
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Raju SP, Reddy SP, Ananthnag J. Glandular odontogenic cyst of the anterior mandible. NORTH AMERICAN JOURNAL OF MEDICAL SCIENCES 2015; 7:65-9. [PMID: 25789251 PMCID: PMC4358051 DOI: 10.4103/1947-2714.152081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Context: Glandular odontogenic cyst (GOC) is a rare cyst occurring in the middle-age people with mandibular anterior as the common site of occurrence. Case Report: We report a case of massive GOC in a 65-year-old female with an emphasis on its clinical course, histological features, and treatment modalities. Conclusion: The aggressiveness and recurrences of GOC warrants clinicians for the careful examination, treatment, and long-term follow-up.
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Affiliation(s)
| | - Sridhar Padala Reddy
- Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Bhimavaram, India
| | - Jakkula Ananthnag
- Department of Oral and Maxillofacial Surgery, Lenora Dental College, Rajahmundry, Andhra Pradesh, India
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53
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Jafarian AH, Rahpeyma A, Khajehahmadi S. Recurrent Glandular Odontogenic Cyst of Maxilla- A Case Report. IRANIAN JOURNAL OF PATHOLOGY 2015; 10:160-164. [PMID: 26351478 PMCID: PMC4539755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 12/17/2013] [Accepted: 05/31/2014] [Indexed: 06/05/2023]
Abstract
The glandular odontogenic cyst (GOC) is a rare lesion with odontogenic origin. It shows a propensity for recurrence revealed in 30% of all case. This investigation reports a case of recurrent GOC in a 35-year-old female in the anterior region of the maxilla, which is uncommon and discusses about IHC finding, surgical methods, and differential diagnosis. Under general anesthesia, peripheral bone ostectomy via large round bur for removal of remaining epithelium of the cyst wall was done. Finally liquid nitrogen was used to remaining bone. This article recommends that soft tissue adjacent to the cortical bone perforation should be excised, as well as peripheral bone ostectomy by large round bur for removal of remaining epithelium of the cyst and liquid nitrogen application to the bony cavity. Because of high recurrence rate of the lesion close follow up of the patients is needed.
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Affiliation(s)
- Amir Hosein Jafarian
- Dept. of Pathology, Mashhad University of Medical Sciences, Mashhad, Iran
- Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Amin Rahpeyma
- Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
- Dept. of Oral and Maxillofacial Surgery, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Saeedeh Khajehahmadi
- Dental Research Center, School of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
- Dept. of Pathology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
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54
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Purohit S, Shah V, Bhakhar V, Harsh A. Glandular odontogenic cyst in maxilla: A case report and literature review. J Oral Maxillofac Pathol 2014; 18:320-3. [PMID: 25328322 PMCID: PMC4196310 DOI: 10.4103/0973-029x.140923] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2013] [Accepted: 08/07/2014] [Indexed: 11/05/2022] Open
Abstract
Glandular odontogenic cyst (GOC) is an uncommon jaw bone cyst of odontogenic origin described in 1987 by Gardner et al. It is a cyst having an unpredictable and potentially aggressive behavior. The increased recurrence rate can be due to its multilocularity and incomplete removal of the lining following conservative treatment. Clinically, the most common site of occurrence is the anterior region of mandible. GOC has a slight male predilection and occurs primarily in middle-aged patients. This article presents a case of glandular odontogenic cyst in a 30-year-old female patient in the posterior region of the maxilla, which is quite rare.
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Affiliation(s)
- Sharad Purohit
- Department of Oral Pathology and Microbiology, Jodhpur Dental College and General Hospital, Boranada, Rajasthan, India
| | - Vandana Shah
- Department of Oral Pathology and Microbiology, K. M. Shah Dental College and Hospital, Vadodara, Gujarat, India
| | - Vikas Bhakhar
- Department of Oral Pathology and Microbiology, K. M. Shah Dental College and Hospital, Vadodara, Gujarat, India
| | - Ashutosh Harsh
- Department of Dentistry, Dr. Sampurnanand Medical College and Hospital, Jodhpur, Rajasthan, India
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55
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Mendes PHC, de Melo Filho MR, dos Santos LAN, Dourado MDR, Macedo CP, Cardoso CM, Coletta RD, Martelli Júnior H. Symptomatic swelling on the lingual surface of the mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 2014; 117:546-550. [DOI: 10.1016/j.oooo.2013.04.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2013] [Revised: 04/03/2013] [Accepted: 04/21/2013] [Indexed: 01/10/2023]
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56
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Tambawala SS, Karjodkar FR, Yadav A, Sansare K, Sontakke S. Glandular odontogenic cyst: A case report. Imaging Sci Dent 2014; 44:75-9. [PMID: 24701462 PMCID: PMC3972410 DOI: 10.5624/isd.2014.44.1.75] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2013] [Revised: 06/20/2013] [Accepted: 08/04/2013] [Indexed: 11/23/2022] Open
Abstract
Glandular odontogenic cysts (GOCs) are rare intrabony solitary or multiloculated cysts of odontogenic origin. The importance of GOCs lies in the fact that they exhibit a propensity for recurrence similar to keratocystic odontogenic tumors and that they may be confused microscopically with central mucoepidermoid carcinoma. Thus, the oral and maxillofacial radiologists play an important role in definitive diagnosis of GOC based on distinctive cases; though they are rare. In large part, this is due to the GOC's complex and frequently non-specific histopathology. This report describes a case of GOC occurrence in the posterior mandibular ramus region in a 17-year-old female, which is a rare combination of site, age, and gender for occurrence.
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Affiliation(s)
- Shahnaz S Tambawala
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
| | - Freny R Karjodkar
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
| | - Archana Yadav
- Department of Oral Pathology, Nair Hospital Dental College, Mumbai, India
| | - Kaustubh Sansare
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
| | - Subodh Sontakke
- Department of Oral Medicine and Radiology, Nair Hospital Dental College, Mumbai, India
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57
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Mascitti M, Santarelli A, Sabatucci A, Procaccini M, Lo Muzio L, Zizzi A, Rubini C. Glandular odontogenic cyst: review of literature and report of a new case with cytokeratin-19 expression. Open Dent J 2014; 8:1-12. [PMID: 24624237 PMCID: PMC3950754 DOI: 10.2174/1874210601408010001] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2013] [Revised: 12/13/2013] [Accepted: 12/17/2013] [Indexed: 01/03/2023] Open
Abstract
The glandular odontogenic cyst (GOC) was a rare jawbone cyst described in 1988 as a distinct entity. This lesion can involve either jaw, and the anterior region of the mandible was the most commonly affected area. Clinical and radiographic findings were not specific, and the diagnosis of GOC can be extremely difficult due to the rarity of this lesion. The cyst presented a wall constituted by fibrous connective tissue and was lined by a non-keratinized stratified squamous epithelium of variable thickness. Large areas of the lining epithelium presented cylinder cells, sometimes ciliated. A variable amount of mucina was occasionally noted. Due to the strong similarities, this cyst can be easily misdiag-nosed as a central mucoepidermoid carcinoma (CMEC). Immunohistochemistry may be an aid in diagnosis; in fact has been demonstrated that there were differences in the expression of cytokeratins (CK) in GOC and CMEC. In this study, we reported a new case of GOC in a 38 year female patient. In addition, we carried out a review of 110 previous cases reported in literature.
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Affiliation(s)
- Marco Mascitti
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Andrea Santarelli
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy ; Institute of Health and Science on Aging INRCA, Ancona, Italy
| | - Antonio Sabatucci
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Maurizio Procaccini
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy ; Institute of Health and Science on Aging INRCA, Ancona, Italy
| | - Lorenzo Lo Muzio
- Department of Sperimental and Clinical Medicine, University of Foggia, Foggia, Italy
| | - Antonio Zizzi
- Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy
| | - Corrado Rubini
- Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy
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58
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A case of glandular odontogenic cyst in the mandible treated with the dredging method. Odontology 2014; 103:112-5. [PMID: 24374982 DOI: 10.1007/s10266-013-0143-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2013] [Accepted: 11/17/2013] [Indexed: 10/25/2022]
Abstract
Glandular odontogenic cyst (GOC) is a rare odontogenic cyst derived from the odontogenic epithelium. GOC shows unpredictable and potentially aggressive behavior. Although enucleation and curettage are applied in most cases, the recurrence rate remains relatively high. Because a standard care procedure for GOC has not been established, we propose a new treatment procedure for GOC. In this case report, we describe a 62-year-old Japanese woman who suffered from GOC arising at the anterior region of her mandible and who was treated using the dredging method. She underwent enucleation and curettage twice using the dredging method with preservation of the teeth, which were involved with the lesion, but the lesion recurred 2 years later. In addition to enucleation and curettage, apicoectomy of the teeth was performed with a third dredging method procedure, and prognosis has been good with no recurrence for 18 months since the last treatment.
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59
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More CB, Bhavsar K, Varma S, Adalja CJ. Glandular odontogenic cyst: A diagnostic challenge. Indian J Dent 2013. [DOI: 10.1016/j.ijd.2013.07.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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60
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Castro-Núñez J, González MD. Maxillary reconstruction with bone transport distraction and implants after partial maxillectomy. J Oral Maxillofac Surg 2013; 71:e137-42. [PMID: 23351767 DOI: 10.1016/j.joms.2012.08.030] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Revised: 08/28/2012] [Accepted: 08/28/2012] [Indexed: 11/26/2022]
Abstract
Maxillary and mandibular bone defects can result from injury, congenital defect, or accident, or as a consequence of surgical procedures when treating pathology or defects affecting jaw bones. The glandular odontogenic cyst is an infrequent type of odontogenic cyst that can leave a bony defect after being treated by aggressive surgical means. First described in 1987 by Padayachee and Van Wyk, it is a potentially aggressive entity, having a predisposition to recur when treated conservatively, with only 111 cases having been reported hitherto. Most reports emphasize its clinical, radiographic, and histologic features, including a few considerations on rehabilitation for these patients. The aim of this article is to present the case of a 24-year-old male patient who, in 2001, was diagnosed with a glandular odontogenic cyst and to focus on the surgical approach and rehabilitation scheme. We performed an anterior partial maxillectomy. The osseous defect was treated using bone transport distraction. Dental and occlusal rehabilitation was achieved with titanium implants over transported bone and an implant-supported overdenture. A 9-year follow-up shows no evidence of recurrence of the pathology, adequate shape and amount of bone, functional occlusal and dental rehabilitation, and patient's satisfaction.
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Affiliation(s)
- Jaime Castro-Núñez
- Oral and Maxillofacial Surgery, Universidad El Bosque, Bogotá, Colombia.
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61
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Glandular odontogenic cyst: analysis of 46 cases with special emphasis on microscopic criteria for diagnosis. Head Neck Pathol 2011; 5:364-75. [PMID: 21915706 PMCID: PMC3210226 DOI: 10.1007/s12105-011-0298-3] [Citation(s) in RCA: 73] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2011] [Accepted: 08/24/2011] [Indexed: 10/17/2022]
Abstract
The glandular odontogenic cyst (GOC) is now a relatively well-known entity with recent reviews indicating over 100 cases reported in the English literature. The GOC's importance relates to the fact that it exhibits a propensity for recurrence similar to the odontogenic keratocyst, and that it may be confused microscopically with central mucoepidermoid carcinoma (CMEC). Numerous histopathologic features for the GOC have been described, but the exact microscopic criteria necessary for diagnosis have not been universally accepted. Furthermore, some of the microscopic features of GOC may also be found in dentigerous, botryoid, radicular, and surgical ciliated cysts. The purpose of this multicenter retrospective study is to further define the clinical, radiographic, and microscopic features of GOC, to determine which microscopic features may be helpful for diagnosis in problematic cases, to determine the most appropriate treatment, and to determine if GOC and CMEC share a histopathologic spectrum. In our series of 46 cases, the mean age at diagnosis was 51 years with 71% of cases in the 5th-7th decades. No gender predilection was noted. 80% of cases occurred in the mandible, and 60% of the lesions involved the anterior regions of the jaws. Swelling/expansion was the most common presenting complaint, although some cases were asymptomatic. Radiographically, most cases presented as a well-defined unilocular or multilocular radiolucency involving the periapical area of multiple teeth. Some lesions displayed a scalloped border. Cases also presented in dentigerous, lateral periodontal, and "globulomaxillary" relationships. The canine area was a common location for maxillary cases. All cases were treated conservatively (enucleation, curettage, cystectomy, excision). Follow-up on 18 cases revealed a recurrence rate of 50% (9/18), with 6 cases recurring more than once (range of follow-up: 2 months to 20 years; average length of follow-up: 8.75 years). The mean interval from initial treatment to first recurrence was 8 years, and from first recurrence to second recurrence was 5.8 years. Two cases recurred three times and the interval from second to third recurrence was 7 years (exact interval only documented in one case). All cases exhibited eosinophilic cuboidal (hobnail) cells, a feature not specific for GOC, but necessary for diagnosis, in our opinion. Univariate analysis indicated several features that are most helpful in distinguishing GOC from GOC mimickers in problematic cases, including: (1) the presence of microcysts (P < 0.0001); (2) epithelial spheres (P < 0.0001); (3) clear cells (P = 0.0002); (4) variable thickness of the epithelial cyst lining (P = 0.0002); and (5) multiple compartments (P = 0.006). Stratified analysis indicated that when microcysts are present, epithelial spheres and multiple compartments are still significant, and clear cells are marginally significant in distinguishing GOCs from GOC mimickers. The presence of microcysts (P = 0.001), clear cells (P = 0.032), and epithelial spheres (P = 0.042) appeared to be most helpful in distinguishing GOC associated with an unerupted tooth from dentigerous cyst with metaplastic changes. There were no statistically significant differences microscopically between GOCs that recurred and those that did not. The presence of 7 or more microscopic parameters was highly predictive of a diagnosis of GOC in our series (P < 0.0001), while the presence of 5 or less microscopic parameters was highly predictive of a non-GOC diagnosis (P < 0.0001). Islands resembling mucoepidermoid carcinoma (MEC-like islands) were identified in the cyst wall of three cases, only one of which had follow-up (no evidence of disease at 74 mo.); therefore, at this time insufficient information is available to determine whether GOC and CMEC share a histopathologic spectrum or whether MEC-like islands in GOCs are associated with more aggressive or malignant behavior.
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Araújo de Morais HH, José de Holanda Vasconcellos R, de Santana Santos T, Guedes Queiroz LM, Dantas da Silveira ÉJ. Glandular odontogenic cyst: case report and review of diagnostic criteria. J Craniomaxillofac Surg 2011; 40:e46-50. [PMID: 21459013 DOI: 10.1016/j.jcms.2011.03.018] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2010] [Revised: 01/12/2011] [Accepted: 03/01/2011] [Indexed: 11/17/2022] Open
Abstract
The glandular odontogenic cyst (GOC) is an uncommon jaw bone cyst of odontogenic origin with unpredictable and potentially aggressive behaviour. It also has the propensity to grow to a large size and tendency towards recurrence. GOC can be easily misdiagnosed microscopically as a central mucoepidermoid carcinoma. This paper reports a case of GOC in a 56-year-old male and reviews the main criteria for accurate diagnosis. The diagnosis of GOC can be extremely difficult due to the rarity of the cyst and lack of clear diagnostic criteria.
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Affiliation(s)
- Hécio Henrique Araújo de Morais
- Department of Oral and Maxillofacial Surgery, School of Dentistry, Estado do Rio Grande do Norte University, Caicó-RN, Brazil
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63
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Kwon JI, Kim HW, Han SH, Nam W, Cha IH, Kim HJ. Glandular odontogenic cyst of mandible: case report. J Korean Assoc Oral Maxillofac Surg 2010. [DOI: 10.5125/jkaoms.2010.36.3.211] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Affiliation(s)
- Jin-Il Kwon
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
| | - Hyun-Woo Kim
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
| | - Seon-Hee Han
- Department of Oral Pathology, College of Dentistry, Yonsei University, Seoul, Korea
- Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
| | - Woong Nam
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
- Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
| | - In-Ho Cha
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
- Oral Cancer Research Institute, College of Dentistry, Yonsei University, Seoul, Korea
| | - Hyung Jun Kim
- Department of Oral and Maxillofacial Surgery, College of Dentistry, Yonsei University, Seoul, Korea
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