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Redman RS, Paal E, Chauhan S, Avers R, Bayley N. Botryoid odontogenic cyst. Exploration of proliferative activity, apoptosis and expression of TP53 and BCL2 compared to the histologically identical lateral periodontal and gingival cysts. Biotech Histochem 2017; 92:569-576. [DOI: 10.1080/10520295.2017.1367231] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
| | - E Paal
- Pathology and Laboratory Medicine Service
| | - S Chauhan
- Pathology and Laboratory Medicine Service
| | - R Avers
- Dental Service, Department of Veterans Affairs Medical Center, Washington, DC
| | - N Bayley
- Dental Service, Department of Veterans Affairs Medical Center, Washington, DC
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2
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Siponen M, Neville BW, Damm DD, Allen CM. Multifocal lateral periodontal cysts: a report of 4 cases and review of the literature. ACTA ACUST UNITED AC 2011; 111:225-33. [PMID: 21237438 DOI: 10.1016/j.tripleo.2010.09.072] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2010] [Accepted: 09/23/2010] [Indexed: 01/18/2023]
Abstract
Lateral periodontal cyst (LPC) is a developmental jaw cyst of odontogenic origin. It has characteristic histopathologic features that are identical to those seen in the peripherally occurring gingival cyst of adults (GCA). The polycystic variant of LPC is termed the botryoid odontogenic cyst (BOC). The histogenetic origin of LPC is probably the rests of dental lamina in the alveolar bone. In the case of BOC, it might be that several adjacent epithelial rests simultaneously undergo cystic change and eventually form a polycystic lesion. Few previous examples of multifocal occurrence of LPC can be found in the literature. We report an additional 4 patients with this rare presentation of multiple, separate LPCs, and review the literature on this topic.
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Affiliation(s)
- Maria Siponen
- Oral and Maxillofacial Unit, Department of Otorhinolaryngology, Kuopio University Hospital, Kuopio, Finland.
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Hethcox JM, Mackey SA, Fowler CB, Kirkpatrick TC, Deas DE. Case Report: Diagnosis and Treatment of a Botryoid Odontogenic Cyst Found in the Maxillary Anterior Region. J Endod 2010; 36:751-4. [DOI: 10.1016/j.joen.2010.01.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2009] [Revised: 01/14/2010] [Accepted: 01/15/2010] [Indexed: 10/19/2022]
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4
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Chbicheb S, Bennani A, Taleb B, Wady WE. [Botryoid odontogenic cyst]. ACTA ACUST UNITED AC 2008; 109:114-6. [PMID: 18342347 DOI: 10.1016/j.stomax.2007.12.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2007] [Accepted: 12/17/2007] [Indexed: 11/28/2022]
Abstract
INTRODUCTION The botryoid odontogenic cyst (BOC) is a developmental cyst of odontogenic epithelial origin considered as a rare multilocular variety of lateral periodontal cyst (WHO 1992). This cystic lesion site is in the periodontal space of vital teeth. OBSERVATION A 21-year-old woman consulted for a swelling of the anterior maxillary region. The clinical examination revealed bucal swelling extending from the left central incisor to the first left premolar. The mucosa was normal. The adjacent teeth were vital. X-ray revealed a bilocular radiolucency extending between the roots of teeth 21 and 24. The lesion was enucleated, under local anaesthesia via a vestibular approach. Histology was typical of a BOC with cystic spaces lined by squamous epithelium with thickening and clear cells. Forty-eight months after surgery, there was sign of recurrence. DISCUSSION BOC is known to be a recurrent odontogenic cyst. Several cases of multiple recurrences have been reported up to nine years after the initial surgery. Long-term follow-up is thus mandatory.
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Affiliation(s)
- S Chbicheb
- Service d'odontologie chirurgicale, faculté de médecine dentaire de Rabat, Rabats-Instituts, B.P. 6212, IRFANE Rabat, Maroc.
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Abstract
THE LATERAL PERIODONTAL CYSTS is a slow-growing radiolucent, developmental lesion occurring most frequently in males during the sixth decade. As part of the differential diagnosis, it must be distinguished from the collateral keratocyst and the gingival cyst of adults as well as other entities. Speculation remains as to the lateral periodontal cyst's developmental origin. Whether it is from reduced enamel epithelium, remnants of dental lamina, or cell rests of Malassez remains to be determined. The following longitudinal case report describes the review of literature and clinical and histologic findings as well as unusual treatment of a through-and-through perforating lateral periodontal cyst. Due to the large bony defect left after the cyst's removal, a decalcified freeze-dried bone graft was placed to close the defect. The repair of the lesion was followed for 30 months.
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Affiliation(s)
- N B Lehrhaupt
- Department of Periodontics, University of Medicine and Dentistry of New Jersey, Dental School, Newark, USA
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6
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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.
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Affiliation(s)
- F Ide
- Department of Oral Surgery, Saitama Medical Center, Saitama Medical School, Kawagoe, Japan
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7
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Carter LC, Carney YL, Perez-Pudlewski D. Lateral periodontal cyst. Multifactorial analysis of a previously unreported series. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1996; 81:210-6. [PMID: 8665317 DOI: 10.1016/s1079-2104(96)80417-3] [Citation(s) in RCA: 38] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Abstract
The objective of the present study was to review a series of 23 lateral periodontal cysts and 2 botryoid odontogenic cysts retrieved from the files of the State University of New York at Buffalo (SUNY) Oral Pathology Biopsy Service for epidemiologic characteristics as well as radiographic findings, clinical presentation, histopathologic features, and management. This study corroborated some previously established characteristics of the lesion but also revealed some surprising aberrations. A significant difference in the age range and mean age by gender was detected with the Student's t test within this population at the 0.05 level. The classic presentation of a lateral periodontal cyst seems to be that of an asymptomatic, small, ovoid, well-corticated radiolucency that occurs in an interradicular locus in the mandibular premolar segment of a middle-aged man. However, lateral periodontal cysts may manifest with pain and cause cortical perforation, may present as large expansile radiolucencies, may arise in the maxillary molar segment, and may develop in young females. Because of the tendency for aggressiveness of other lesions that may present with a similar picture, it is important to establish the final diagnosis of lateral periodontal cyst on a histologic basis in conjunction with the clinical and radiographic findings.
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Affiliation(s)
- L C Carter
- Department of Oral Diagnostic Sciences, State University of New York at Buffalo, School of Dental Medicine 14214-3008, USA
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8
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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.
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Affiliation(s)
- A S High
- Division of Dental Surgery, Leeds Dental Institute, UK
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Abstract
The botryoid odontogenic cyst is considered to be a multiloculated variant of the lateral periodontal cyst. Fewer than 40 of these lesions have been described, many of which have recurred. This paper describes the demographic, clinical, microscopic, and radiographic features of 33 unreported cases from the files of the Oral Pathology Biopsy Service at the University of North Carolina School of Dentistry. Our findings are in agreement with previously published cases for an average age of 57 years and the most common site for occurrence in the lower premolar area. Follow-up information on 12 patients determined that 2 had recurrences.
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Affiliation(s)
- M Gurol
- Section of Oral Pathology, University of North Carolina, Chapel Hill, USA
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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.
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Affiliation(s)
- I Semba
- Department of Oral Pathology, Kagoshima University Dental School, Japan
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11
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Abstract
Lateral periodontal cysts account for 0.8% of all jaw cysts seen in our department. Published reports have indicated that they occur most frequently in the 5th to 7th decades, that there is a male preponderance and that they are located mainly in the mandibular canine-premolar region. In our own series of 20 cases, 10 were found in the anterior maxilla. We have distinguished unicystic and multicystic (including botryoid) varieties. They were lined predominantly or exclusively by thin reduced enamel epithelium-like tissue which contained many clear cells and epithelial thickenings referred to as plaques. Glycogen was present in the epithelium of two-thirds of our cases although not exclusively in the clear cells, many of which showed no positivity. Two of our examples of the botryoid variety were different histologically, being lined predominantly by non-keratinizing stratified squamous epithelium with crowded and pyknotic nuclei and no clear cells. One case contained melanin while another showed epithelial crypt formation and superficial palisaded low columnar cells as seen in the glandular odontogenic cyst. This raised the question of whether the latter may form part of the clinicopathologic spectrum of lateral periodontal cyst. The histogenesis of lateral periodontal cysts is uncertain but we favour origin from reduced enamel epithelium.
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Affiliation(s)
- M Altini
- Department of Oral Pathology, University of the Witwatersrand, Wits, South Africa
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Rasmusson LG, Magnusson BC, Borrman H. The lateral periodontal cyst. A histopathological and radiographic study of 32 cases. Br J Oral Maxillofac Surg 1991; 29:54-7. [PMID: 2004079 DOI: 10.1016/0266-4356(91)90177-7] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
The lateral periodontal cyst is a developmental odontogenic cyst usually found in the premolar area of the lower jaw. The clinical, radiographic and histopathological features of 32 previously unreported lateral periodontal cysts were reviewed. In four cases the follow-up, which extended over several years, was also studied. Different theories of pathogenesis are discussed.
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Affiliation(s)
- L G Rasmusson
- Department of Oral Pathology, Faculty of Odontology, Gothenburg University, Sweden
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de Sousa SO, Campos AC, Santiago JL, Jaeger RG, de Araújo VC. Botryoid odontogenic cyst: report of a case with clinical and histogenetic considerations. Br J Oral Maxillofac Surg 1990; 28:275-6. [PMID: 2207047 DOI: 10.1016/0266-4356(90)90067-u] [Citation(s) in RCA: 18] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
A case of a botryoid odontogenic cyst is reported. Some considerations regarding histogenetic and biologic behaviour of the lesion are discussed.
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Affiliation(s)
- S O de Sousa
- Department of Oral Pathology, School of Dentistry, University of São Paulo, Brasil
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15
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Redman RS, Whitestone BW, Winne CE, Hudec MW, Patterson RH. Botryoid odontogenic cyst. Report of a case with histologic evidence of multicentric origin. Int J Oral Maxillofac Surg 1990; 19:144-6. [PMID: 2114456 DOI: 10.1016/s0901-5027(05)80130-4] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
Histologic examination of an excisionally biopsied botryoid odontogenic cyst (BOC) documented that it was composed of at least 2 separate cysts, the location of which suggested that both originated within the alveolar bone rather than from within the periodontal ligament. These observations provide evidence for a multicentric origin of this example of BOC, and are consistent with a previous suggestion that lateral periodontal cysts of non-inflammatory origin arise from remnants of the dental lamina.
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Affiliation(s)
- R S Redman
- Department of Veterans Affairs Medical Center, Washington, District of Columbia
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16
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Abstract
Four cases of unusual types of jaw-bone cysts (paradental, lateral periodontal/botryoid type, sialo-odontogenic, and intraosseous dermoid cyst) are reported. Radiographic and histopathologic features are described. Current literature is reviewed with special attention given to radiographic, histogenetic, and histopathologic aspects of these entities.
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17
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Eliasson S, Isacsson G, Köndell PA. Lateral periodontal cysts. Clinical, radiographical and histopathological findings. Int J Oral Maxillofac Surg 1989; 18:191-3. [PMID: 2507663 DOI: 10.1016/s0901-5027(89)80048-7] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
21 lesions, clinically and radiographically diagnosed as lateral periodontal cysts (LPC), were retrospectively studied. The majority of the lesions were symptomless and were located in the premolar-canine-incisor region and predominantly in the mandible. 15 cases had the typical lining consistent with the diagnosis LPC. Three lesions were odontogenic keratocysts and 3 were inflammatory cysts. It was concluded that cysts in a lateral periodontal position are usually LPC but the diagnoses of keratocyst and inflammatory cyst must be considered.
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Affiliation(s)
- S Eliasson
- Department of Oral Radiology, School of Dentistry, Karolinska Institutet, Huddinge, Sweden
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