51
|
Zhang L, Sun ZJ, Chen XM, Chen Z. Immunohistochemical expression of SHH, PTC, SMO and GLI1 in glandular odontogenic cysts and dentigerous cysts. Oral Dis 2011; 16:818-22. [PMID: 20561215 DOI: 10.1111/j.1601-0825.2010.01697.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To investigate expression of the sonic hedgehog (SHH) signaling pathway components in glandular odontogenic cysts (GOCs), and dentigerous cysts (DCs). MATERIALS AND METHODS Immunohistochemical staining for SHH, patched (PTC), smoothened (SMO), and the transcriptional factor GLI1 were investigated in the 12 GOCs specimens and 20 DCs. RESULTS In GOCs and DCs, immunoreactivity for SHH, PTC, SMO, and GLI1 were detected in the epithelial cytoplasm. Each of the genes of the SHH signaling pathway was expressed in similar patterns in the epithelial lining of the cysts. The expression of SHH, PTC, SMO, and GLI1 was significantly higher in epithelia than that of subepithelial fibroblasts (P < 0.01). No statistical difference among the labeling index of the epithelial lining among the different cyst types could be revealed. CONCLUSIONS The findings suggest that the proteins of the SHH signaling pathway are predominantly located within the epithelial components of GOCs and DCs. SHH signaling pathway may play a role in epithelial lining formation.
Collapse
Affiliation(s)
- L Zhang
- The 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, Hubei, China Department of Oral Pathology, School and Hospital of Stomatology, Wuhan University, Wuhan, Hubei, China
| | | | | | | |
Collapse
|
52
|
Lyrio MCN, de Assis AF, Germano AR, de Moraes M. Treatment of mandibular glandular odontogenic cyst with immediate reconstruction: case report and 5-year follow-up. Br J Oral Maxillofac Surg 2010; 48:651-3. [DOI: 10.1016/j.bjoms.2009.10.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2009] [Accepted: 10/03/2009] [Indexed: 10/20/2022]
|
53
|
Abstract
Glandular odontogenic cyst (GOC) is an unusual entity of jaws, which shows features that overlap with botryoid odontogenic cyst and mucoepidermoid tumor. Glandular odontogenic cyst has an uncertain histogenesis and was recently listed by the World Health Organization as a developmental odontogenic epithelial cyst: it is characterized by an epithelial lining with cuboidal or columnar cells, both at the surface and lining, with crypts or cystlike spaces within the thickness of the epithelium. The radiographic appearance of GOC varies and is not pathognomonic. Several methods of treatment of GOC including curettage, enucleation, and en bloc excision have been used. The recurrence rate of GOC described in literature varies between 21% and 55% according to the different treatment options. We report 2 patients with GOC, describe their clinicopathologic aspects, and discuss the treatment modalities in relation to 2 different clinical situations.
Collapse
|
54
|
Macdonald-Jankowski DS. Glandular odontogenic cyst: systematic review. Dentomaxillofac Radiol 2010; 39:127-39. [PMID: 20203274 DOI: 10.1259/dmfr/30943934] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022] Open
Abstract
OBJECTIVES The aim of this study was to evaluate the principal features of "glandular odontogenic cyst" (GOC), by systematic review (SR), and to compare their frequencies among four global groups. METHODS The databases searched were the PubMed interface of MEDLINE and LILACS. Only those reports of GOCs that occurred in a series in the reporting authors' caseload were considered. All cases were confirmed histopathologically. RESULTS 18 reports on 17 series of consecutive cases were included in the SR. GOC affected males twice as frequently and the mandible almost three times as frequently. The mean age at first presentation was 44 years, coincident with that of the Western global group, in which the largest proportion of reports and cases first presented in the second half of the fifth decade. However, age at presentation of GOCs in the East Asian and sub-Saharan African global groups was nearly a decade younger, this was significant. Six reports included details of at least one clinical presentation. Eight reports included at least one conventional radiological feature. There were some significant differences between global groups. The Western global group had a particular predilection for the anterior sextants of both jaws. The sub-Saharan African group displayed buccolingual expansion (as did the Latin American group) and tooth displacement in every case. 18% of GOCs recurred overall, except in the sub-Saharan African global group. CONCLUSIONS GOCs have a marked propensity to recur in most global groups. GOCs presented in older patients and with swellings, affected the anterior sextants of both jaws, and radiologically were more likely to present as a well-defined unilocular radiolucency with buccolingual expansion. Tooth displacement, root resorption and an association with unerupted teeth occurred in 50%, 30% and 11% of cases, respectively.
Collapse
Affiliation(s)
- D S Macdonald-Jankowski
- Division of Oral and Maxillofacial Radiology, Faculty of Dentistry, UBC, 2199 Wesbrook Mall, Vancouver V6T 1Z3, BC, Canada.
| |
Collapse
|
55
|
Rao JB, Jeevan Kumar KA, Kumar BP. Glandular odontogenic cyst involving the posterior part of maxillary sinus, a rare entity. J Maxillofac Oral Surg 2010; 9:72-5. [PMID: 23139573 DOI: 10.1007/s12663-010-0020-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2009] [Accepted: 02/19/2010] [Indexed: 10/19/2022] Open
Abstract
The Glandular Odontogenic Cyst (GOC) was first coined by Gardner et al. [2], in 1988 as an odontogenic origin, is a rare developmental lesion considered a distinct entity because of its uncommon clinical and histopathological characteristics. This lesion can involve either jaws, but the anterior region of the mandible is the most affected area. It strikes distinct age groups, with an average patient age of 50 years. Radiographically, GOC does not display specific or pathognomonic features. It may present as a multilocular or unilocular radiolucencies. The cyst has an aggressive nature and high tendency of recurrence, so long-term follow-up should be carried out. The treatment is controversial, varying from conservative methods to block excision. It is believed that the low prevalence of GOC in the literature is because of not only its rarity, but principally to the fact that its main characteristics are also found in other pathological entities, thereby generating controversial diagnoses. The aim of this paper is to present a rare case of Glandular Odontogenic Cyst (GOC), which is uncommon in the posterior maxilla, that mimicks the lateral odontogenic cyst/botroid odontogenic cyst/Central Muco-epidermoid carcinoma. Owing to its tendency to recur, the lesion needs careful and meticulous planning for its surgical removal.
Collapse
Affiliation(s)
- Jaligama Brahmaji Rao
- Dept. of Oral and Maxillofacial Surgery, Kamineni Institute of Dental Science, Hyderabad, India ; Vijayalakshmi Nilayam, 16-10-227/4, Old Malakpet, Hyderabad, Andhra Pradesh India
| | | | | |
Collapse
|
56
|
Anterior Mandibular Swelling. J Oral Maxillofac Surg 2010; 68:436-41. [DOI: 10.1016/j.joms.2009.09.025] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2008] [Revised: 09/07/2009] [Accepted: 09/14/2009] [Indexed: 11/19/2022]
|
57
|
Oliveira JX, Santos KCP, Nunes FD, Hiraki KRN, Sales MAO, Cavalcanti MGP, Marcucci M. Odontogenic glandular cyst: a case report. J Oral Sci 2009; 51:467-70. [PMID: 19776517 DOI: 10.2334/josnusd.51.467] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022]
Abstract
Glandular Odontogenic Cyst (GOC) is a rare developmental cyst of the jaws. The histological features of GOC strongly suggest an origin from the remains of dental lamina. Radiographically, GOC presents as well-defined radiolucencies with uni- or multilocular appearance. A case of GOC in a 54-year-old black female is presented here. Clinical, histological and imaging features were evaluated. Due to the high tendency of recurrence and the aggressive potential of GOC, careful clinical and radiological evaluation must be carried out. CT scans are recommended because they provide accurate information about locularity of the lesion, cortical integrity, expansion of the lesion and involvement of the contiguous soft tissue.
Collapse
|
58
|
Krishnamurthy A, Sherlin HJ, Ramalingam K, Natesan A, Premkumar P, Ramani P, Chandrasekar T. Glandular odontogenic cyst: report of two cases and review of literature. Head Neck Pathol 2009; 3:153-8. [PMID: 19644539 PMCID: PMC2715453 DOI: 10.1007/s12105-009-0117-2] [Citation(s) in RCA: 51] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/22/2009] [Accepted: 04/10/2009] [Indexed: 12/03/2022]
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 behaviour. It also has the propensity to grow to a large size and tendency to recur with only 111 cases having been reported thus far. The first case occurred in a 42-year-old female and presented as a localized swelling extending from 19 to 29 regions. There was a history of traumatic injury at the site. There was evidence of bicortical expansion and radiographs revealed a multilocular radiolucency. The second case occurred in a 21-year-old male, as a large swelling in the mandible and radiograph revealed radiolucency in the region. On histopathological examination, these lesions were diagnosed as GOC. It was concluded that, two cases submitted by us correlate with the existing literature that GOC's affect more commonly in the middle age group, having predilection for mandible and that trauma could be a precipitating factor for its occurrence. The increased recurrence rates can be due to its intrinsic biological behavior, multilocularity of the cyst, and incomplete removal of the lining following conservative treatment.
Collapse
Affiliation(s)
- Anuthama Krishnamurthy
- Department of Oral and Maxillofacial Pathology, College of Dental Surgery, Saveetha University, No: 162, Poonamallee High Road, Velapanchavadi, Chennai, Tamil Nadu, India.
| | | | | | | | | | | | | |
Collapse
|
59
|
Tubulopapillary hidradenoma-like tumor of the mandible. Int J Oral Maxillofac Surg 2009; 38:903-7. [PMID: 19375892 DOI: 10.1016/j.ijom.2009.03.708] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2008] [Revised: 12/18/2008] [Accepted: 03/18/2009] [Indexed: 11/22/2022]
Abstract
Tubulopapillary hidradenomas are uncommon benign tumors of the dermis, most commonly occurring in the skin of the head or of the extremities. Complete excision is generally curative and recurrences are rare. The authors describe an unusual case of an intraosseous tubulopapillary hidradenoma of the mandible that recurred 1 year after initial curettage and required en-bloc resection.
Collapse
|
60
|
Punnya AV, Rekha K. “Ameloblastoma with mucous cells”: Review of literature and presentation of 2 cases. ACTA ACUST UNITED AC 2008; 106:e20-6. [DOI: 10.1016/j.tripleo.2008.08.014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2008] [Revised: 08/03/2008] [Accepted: 08/14/2008] [Indexed: 10/21/2022]
|
61
|
Kaplan I, Anavi Y, Hirshberg A. Glandular odontogenic cyst: a challenge in diagnosis and treatment. Oral Dis 2008; 14:575-81. [PMID: 18248589 DOI: 10.1111/j.1601-0825.2007.01428.x] [Citation(s) in RCA: 88] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
The present review analyzes the accumulated data from all cases of glandular odontogenic cyst (GOC) reported in the English language literature. In the 20 years since it was first described, 111 cases have been reported, an incidence of 0.2% of odontogenic cysts. The age range is 14-75, mean 45.7, with a M/F ratio of 1.3:1. GOC has a predilection for the mandible (70%), affecting both anterior and posterior areas. It is typically radiolucent, well defined, either unilocular (53.8%) or multilocular (46.2%). Frequent perforation (61%) and of thinning of cortical plates (24.4%) indicate aggressiveness. Sufficient follow-up indicates that 30% of cases can recur. Treatment by enucleation or curettage carries the highest risk for recurrence, especially in large and multilocular lesions. Peripheral osteoectomy or marginal resection can eliminate the risk. Defined criteria for microscopic diagnosis are described, which in addition to Ki67 and p53 can help in differentiating GOC from lesions with histological similarities (cysts with mucous metaplasia, botryoid and surgical ciliated cysts, low-grade mucoepidermoid carcinoma). Definite diagnosis may not be possible in small incisional biopsies due to the focal presentation of characteristic features required for diagnosis. There is now evidence to support an odontogenic rather than a sialogenic origin.
Collapse
Affiliation(s)
- I Kaplan
- Oral Pathology Service, Institute of Pathology, Rabin Medical Center, Petah-Tiqva, Israel.
| | | | | |
Collapse
|
62
|
|
63
|
Ponniah I, Murali Gopika Manoharan GV, SureshKumar P, Karthikeyan K. How to name it: a rare case of odontogenic cyst. J Oral Pathol Med 2007; 36:563-9. [PMID: 17850442 DOI: 10.1111/j.1600-0714.2007.00545.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Odontogenic cysts and tumors are well-recognized entities to the specialist oral pathologist and they seldom pose problems in differential diagnosis. This paper deals with an aggressive cystic lesion in the maxilla of a 65-year-old male that was characterized by a large radiographically multilocular lesion and a multicystic pattern microscopically. The categorization of this lesion was complicated by the presence of features suggestive of both glandular odontogenic cyst and cystic ameloblastoma with aggressive histologic phenotypes.
Collapse
Affiliation(s)
- I Ponniah
- Department of Oral & Maxillofacial Pathology, Tamil Nadu Government Dental College & Hospital, Chennai, India.
| | | | | | | |
Collapse
|
64
|
Thor A, Warfvinge G, Fernandes R. The Course of a Long-Standing Glandular Odontogenic Cyst: Marginal Resection and Reconstruction With Particulated Bone Graft, Platelet-Rich Plasma, and Additional Vertical Alveolar Distraction. J Oral Maxillofac Surg 2006; 64:1121-8. [PMID: 16781346 DOI: 10.1016/j.joms.2006.03.042] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2005] [Indexed: 11/15/2022]
Affiliation(s)
- Andreas Thor
- Department of Surgical Sciences, Oral and Maxillofacial Surgery, Uppsala University Hospital, Uppsala, Sweden.
| | | | | |
Collapse
|
65
|
Shen J, Fan M, Chen X, Wang S, Wang L, Li Y. Glandular odontogenic cyst in China: report of 12 cases and immunohistochemical study. J Oral Pathol Med 2006; 35:175-82. [PMID: 16454814 DOI: 10.1111/j.1600-0714.2006.00389.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
OBJECTIVE The purpose of this study was to present 12 additional cases of glandular odontogenic cyst (GOC) in the Department of Oral Pathology, School of Stomatology, Wuhan University, People's Republic of China, and to investigate their immunohistochemical cytokeratins (CKs) expression in the epithelial components. METHODS A total of 12 GOCs were reviewed clinically and radiographically, and immunohistologic CKs AE1, 7, 8/18, 10/13, 14, 16, 19 and 20 were performed by using a standard biotin-streptavidin immunoperoxidase technique on paraffin sections. RESULTS The present series showed that eight occurred in males and four in females. The mean age was 37.6 years with a peak incidence occurring in the third decades (six of 12). Mandibles were more affected than maxillas (7:5), especially anterior mandible (four of seven). Radiographically, ratio multilocular to unilocular radiolucencies was 5:7 usually with well-defined borders. Histologically, cystic spaces were lined by non-keratinized stratified epithelia containing focal plaque-like or whirlpool-like thickenings; surface epithelial layer-containing eosinophilic cuboidal cells; mucous cells; and mucin pools of microcystic areas in the epithelium. Immunohistochemistry showed that epithelium of GOCs stained for CKs AE1, 7, 8/18, 10/13, 14 and 19 with slight changes in their patterns, and no reaction to CKs 16 and 20. CONCLUSIONS Most clinical and histologic features in this study were analogous to those reported west population, although with slight difference between them. Histologically, the morphology of the epithelium strongly suggested an odontogenic origin, and CKs expression of GOC was similar to that of odontogenic epithelium, suggesting histochemically that GOC might be derived from odontogenic epithelium.
Collapse
Affiliation(s)
- Jing Shen
- Key Lab for Oral Biochemical Engineering of Ministry of Education, Department of Oral Endodontics, School of Stomatology, Wuhan University, Hubei, China
| | | | | | | | | | | |
Collapse
|
66
|
Sittitavornwong S, Koehler JR, Said-Al-Naief N. Glandular Odontogenic Cyst of the Anterior Maxilla: Case Report and Review of the Literature. J Oral Maxillofac Surg 2006; 64:740-5. [PMID: 16546663 DOI: 10.1016/j.joms.2005.12.024] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2005] [Indexed: 10/24/2022]
Affiliation(s)
- Somsak Sittitavornwong
- Department of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Alabama 35294, USA
| | | | | |
Collapse
|
67
|
Kasaboğlu O, Başal Z, Usubütün A. Glandular Odontogenic Cyst Presenting as a Dentigerous Cyst: A Case Report. J Oral Maxillofac Surg 2006; 64:731-3. [PMID: 16546660 DOI: 10.1016/j.joms.2005.12.020] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2005] [Indexed: 10/24/2022]
Affiliation(s)
- Oğuzcan Kasaboğlu
- Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
| | | | | |
Collapse
|
68
|
Abstract
An unusual odontogenic cyst, which was originally believed to be a clinical dentigerous cyst associated with an impacted mandibular third molar, was found histologically to demonstrate the characteristics of a glandular odontogenic cyst with para- and orthokeratinization. These histologic diversities were interpreted as a reflection of the pluripotentiality of the epithelial remnants of the mandibular third molars or dentigerous cyst epithelium. It is possible that it has the capacity to induce the formation of cysts in both squamous and glandular epithelium.
Collapse
Affiliation(s)
- Jung Hoon Yoon
- Department of Oral Pathology, School of Dentistry, Chosun University, Dong-gu, Gwangju 501-759, Korea.
| | | | | | | |
Collapse
|
69
|
Cedin AC, de Paula FA, Landim ER, da Silva FL, de Oliveira LF, Sotter AC. [Endoscopic treatment of odontogenic cyst with intra-sinusal extension]. Braz J Otorhinolaryngol 2005; 71:392-5. [PMID: 16446949 PMCID: PMC9450663 DOI: 10.1016/s1808-8694(15)31343-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Abstract
Odontogenic cyst is a common lesion that can happen after inflammation of the dental pulp. The therapeutic approach of these cysts is made at dentist's offices, and depending on their extension, they may develop oroantral fistula and chronic sinusitis. The objective of this study is to propose the videoendoscopic treatment of the odontogenic cyst with expression in the maxillary sinus. We made a retrospective study of four cases of cysts of dental origin, with intra-sinusal extension, complicated with oroantral fistula and chronic sinusitis of maxillary sinus after curettage in a dentist's office. We used the videoendoscopic technique through transmaxillary approach to access the intra-sinusal cyst. All the four patients presented resolution of the infectious manifestation and healing of the oroantral fistula, without recurrence within two years of follow-up. Videoendoscopic surgery is a safe and effective method for the management of odontogenic cysts with extension to maxillary sinus, and it may prevent oroantral fistula formation and chronic sinusitis.
Collapse
Affiliation(s)
- Antonio C. Cedin
- Physician and coordinator, Service of Otorhinolaryngology, Hospital Beneficência Portuguesa de São Paulo
- Address correspondence to: Fausto de Paula Jr. –Rua Maestro Cardim 770 01323001 Sao Paulo SP. Tel (55 11) 288-0899
| | - Fausto A. de Paula
- Resident Physician, Service of Otorhinolaryngology, Hospital Beneficência Portuguesa de São Paulo
| | - Emanuel R. Landim
- Resident Physician, Service of Otorhinolaryngology, Hospital Beneficência Portuguesa de São Paulo
| | - Flávio L.P. da Silva
- Resident Physician, Service of Otorhinolaryngology, Hospital Beneficência Portuguesa de São Paulo
| | - Luis F. de Oliveira
- Resident Physician, Service of Otorhinolaryngology, Hospital Beneficência Portuguesa de São Paulo
| | - Ana C. Sotter
- Resident Physician, Service of Otorhinolaryngology, Hospital Beneficência Portuguesa de São Paulo
| |
Collapse
|
70
|
Abu El-Naaj I, Emodi O, Peled M. Metachronous ameloblastomas in the maxilla and mandible: report of a case. J Craniomaxillofac Surg 2005; 33:349-51. [PMID: 16129610 DOI: 10.1016/j.jcms.2005.04.009] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2004] [Accepted: 03/27/2005] [Indexed: 11/23/2022] Open
Abstract
Ameloblastoma is a locally aggressive tumour of odontogenic origin, with an unknown aetiology. Metachronous ameloblastoma in the maxilla and the mandible is rare. In this report, a case of a 63 year-old man is described with a solid ameloblastoma in the posterior part of the upper jaw. After surgical treatment, the patient returned 8 years later with a similar lesion in the anterior lower jaw. Both ameloblastomas were of the solid type but differed in their histological patterns. No evidence of recurrence was found in either of the surgical sites for the last 4 years.
Collapse
Affiliation(s)
- Imad Abu El-Naaj
- Department of Oral and Maxillofacial Surgery, Rambam Medical Centre, Bruce Rappoport Faculty of Medicine, Technion Institute of Technology, Haifa, Israel.
| | | | | |
Collapse
|
71
|
Kaplan I, Anavi Y, Manor R, Sulkes J, Calderon S. The use of molecular markers as an aid in the diagnosis of glandular odontogenic cyst. Oral Oncol 2005; 41:895-902. [PMID: 16043383 DOI: 10.1016/j.oraloncology.2005.04.015] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2005] [Accepted: 04/27/2005] [Indexed: 10/25/2022]
Abstract
UNLABELLED (1) To investigate the use of p53, Ki67, and PCNA as an aid in the diagnosis of glandular odontogenic cyst (GOC); (2) To compare the expression of these markers in GOC, low-grade mucoepidermoid carcinoma (MEPCa), and radicular cyst with mucous metaplasia (RCM) as an aid in the differential diagnosis; (3) To establish guidelines for the diagnosis of GOC. STUDY GROUP 35 patients: 10 GOC, 15 RCM, 9 MEPCa. Immunostaining of archival specimens for p53, Ki67, PCNA. Twenty-nine articles (1987-2004) with detailed histopathological descriptions of GOC, analyzed for frequency of histopathological characteristics. Mean p53 labeling index (LI) was higher in GOC (3.0+/-4.3%) and MEPCa (4.9+/-7.4%) than in RCM (0.4+/-1.2%, p=0.048). Ki67 LI was higher in GOC (4.4+/-4.7%) and RCM (3.7+/-6.7%) than in MEPCa (0.7+/-1.6%, p=0.03). There were no significant differences in the expression of PCNA. In the literature, the most consistent histopathological characteristics of GOC included epithelial spherules/"knobs"/whorls (82.8%), cuboidal eosinophilic cells (65.5%), goblet cells (65.5%), intraepithelial glandular/microcystic ducts (58.6%), variations in lining width (55.2%), ciliated cells (51.7%) and mucous pools/mucous-lined crypts (41.4%). These histopathological features were divided into major and minor signs. The diagnosis of GOC should be based on at least the focal presence of the major signs. Measurement of p53 and Ki67 may aid in the differential diagnosis of GOC.
Collapse
Affiliation(s)
- Ilana Kaplan
- Institute of Pathology, Rabin Medical Center, Beilinson Campus, Petah Tiqva, Israel.
| | | | | | | | | |
Collapse
|
72
|
Qin XN, Li JR, Chen XM, Long X. The Glandular Odontogenic Cyst: Clinicopathologic Features and Treatment of 14 Cases. J Oral Maxillofac Surg 2005; 63:694-9. [PMID: 15883946 DOI: 10.1016/j.joms.2004.12.016] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Xia-Nan Qin
- Department of Oral and Maxillofacial Surgery, College and Hospital of Stomatology, Wuhan University, People's Republic of China
| | | | | | | |
Collapse
|
73
|
Abstract
BACKGROUND Glandular odontogenic cyst (GOC) is a rare lesion of both, the maxilla and mandible, leading to extensive osteolysis. Histologically, it shows thin layers of squamous and cylindrical cells, lined with mucinous metaplasia. This makes it difficult to differentiate from a mucoepidermoid carcinoma. The recurrence rate is high. CASE REPORT During a routine X-ray examination we saw massive osteolysis of the whole mandible in a 30-year-old female. All teeth were vital. The biopsy taken showed a benign cyst although the clinical aspect was similar to an ameloblastoma. The cyst was removed after intravital fixation with Carnoy's solution. The bony cavity was left without filling material. Uneventful bony healing occurred. DISCUSSION Due to rare occurrence and similarity to botryoid odontogenic cyst and low-grade mucoepidermoid carcinoma GOC is difficult to identify. It remains without clinical signs for years and is identified in routine X-rays in most cases. We recommend cystectomy after use of Carnoy's solution for intravital fixation. No filling material is required for complete bony healing.
Collapse
Affiliation(s)
- M H Abu-Id
- Abteilung für Mund-, Kiefer- und Gesichtschirurgie, Plastische Operationen, Klinikum Nord/Heidberg, Hamburg.
| | | | | |
Collapse
|
74
|
Kaplan I, Gal G, Anavi Y, Manor R, Calderon S. Glandular odontogenic cyst: Treatment and recurrence. J Oral Maxillofac Surg 2005; 63:435-41. [PMID: 15789313 DOI: 10.1016/j.joms.2004.08.007] [Citation(s) in RCA: 52] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
PURPOSE To investigate the correlation between clinical characteristics, radiologic features, treatment modalities, and treatment outcome of glandular odontogenic cyst, and to suggest a treatment protocol based on these results. PATIENTS AND METHODS The study included a total of 56 cases, 49 from the literature and 7 new cases. Demographic data, locularity and radiographic extension, cortical plate integrity, treatment modalities, follow-up, and recurrence were analyzed. RESULTS There were 34 male and 22 female patients aged 14 to 74 years (mean, 48 years). The mandible was involved in 41 cases (73.2%) and the maxilla in 15 (26.8%), predominantly in the anterior region; 53.6% of the lesions were unilocular and 46.4% multilocular. Large lesions were found in 78.5% of cases. Cortical integrity was compromised in 53.6% (cortical perforation in 39.3% and thinning or erosion of the cortical plate in 14.3%). Recurrence occurred at a rate of 29.2%, within 0.5 to 7 years (mean, 2.9 years). Mean follow-up was also 2.9 years. Two patients had 3 recurrences each. Recurrence was associated with minor surgery such as enucleation or curettage; none of the patients treated by peripheral ostectomy, marginal resection, or partial jaw resection had a recurrence. Compared with the patients without recurrence, the recurrence group had a higher frequency of multilocularity than the nonrecurrent group (64.3% vs 41.2%) and of compromised cortical integrity (71.4% vs 47.1%). CONCLUSION Glandular odontogenic cyst is an aggressive lesion. Treatment by enucleation or curettage alone is associated with a high recurrence rate. Small unilocular lesions can be treated by enucleation. In large uni- or multilocular lesions, an initial biopsy is recommended. Surgical treatment of large lesions should include enucleation with peripheral ostectomy for unilocular cases and marginal resection or partial jaw resection in multilocular cases. Marsupialization followed by second phase surgery is an option for lesions approaching vital structures. Follow-up should continue for at least 3 years (up to 7 years in cases with features associated with increased risk).
Collapse
Affiliation(s)
- Ilana Kaplan
- Department of Oral and Maxillofacial Surgery, Rabin Medical Center, Petah Tikva 49100, Israel
| | | | | | | | | |
Collapse
|
75
|
Kessler HP, Unterman B. Respiratory epithelial adenomatoid hamartoma of the maxillary sinus presenting as a periapical radiolucency: a case report and review of the literature. ACTA ACUST UNITED AC 2004. [DOI: 10.1016/j.tripleo.2003.09.013] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
76
|
Abstract
This case report describes the clinical, radiologic, and histopathologic features of the glandular odontogenic cyst (GOC). Although a relatively rare lesion not previously reported in the endodontic literature, the GOC is recommended for inclusion in a differential diagnosis of a dentoalveolar radiolucency. The GOC is a destructive lesion that can be easily misdiagnosed microscopically as a central mucoepidermoid carcinoma.
Collapse
|
77
|
Abstract
Cystic lesions appearing in the maxilla and mandible have been shown with their typical radiographic features. In addition, this article has presented radiographic techniques used to diagnose these lesions. Cysts of the jaws are classified into two categories: odontogenic and nonodontogenic. Key features to differentiate among these cysts have been discussed. Finally, the article discussed the differentiation of jaw cysts from benign tumors that appear in the jaws.
Collapse
Affiliation(s)
- Kazunori Yoshiura
- Department of Oral Radiology, Faculty of Dental Science, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka 812-8582, Japan.
| | | | | | | |
Collapse
|
78
|
Manor R, Anavi Y, Kaplan I, Calderon S. Radiological features of glandular odontogenic cyst. Dentomaxillofac Radiol 2003; 32:73-9. [PMID: 12775659 DOI: 10.1259/dmfr/22912856] [Citation(s) in RCA: 51] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVES To present five new cases of glandular odontogenic cyst (GOC) and to review the radiological features at presentation as reported in the English literature. METHODS From 1993 to 2002, five patients in our department were diagnosed with GOC based on histopathological findings and supported by radiography and CT. The radiographic features of the new GOC cases were analysed in addition to 51 literature cases. RESULTS There were 31 male and 25 female patients, aged 14-90 years (mean 50 years). The mandible was involved in 80% and the maxilla in 20%; most of the lesions were located in the anterior jaw. Radiographically, 52% of the lesions were unilocular and 48% were multilocular; 94.5% showed well defined borders, which were sclerotic in 7.7% and scalloped in 13%. Information on cortical plate integrity was available in only 24 cases: 50% showed perforation, 8.3% erosion of the cortical plates and 8.3% thinning of the cortical plates. Root resorption was reported in 22% of patients and tooth displacement in 24.4%. CONCLUSIONS Data collected indicate that GOC has potentially aggressive behaviour, with expansion and perforation in a significant number of cases. We recommend the use of multiple plane radiographs, with CT reserved for large lesions, especially those that are multilocular or involve extragnathic structures.
Collapse
Affiliation(s)
- R Manor
- Department of Oral & Maxillofacial Surgery, Rabin Medical Center, Petah Tikva, Sackler Faculty of Medicine, Tel Aviv University, Israel
| | | | | | | |
Collapse
|
79
|
Noffke C, Raubenheimer EJ. The glandular odontogenic cyst: clinical and radiological features; review of the literature and report of nine cases. Dentomaxillofac Radiol 2002; 31:333-8. [PMID: 12424629 DOI: 10.1038/sj.dmfr.4600730] [Citation(s) in RCA: 49] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2001] [Revised: 04/13/2002] [Accepted: 08/19/2002] [Indexed: 11/09/2022] Open
Abstract
Nine cases with glandular odontogenic cysts (GOC's) are presented bringing the total number reported in the literature to 54. Our study confirmed that most GOC's occur in the mandible, whereas maxillary lesions present only in the globulo-maxillary region. The radiological features were found to be non-distinctive and presented as well-defined radiolucencies with uni- and multilocular appearances. Most of the mandibular GOC's were unilocular, involved the symphysis region and only one extended into the ramus. All GOC's larger than 6 cm in diameter showed perforated margins radiologically. Our two multilocular GOC's demonstrated microscopic features supporting their infiltrative radiological appearance. The invasive clinical and radiological features of GOC support the notion of a possible histo-pathologic overlap between GOC and low-grade central mucoepidermoid carcinoma of the jaw.
Collapse
Affiliation(s)
- C Noffke
- Departments of Oral and Maxillofacial Radiology, Faculty of Dentistry, Medical University of Southern Africa, South Africa
| | | |
Collapse
|
80
|
van Rensburg LJ, Paquette M, Langlais RP, Nortjé CJ, Miles DA. Imaging of Odontogenic Cysts and Tumors. Oral Maxillofac Surg Clin North Am 2001. [DOI: 10.1016/s1042-3699(20)30115-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
81
|
Bhatt V, Monaghan A, Brown AM, Rippin JW. Does the glandular odontogenic cyst require aggressive management? ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 2001; 92:249-51. [PMID: 11552137 DOI: 10.1067/moe.2001.116510] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
|
82
|
Ide F, Horie N, Shimoyama T, Sakashita H, Kusama K. So-called Hybrid Odontogenic Tumors: Do they really exist? ACTA ACUST UNITED AC 2001. [DOI: 10.3353/omp.6.13] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
83
|
Affiliation(s)
- W H Binnie
- Department of Diagnostic Sciences, Baylor College of Dentistry, Texas A&M University System, Dallas, USA
| |
Collapse
|
84
|
Affiliation(s)
- J A Chavez
- University of Minnesota, Division of Oral and Maxillofacial Surgery, Minneapolis, USA
| | | |
Collapse
|
85
|
Koppang HS, Johannessen S, Haugen LK, Haanaes HR, Solheim T, Donath K. Glandular odontogenic cyst (sialo-odontogenic cyst): report of two cases and literature review of 45 previously reported cases. J Oral Pathol Med 1998; 27:455-62. [PMID: 9790100 DOI: 10.1111/j.1600-0714.1998.tb01984.x] [Citation(s) in RCA: 47] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The clinical, radiological, histopathological and immunohistochemical (cytokeratin) features of two cases of glandular odontogenic cyst (GOC) are presented and discussed in a review of 45 cases of GOC hitherto reported. Of cases with available information, 34 occurred in the mandible and 6 in the maxilla; the male:female ratio was 19:28, and the mean age was 46.7 years in males and 50.0 years in females. Six cysts recurred once after 2-8 years (mean 2 years 8 months) and 2 (5.3%) recurred twice after 2 and 5 years and after 3 and 5 years, respectively, giving a rate of recurrence of 21%. The identification of osteodentin in one of the present cases and the co-expression of cytokeratins (CK) 13, 19 and 8 strongly support the concept of odontogenic differentiation in the GOC. Careful surgical removal of the lesion succeeded by a 5-year follow-up period is recommended.
Collapse
Affiliation(s)
- H S Koppang
- Department of Oral Pathology, Dental Faculty, University of Oslo, Norway
| | | | | | | | | | | |
Collapse
|
86
|
El-Mofty SK, Hurt MA, Santa Cruz DJ. Tubulopapillary hidradenoma-like tumor of the mandible: clinicopathologic and immunohistochemical features. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1998; 85:431-7. [PMID: 9574952 DOI: 10.1016/s1079-2104(98)90069-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Tubulopapillary hidradenoma is a benign sweat gland tumor that appears as a well-defined, superficially located dermal nodule. It combines ductal as well as apocrine and eccrine glandular differentiation. Microscopically, the tumor is composed of tubular structures that characteristically show intraluminal non-villous papillary projections and a peripheral myoepithelial cell layer. A tumor that is histologically and immunohistochemically identical to tubulopapillary hidradenoma occurred in the mandible of a 73-year-old man and resulted in considerable diagnostic difficulty. The neoplasm developed in a mandibular cyst and recurred 5 years after initial enucleation. This is the first report of a central (intraosseous) sweat gland adenoma of the mandible. The differential diagnosis and possible histogenesis are discussed.
Collapse
Affiliation(s)
- S K El-Mofty
- Department of Pathology, Washington University School of Medicine, St. Louis, MO 63110, USA
| | | | | |
Collapse
|
87
|
Badger KV, Gardner DG. The relationship of adamantinomatous craniopharyngioma to ghost cell ameloblastoma of the jaws: a histopathologic and immunohistochemical study. J Oral Pathol Med 1997; 26:349-55. [PMID: 9379423 DOI: 10.1111/j.1600-0714.1997.tb00229.x] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
The objective of this investigation was to study the relationship of the ghost cell ameloblastoma (GCA), which is a form of type II calcifying odontogenic cyst (COC), to the adamantinomatous craniopharyngioma (ACP). H&E sections of 26 examples of ACP were compared to three cases of GCA and to the reported microscopic features of that tumor. Clinical records of the ACPs were studied to determine their biologic behavior compared to that of the ameloblastomas. Immunohistochemical studies of nine examples of ACP were performed for KL1 (high mol.wt cytokeratins), 5D3 (low mol.wt cytokeratins) and involucrin (characteristic of terminally differentiated keratinocytes) using the peroxidase-antiperoxidase method. The results were compared with those reported for COC and ameloblastoma. ACP and GCA exhibited similar microscopic features, including pre-ameloblasts, tissue resembling stellate reticulum, ghost cells and calcifications; both tumors grew slowly and were invasive. ACP and COC, and by interpolation GCA, exhibited similar features with all three antibodies. The ghost cells did not exhibit any immunoreactivity but the adjacent cells stained positively for involucrin. The immunological features of ACP were similar to those reported in ameloblastomas for squamous differentiation. However, because of their rarity, no ameloblastomas exhibiting keratinization, including ghost cells, have yet been studied with these antibodies. We conclude that ACP and GCA are homologous lesions.
Collapse
Affiliation(s)
- K V Badger
- Division of Oral Pathology and Oncology, University of Colorado School of Dentistry, Denver 80262, USA
| | | |
Collapse
|
88
|
Ramer M, Montazem A, Lane SL, Lumerman H. Glandular odontogenic cyst: report of a case and review of the literature. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1997; 84:54-7. [PMID: 9247951 DOI: 10.1016/s1079-2104(97)90295-x] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The glandular odontogenic cyst is a rare jawbone cyst of odontogenic origin, first described in 1988 by Gardner et al. We describe a previously unreported case of a combined cyst composed of glandular odontogenic cyst and ghost cell keratinization that was present for 33 years. We also reviewed the published 38 cases of glandular odontogenic cyst found in the world literature and add this additional case.
Collapse
Affiliation(s)
- M Ramer
- Department of Pathology, Mount Sinai School of Medicine, New York, N.Y., USA
| | | | | | | |
Collapse
|
89
|
Manojlović S, Grgurević J, Knezević G, Kruslin B. Glandular odontogenic cyst: a case report and clinicopathologic analysis of the relationship to central mucoepidermoid carcinoma. Head Neck 1997; 19:227-31. [PMID: 9142524 DOI: 10.1002/(sici)1097-0347(199705)19:3<227::aid-hed11>3.0.co;2-8] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Glandular odontogenic cyst (GOC), an unusual multilocular cystic lesion of jaws exhibiting the features of both botryoid odontogenic cyst and mucoepidermoid tumor has been reported recently as a new entity with uncertain histogenesis. The World Health Organization named GOC as an independent pathologic entity and classified it as a developmental odontogenic epithelial cyst. We report an additional case, describe its clinicopathologic features, and discuss the similarity to the central mucoepidermoid carcinoma.
Collapse
Affiliation(s)
- S Manojlović
- Department of Pathology, University of Zagreb, Medical School, Zagreb, Republic of Croatia
| | | | | | | |
Collapse
|
90
|
de Sousa SO, Cabezas NT, de Oliveira PT, de Araújo VC. Glandular odontogenic cyst: report of a case with cytokeratin expression. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1997; 83:478-83. [PMID: 9127381 DOI: 10.1016/s1079-2104(97)90149-9] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
The glandular odontogenic cyst is a rare lesion that was recognized as a distinct entity in the latest WHO typing of odontogenic tumors. We report a glandular odontogenic cyst that recurred after surgical removal from the anterior mandible of a 54-year-old white man. Immunohistochemical study showed that the cystic epithelium reacted positively to antibodies directed against cytokeratins (CKs) 7, 13, 14, and 19 and negatively to CKs 8 and 18.
Collapse
Affiliation(s)
- S O de Sousa
- Department of Oral Pathology, School of Dentistry, University of São Paulo
| | | | | | | |
Collapse
|
91
|
Magnusson B, Göransson L, Odesjö B, Gröndahl K, Hirsch JM. Glandular odontogenic cyst. Report of seven cases. Dentomaxillofac Radiol 1997; 26:26-31. [PMID: 9446987 DOI: 10.1038/sj.dmfr.4600205] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023] Open
Abstract
This study describes the clinical, radiographic and histopathological features of seven glandular odontogenic cysts. These cysts comprised 0.012% of 5800 jaw cysts diagnosed in a 19-year period. There was strong predilection for the mandible (five of the seven cases). Both clinical and radiographic features were nonspecific. The main histological findings were a nonkeratinized, stratified squamous epithelium lining to the cyst cavity which varied in thickness with superficial eosinophilic cuboidal cells and mucous pools within the spinous cell layer. Daughter cysts were found in the wall of 2 cysts. At surgery, most walls were found to be thin and lumen to contain a serous, low viscosity exudate. Because of the high rate of recurrence found in three cases out of the seven after conservative surgical treatment, careful clinical and radiographic follow-up is recommended.
Collapse
Affiliation(s)
- B Magnusson
- Department of Oral Pathology, Faculty of Odontology, Göteborg University, Sweden
| | | | | | | | | |
Collapse
|
92
|
Abstract
A case of a rare odontogenic cyst arising in the lateral periodontal membrane in the mandible in a 14 year old girl is reported. This lesion appeared to be a new entity and has been named glandular odontogenic cyst (GOC) or sialo-odontogenic cyst. Histologically the lesion was lined by mucous producing cuboidal epithelium containing several areas of thickening and numerous duct-like structures. The cyst recurred with the same histology two years postoperatively.
Collapse
Affiliation(s)
- N W Savage
- Department of Dentistry, University of Queensland, Brisbane
| | | | | | | |
Collapse
|
93
|
Ide F, Shimoyama T, Horie N. Glandular odontogenic cyst with hyaline bodies: an unusual dentigerous presentation. J Oral Pathol Med 1996; 25:401-4. [PMID: 8890056 DOI: 10.1111/j.1600-0714.1996.tb00286.x] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
We present an unusual case of glandular odontogenic cyst (GOC) enclosing the crown of an impacted canine that developed in the anterior mandible in a 54-year-old woman. Microscopically, it contained numerous glandular structures and hyaline bodies in the epithelial lining. The present rare case is sufficiently distinctive to be considered a dentigerous variant of GOC.
Collapse
Affiliation(s)
- F Ide
- Department of Oral Surgery, Saitama Medical Center, Saitama Medical School, Kawagoe, Japan
| | | | | |
Collapse
|
94
|
Abstract
Over the years there have been sporadic reports of unusual cystic lesions of the jaws, not readily classified under conventional headings but which have been variously diagnosed as median-mandibular, glandular, sialo-odontogenic or botryoid odontogenic cyst. We present five cases which do not fit into other categories of odontogenic cyst, two of which have recurred within a few years of conservative treatment. This paper aims to alert clinicians to the propensity for regrowth of these cysts, proposes the term polymorphous odontogenic cyst for these lesions, to encompass their varied histological appearances and discusses their distinction from other cyst types with mucous and papillary formations in epithelium.
Collapse
Affiliation(s)
- A S High
- Division of Dental Surgery, Leeds Dental Institute, UK
| | | | | | | | | |
Collapse
|
95
|
Economopoulou P, Patrikiou A. Glandular odontogenic cyst of the maxilla: report of case. J Oral Maxillofac Surg 1995; 53:834-7. [PMID: 7595802 DOI: 10.1016/0278-2391(95)90345-3] [Citation(s) in RCA: 25] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Affiliation(s)
- P Economopoulou
- Department of Oral Surgery and Pathology, School of Dentistry, University of Athens, Greece
| | | |
Collapse
|
96
|
Hussain K, Edmondson HD, Browne RM. Glandular odontogenic cysts. Diagnosis and treatment. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1995; 79:593-602. [PMID: 7600223 DOI: 10.1016/s1079-2104(05)80101-5] [Citation(s) in RCA: 49] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
Four cases of glandular odontogenic cyst are reported. Review of these and 13 previously reported cases indicates that they present as slowly growing, painless, radiolucent swellings with a predilection for the anterior part of the mandible. An incisional biopsy is essential to establish a definitive preoperative diagnosis. The unpredictable and potentially aggressive nature of these lesions is suggested by their extensive nature, penetration of cortical bone, locally invasive potential, and high incidence of recurrence after conservative treatment. In view of this behavior we suggest en bloc excision and primary reconstruction to ensure cure and reduce the operative morbidity.
Collapse
Affiliation(s)
- K Hussain
- Department of Oral and Maxillofacial Surgery, Dental Hospital and School, Birmingham, UK
| | | | | |
Collapse
|
97
|
Toida M, Nakashima E, Okumura Y, Tatematsu N. Glandular odontogenic cyst: a case report and literature review. J Oral Maxillofac Surg 1994; 52:1312-6. [PMID: 7965335 DOI: 10.1016/0278-2391(94)90054-x] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- M Toida
- Department of Oral Surgery and Oral Medicine, Ibi General Hospital, Gifu Prefecture, Japan
| | | | | | | |
Collapse
|
98
|
Semba I, Kitano M, Mimura T, Sonoda S, Miyawaki A. Glandular odontogenic cyst: analysis of cytokeratin expression and clinicopathological features. J Oral Pathol Med 1994; 23:377-82. [PMID: 7529316 DOI: 10.1111/j.1600-0714.1994.tb00079.x] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
The glandular odontogenic cyst (GOC) is a rare odontogenic cyst which is still controversial in regard to classification, terminology, and origin. The first Japanese case of GOC is reported. Immunohistochemical examination for expression of cytokeratins and epithelial membrane antigen by monoclonal antibodies suggested that the lining epithelium was of odontogenic origin with metaplastic mucus-laden cells. We have reviewed the literature and compared the clinicopathological findings of the reported case of GOC with those of botryoid odontogenic cysts (BOC). The anatomical location, age range, and sex of GOC cases were very similar to those of BOC. GOC appears to be a multiocular and mucoepidermoid variant of non-keratinizing odontogenic cysts, which also includes BOC. GOC should be separated from the other types of odontogenic cyst and central mucoepidermoid tumours of salivary gland origin.
Collapse
Affiliation(s)
- I Semba
- Department of Oral Pathology, Kagoshima University Dental School, Japan
| | | | | | | | | |
Collapse
|
99
|
Takeda Y. Glandular odontogenic cyst mimicking a lateral periodontal cyst: a case report. Int J Oral Maxillofac Surg 1994; 23:96-7. [PMID: 8035059 DOI: 10.1016/s0901-5027(05)80600-9] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- Y Takeda
- Department of Oral Pathology, School of Dentistry, Iwate Medical University, Morioka, Japan
| |
Collapse
|
100
|
Daley TD, Wysocki GP, Pringle GA. Relative incidence of odontogenic tumors and oral and jaw cysts in a Canadian population. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1994; 77:276-80. [PMID: 8170660 DOI: 10.1016/0030-4220(94)90299-2] [Citation(s) in RCA: 249] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Abstract
The diagnoses of 40,000 consecutively accessioned oral biopsies from the Oral Pathology Diagnostic Service, University of Western Ontario, London, Canada, were reviewed. All odontogenic neoplasm, neoplasm-like lesions (tumors), and true cysts of the oral tissues and jaws were listed. Clinical data were reviewed, and microscopic diagnoses were confirmed for cases in which diagnoses were ambiguous. Records of all cases were examined to identify distant referrals that were not representative of the study population. Of a total of 445 (1.11%) odontogenic tumors, 392 (0.98%) were lesions from patients in the usual local drawing area of the biopsy service; 53 were referred from distant centers. From the local population, odontomas were by far the most common tumor (51.53%) followed by ameloblastomas (13.52%) and peripheral odontogenic fibromas (8.93%). Locally, radicular (periapical) cysts were the most common odontogenic cyst (65.15%) followed by the dentigerous cyst (24.08%) and the odontogenic keratocyst (4.88%). The most common nonodontogenic cyst was the nasopalatine duct cyst that accounted for 73.43% of this subset of cysts. Surprisingly few studies of this type are available, especially for odontogenic tumors. These data are important to assess geographic differences in the incidence of lesions and to allow clinicians to make realistic judgments in counseling patients before biopsy about the probability of diagnosis and risks associated with nonspecific clinical or radiographic lesions.
Collapse
Affiliation(s)
- T D Daley
- Department of Pathology, University of Western Ontario, London, Canada
| | | | | |
Collapse
|