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Osteoma of the Jaw as First Clinical Sign of Gardner's Syndrome: The Experience of Two Italian Centers and Review. J Clin Med 2023; 12:jcm12041496. [PMID: 36836031 PMCID: PMC9963778 DOI: 10.3390/jcm12041496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 02/10/2023] [Accepted: 02/12/2023] [Indexed: 02/16/2023] Open
Abstract
Gardner's syndrome (GS) is a combination of polyposis, osteomas, fibromas, and sebaceous cysts. The aim of the study is to highlight whether maxillofacial osteoma could represent an early detection symptom of GS. Patients with suspected osteoma of the jaw underwent genetic and radiographical examinations. The database gathered 19 patients with oral osteoma that was histologically diagnosed; the whole sample was positive for APC gene mutation. Other cranial and peripheral locations were reported. Osteoma of the jaw is a crucial predictive factor of GS, and dentists and oral and maxillofacial surgeons must be aware of the importance of a timely diagnosis.
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Nandini DB, Devi TP, Deepak BS, Sanjeeta N. Incidental finding of orthokeratinized odontogenic cyst with unusual features. J Oral Maxillofac Pathol 2022; 26:130. [PMID: 35571311 PMCID: PMC9106234 DOI: 10.4103/jomfp.jomfp_133_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Revised: 08/03/2021] [Accepted: 01/25/2022] [Indexed: 12/04/2022] Open
Abstract
Orthokeratinized odontogenic cyst (OOC) is a rare developmental odontogenic cyst occurring in the jaw with debated etiology. It was originally believed to be a variant of odontogenic keratocyst (OKC) but is now considered to be a distinct entity. The majority of the cases occur in the third and fourth decades of life. The common site is the mandibular posterior region with a male predilection. Swelling is the most common symptom which may be accompanied by pain, although in most cases, the lesion is asymptomatic. These lesions mostly present as unilocular radiolucency often associated with an impacted tooth. They may mimic dentigerous cyst and OKC in radiologic and histopathologic presentation, however, differ in biological behavior, pathogenesis and prognosis in comparison. Hence, making an accurate diagnosis is essential. This article describes an incidental finding of OOC in a 28-year-old female during radiographic investigation for orthodontic treatment. This case showed some rare features such as multilocular radiolucency, nonkeratinized epithelium in areas of inflammation, few cholesterol clefts with giant cells, presence of dentinoid-like material and dystrophic calcification in the capsule.
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Affiliation(s)
- D B Nandini
- Department of Oral Pathology and Microbiology, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - T Premlata Devi
- Department of Conservative Dentistry and Endodontics Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - B S Deepak
- Department of Conservative Dentistry and Endodontics Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Ngairangbam Sanjeeta
- Department of Oral Pathology and Microbiology, Regional Institute of Medical Sciences, Imphal, Manipur, India
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Atarbashi-Moghadam S, Atarbashi-Moghadam F, Sijanivandi S, Mokhtari S. Ameloblastoma associated with syndromes: A systematic review. JOURNAL OF STOMATOLOGY, ORAL AND MAXILLOFACIAL SURGERY 2019; 121:146-149. [PMID: 31336213 DOI: 10.1016/j.jormas.2019.07.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/14/2019] [Revised: 07/12/2019] [Accepted: 07/15/2019] [Indexed: 01/20/2023]
Abstract
Odontogenic lesions have been described in several syndromes. Despite multiple reports of ameloblastoma's association with various syndromes, it has not been added to the diagnostic criteria for any syndrome. Thus, the aim of this systematic review was gathering such cases' data. An electronic search in PubMed Central's database was performed. The search strategy was limited to human studies (case reports and case series), full-text English articles published from first of January 1975 until the end of 2018. Irrelevant articles or articles with inadequate information were omitted. Associated syndrome, patients' age and sex, lesions' location, radiographic features, and treatment modality were collected and analyzed. Ameloblastoma was reported in association with Gorlin syndrome (6 cases), epidermal nevus syndrome (2 cases), Gardner syndrome (2 cases), Simpson-Golabi-Behmel syndrome (1 case), and Williams syndrome (1 case). The commonest associated syndrome was Gorlin syndrome (50%) with maxillary and female predilections. Both cases of epidermal nevus syndrome (ENS) were female with mandibular involvement. In syndromes that odontogenic lesions are one of the diagnostic criteria, it is important to rule out ameloblastic changes. Although the relationship between ameloblastoma and these syndromes is not well known, any related information may be helpful in understanding the pathogenesis and the nature of this neoplasm.
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Affiliation(s)
- S Atarbashi-Moghadam
- Department of Oral and Maxillofacial Pathology, Dental School of Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - F Atarbashi-Moghadam
- Department of Periodontics, 1st floor, Dental School of Shahid Beheshti University of Medical Sciences, Daneshjoo Blvd, Evin, Chamran HWY, Tehran, Iran.
| | - S Sijanivandi
- Research center, Dental School Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - S Mokhtari
- Education Development Office, School of dentistry, Tehran University of Medical Sciences, Tehran, Iran
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Ide F, Muramatsu T, Miyazaki Y, Kikuchi K, Kusama K. Calcifying Odontogenic Cyst Showing a Varied Epithelial Lining: An Additional Case with Implications for the Divergent Differentiation Capacity of the Cyst Epithelium. Head Neck Pathol 2019; 13:251-254. [PMID: 29594916 PMCID: PMC6513929 DOI: 10.1007/s12105-018-0899-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Accepted: 02/14/2018] [Indexed: 10/17/2022]
Affiliation(s)
- Fumio Ide
- Division of Oral Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama, 350-0283, Japan.
- Department of Diagnostic Pathology, Tsurumi University School of Dental Medicine, 2-1-3 Tsurumi, Yokohama, 230-8501, Japan.
| | - Takashi Muramatsu
- Department of Operative Dentistry, Cariology and Pulp Biology, Tokyo Dental College, 2-9-18 Misaki-cho, Chiyoda-ku, Tokyo, 101-0061, Japan
| | - Yuji Miyazaki
- Division of Oral Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama, 350-0283, Japan
| | - Kentaro Kikuchi
- Division of Oral Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama, 350-0283, Japan
| | - Kaoru Kusama
- Division of Oral Pathology, Department of Diagnostic and Therapeutic Sciences, Meikai University School of Dentistry, 1-1 Keyakidai, Sakado, Saitama, 350-0283, Japan
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Crane H, Da Forno P, Kyriakidou E, Speight PM, Hunter KD. Multiple Orthokeratinized Odontogenic Cysts: A Report of Two Cases and Review of the Literature. Head Neck Pathol 2019; 14:381-385. [PMID: 31119532 PMCID: PMC7235050 DOI: 10.1007/s12105-019-01042-0] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2019] [Accepted: 05/13/2019] [Indexed: 11/29/2022]
Abstract
Orthokeratinized odontogenic cysts (OOC) are developmental odontogenic cysts characterised by an orthokeratinized stratified squamous epithelial lining. They were originally believed to be part of the spectrum of Odontogenic Keratocyst, but are now considered to be a distinct entity. They are rare, making up approximately 1% of all odontogenic cysts and they usually occur singly. In this paper we present two new cases of multiple OOCs, and compare them to previous case reports of multiple lesions. The clinical and pathological features are discussed, along with possible diagnostic pitfalls.
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Affiliation(s)
- Hannah Crane
- Academic Unit of Oral and Maxillofacial Medicine, Pathology and Surgery, School of Clinical Dentistry, 19 Claremont Crescent, Sheffield, UK
| | | | - Elena Kyriakidou
- Academic Unit of Oral and Maxillofacial Medicine, Pathology and Surgery, School of Clinical Dentistry, 19 Claremont Crescent, Sheffield, UK
| | - Paul M. Speight
- Academic Unit of Oral and Maxillofacial Medicine, Pathology and Surgery, School of Clinical Dentistry, 19 Claremont Crescent, Sheffield, UK
| | - Keith D. Hunter
- Academic Unit of Oral and Maxillofacial Medicine, Pathology and Surgery, School of Clinical Dentistry, 19 Claremont Crescent, Sheffield, UK
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Uddin N, Zubair M, Abdul-Ghafar J, Khan ZU, Ahmad Z. Orthokeratinized odontogenic cyst (OOC): Clinicopathological and radiological features of a series of 10 cases. Diagn Pathol 2019; 14:28. [PMID: 30947718 PMCID: PMC6449939 DOI: 10.1186/s13000-019-0801-9] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 03/07/2019] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND Orthokeratinized Odontogenic Cyst (OOC) is a rare, developmental odontogenic cyst which was considered in the past to be a variant of Odontogenic keratocyst (OKC) later renamed as keratocystic odontogenic tumor (KCOT). The treatment of OOC is by enucleation and the prognosis, following enucleation is excellent with a recurrence rate of less than 2%. On the other hand, OKC has a recurrence rate between 8 and 25% after enucleation. Thus it is important to differentiate between the two entities. METHODS All cases reported in our section as OOC during the period 2013 to 2018 were retrieved from the surgical pathology files and slides were reviewed by the authors. All cases which met the histological criteria for OOC were included. RESULTS A total of 10 cases were included. 70% patients were males, ages ranged from 23 to 60 years, with mean age of 38.9 years. 70% of cases were located in the mandible and 90% patients presented with swelling. Radiologically, 90% cases were unilocular, all were radiolucent lesions. Mean size was 4.0 cm. Histologically, all cases demonstrated the classic microscopic features. Follow-up was available in 8 patients. All were treated by enucleation. All 8 were alive with no recurrences over a follow-up period ranging from 7 to 62 months. CONCLUSIONS OOC has a better prognosis than OKC and needs to be differentiated from OKC due to differences in treatment and prognosis. Large majority of our cases presented with swelling and occurred in the mandibles of young males. All were radiolucent and most were unilocular. All were treated by enucleation and no recurrences occurred over follow up period ranging up to 62 months. Our findings were similar to those described in other published series.
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Affiliation(s)
- Nasir Uddin
- Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi, Pakistan
| | - Maha Zubair
- College of Medicine, Ziauddin University, Karachi, Pakistan
| | - Jamshid Abdul-Ghafar
- Department of Pathology and Laboratory Medicine, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan.
| | - Zia Ullah Khan
- Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi, Pakistan
| | - Zubair Ahmad
- Department of Pathology and Laboratory Medicine, Aga Khan University Hospital, Karachi, Pakistan
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