1
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Singh HP, Chahal GK, Sharma G, Gandhi P. A systematic review on odontogenic cysts and tumours. J Oral Maxillofac Pathol 2024; 28:268-274. [PMID: 39157825 PMCID: PMC11329078 DOI: 10.4103/jomfp.jomfp_460_23] [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: 10/23/2023] [Revised: 11/07/2023] [Accepted: 11/09/2023] [Indexed: 08/20/2024] Open
Abstract
Background There are still certain gaps in the research that need to be filled despite the fact that numerous studies have looked into the transformation of odontogenic cysts into neoplastic lesions. To identify pertinent research that had been published and to synthesise the available data and provide an overview of the current body of knowledge, this review also sought to do so. Materials and Methods Adopting the Preferred Reporting Items of Systematic Reviews and Meta-Analyses (PRISMA) guidelines, a search strategy was implemented across several online databases to search for relevant articles as per the defined selection criterion. Results After the search strategy was complete, 31 studies were chosen. Men tended to have more cancer than women. Swelling and discomfort were the primary pathology-related complaints. Although two cases were not detailed, radiologically, well-defined and poorly defined borders were reported in 18 and 11 participants, respectively. Squamous cell carcinoma with good differentiation (n = 12) was the most common cancer kind. More than 74% of patients were still living 6 months to 10 years following follow-up, four (12.90%) experienced recurrences and/or metastases and two (6.45%) experienced a disease-related mortality between 2 months and a year. Conclusion Prompt surgical follow-ups and cautious excision of odontogenic cysts are essential to avoiding neoplastic change and recurrence. Future research is required to look at possible reasons why odontogenic cysts can convert neoplastically.
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Affiliation(s)
- Harkanwal P. Singh
- Department of Oral Pathology and Microbiology, Dasmesh Institute of Research and Dental Sciences, Faridkot, India
| | - Gagandeep K. Chahal
- Department of Prosthodontics, National Dental College Derra Bassi, Mohali, Punjab, India
| | - Geeta Sharma
- Department of Oral Pathology, Patna Dental College and Hospital, Patna, Bihar, India
| | - Piyush Gandhi
- Department of Oral Pathology and Microbiology, Dasmesh Institute of Research and Dental Sciences, Faridkot, India
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2
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Patel M, Schultz K, Rosenfeld E. The earliest known reported occurrence of dentigerous cyst in a six-month-old child. Int J Oral Maxillofac Surg 2022; 51:1535-1537. [PMID: 35871878 DOI: 10.1016/j.ijom.2022.06.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2022] [Revised: 05/23/2022] [Accepted: 06/24/2022] [Indexed: 11/15/2022]
Abstract
The earliest reported case of the occurrence of a dentigerous cyst is described; the cyst surrounded an unerupted permanent tooth bud in a 6-month-old infant. Most commonly these lesions present between the second and third decades of life. They rarely occur before 10 years of age and have not been documented prior to 1 year of age. In the case reported here, the treatment instituted was extraction of the adjacent deciduous tooth and enucleation of the cyst along with the permanent molar tooth bud. Clinicians should be aware of the potential for this lesion to occur across a wide range of ages and the importance of prompt diagnosis and treatment to prevent complications and reduce morbidity.
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Affiliation(s)
- M Patel
- Department of Dental Medicine, Division of Oral and Maxillofacial Surgery, Northwell Health Long Island Jewish Medical Center, Queens, NY, USA.
| | - K Schultz
- Department of Dental Medicine, Division of Oral Pathology, Northwell Health Long Island Jewish Medical Center, Queens, NY, USA
| | - E Rosenfeld
- Department of Dental Medicine, Division of Oral and Maxillofacial Surgery, Northwell Health Long Island Jewish Medical Center, Queens, NY, USA
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3
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PIC developing from odontogenic cysts: Clinical and radiological considerations on a series of 6 cases. ORAL AND MAXILLOFACIAL SURGERY CASES 2020. [DOI: 10.1016/j.omsc.2019.100139] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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4
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Kang S, Leem DH. Verrucous carcinoma arising from a previous cystic lesion: a case report. Maxillofac Plast Reconstr Surg 2018; 40:31. [PMID: 30397593 PMCID: PMC6200831 DOI: 10.1186/s40902-018-0169-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2018] [Accepted: 08/31/2018] [Indexed: 11/11/2022] Open
Abstract
Background Verrucous carcinoma (VC) accounts for 1–10% of cases of squamous cell carcinoma (SCC) in the oral cavity, and 75% of VC occur in the oral cavity. Only 3% of primary intraosseous squamous cell carcinomas (PIOSCC), which means SCC occurring primarily in the bone, are VC. Verrucous carcinoma arising from odontogenic cysts (OC) is very rare, with only seven cases reported to date. Case presentation This study reported a case of a patient who underwent partial maxillectomy and neck dissection for VC that occurred in the right anterior maxilla. The patient was admitted to the emergency department at our institution 8 years ago and showed cystic lesions in the anterior maxilla on facial computed tomography (CT) images. Treatment through other departments including assessment of laceration in the mental region and only suture was performed. This report highlights a very rare case of VC in the right anterior maxilla arising from a previous cystic lesion. Conclusions Since PIOSCC can arise from OC, appropriate treatment of intraosseous cysts and regular radiologic evaluation are necesssary. Surgical exicision of the primary lesion without neck dissection can lead to good prognosis for patients with primary intraosseous verrucous carcinoma.
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Affiliation(s)
- Sunghyun Kang
- 1Department of Oral and Maxillofacial Surgery, Chonbuk National University Hospital, 20 Geonjiro, Deokjin-gu, Jeonju-si, Jeollabuk-do 54907 South Korea
| | - Dae Ho Leem
- 2Department of Oral and Maxillofacial Surgery, School of Dentistry, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju-si, Jeollabuk-do 54896 South Korea
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Borrás-Ferreres J, Sánchez-Torres A, Gay-Escoda C. Malignant changes developing from odontogenic cysts: A systematic review. J Clin Exp Dent 2016; 8:e622-e628. [PMID: 27957281 PMCID: PMC5149102 DOI: 10.4317/jced.53256] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2016] [Accepted: 05/28/2016] [Indexed: 11/23/2022] Open
Abstract
The aim of this study was to systematically review scientific literature in orderto describe the characteristics and prognosis of malignant entities developing from odontogenic cysts. A search in Pubmed (MEDLINE) and Cochrane databases was conducted. The inclusion criteria were articles published in English related to the malignisation of odontogenic cysts in humans. The exclusion criteria were articles that do not specify the type of odontogenic cyst, malignisation of parakeratinised keratocysts, the presence of an ameloblastic carcinoma and metastasis from distant primary tumours. The selected articles were classified according to Strength of Recommendation Taxonomy criteria. Statistical analysis of the data was carried out using statistical package software SPSS version 22.0. From the 1,237 articles initially obtained, the authors included 3 case series and 45 case reports in the end. Descriptive analysis showed that men have a disposition for malignisation from odontogenic cysts and they frequently appear at the posterior mandible, with pain and swelling being the most frequent signs and symptoms. Follicular cysts were the entities that underwent the most malignant changes with well differentiated squamous cell carcinomas being the most prevalent type of malignancy. The real prognosis of this malignancy is not known because of the heterogeneity of available studies.
Key words:Odontogenic cysts, squamous cell carcinoma, neoplastic cell transformation, oral cancer.
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Affiliation(s)
- Jordi Borrás-Ferreres
- DDS. Fellow of the Master's Degree Program in Oral Surgery (EHFRE International University/FUCSO)
| | - Alba Sánchez-Torres
- DDS. Fellow of the Master of Oral Surgery and Orofacial Implantology. School of Dentistry, University of Barcelona, Spain
| | - Cosme Gay-Escoda
- MD, DDS, MS, PhD, EBOS. Chairman and Professor of the Oral and Maxillofacial Surgery Department, School of Dentistry, University of Barcelona. Director of Master's Degree Program in Oral Surgery and Implantology (EHFRE International University/FUCSO). Coordinator/Researcher of the IDIBELL Institute. Head of Oral and Maxillofacial Surgery and Implantology Department of the Teknon Medical Centre, Barcelona, Spain
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6
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Gay-Escoda C, Camps-Font O, López-Ramírez M, Vidal-Bel A. Primary intraosseous squamous cell carcinoma arising in dentigerous cyst: Report of 2 cases and review of the literature. J Clin Exp Dent 2015; 7:e665-70. [PMID: 26644846 PMCID: PMC4663072 DOI: 10.4317/jced.52689] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2015] [Accepted: 09/05/2015] [Indexed: 11/09/2022] Open
Abstract
Dentigerous cysts are one of the most common odontogenic cysts of the oral cavity. Odontogenic cysts can give rise to a variety of neoplasms. Carcinoma arising in a dentigerous cyst is extremely rare, with a review of literature showing near 30 cases. The present report describes 2 cases of primary intraosseous squamous cell carcinoma originated from a dentigerous cyst. The first one refers to a 57-year old female with a persistent lesion in the left retromolarregion and diagnosed with squamous cell carcinoma originated fromthe incomplete excision of the lower third molar follicle during its surgical extraction. The second case describes the case of an 18-year old male with an impacted upper canine with previous history of infection and swelling of the oral cavity. The histopathological study revealed the malignization of the follicle surrounding the dental crown. These two cases confirmed the importance of the histopathological study of all the tissue samples obtained from surgical procedures. Although the development of a malignant lesion from a dentigerous cyst is rare and its clinical-radiological features are apparently innocuous, this entity should be considered as a differential diagnosis.
Key words:Dentigerous cyst, odontogenic cyst, squamous cell carcinoma, primary intraosseous squamous cell carcinoma, odontogenic carcinoma.
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Affiliation(s)
- Cosme Gay-Escoda
- MD, DDS, MS, PhD. Chairman and Professor of Oral and Maxillofacial Surgery. Faculty of Dentistry - University of Barcelona. Director of the Master of Oral Surgery and Implantology (EFHRE International University/FUCSO). Coordinating investigator of the IDIBELL institute. Head of the Department of Oral and Maxillofacial Surgery and Implantology, and Director of the TMJ Disease and Orofacial Pain Unit. Teknon Medical Center. Barcelona, Spain
| | - Octavi Camps-Font
- DDS. Fellow of the Master degree program in Oral Surgery and Implantology. Faculty of Dentistry - University of Barcelona
| | - Marta López-Ramírez
- DDS, MS. Master degree program in Oral Surgery and Implantology. Faculty of Dentistry - University of Barcelona
| | - August Vidal-Bel
- MD. Specialist in Clinical Pathological Anatomy. Associate Professor of Experimental Clinical Pathology and Terapeutics. School of Dentistry of the University of Barcelona. Researcher of the IDIBELL Institute. Barcelona, Spain
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7
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Prasad H, Anuthama K, Chandramohan M, Sri Chinthu K, Ilayaraja V, Rajmohan M. Squamous cell carcinoma arising from a dentigerous cyst – Report of a case and review of literature. JOURNAL OF ORAL AND MAXILLOFACIAL SURGERY, MEDICINE, AND PATHOLOGY 2015. [DOI: 10.1016/j.ajoms.2013.10.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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McCrea SJJ. Bimaxillary and bilateral dentigerous cysts: a rare and first reported case. J Surg Tech Case Rep 2014; 5:61-2. [PMID: 24470859 PMCID: PMC3889012 DOI: 10.4103/2006-8808.118636] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Shane J J McCrea
- The Dental Implant and Gingival-plastic Surgery Centre, Bournemouth, Dorset, UK. E-mail:
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9
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Cysts. Oral Radiol 2014. [DOI: 10.1016/b978-0-323-09633-1.00021-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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10
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Meleti M, van der Waal I. Clinicopathological evaluation of 164 dental follicles and dentigerous cysts with emphasis on the presence of odontogenic epithelium in the connective tissue. The hypothesis of "focal ameloblastoma". Med Oral Patol Oral Cir Bucal 2013; 18:e60-4. [PMID: 23085710 PMCID: PMC3548646 DOI: 10.4317/medoral.18372] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2012] [Accepted: 08/28/2012] [Indexed: 12/20/2022] Open
Abstract
Objectives: Some ameloblastomas presumably originate from odontogenic epithelium within the connective tissue of dental follicles and dentigerous cysts. Therefore, it would seem reasonable to discuss as whether odontogenic epithelium proliferations, frankly displaying ameloblastomatous features (“focal ameloblastoma”), should be considered as an “early” ameloblastoma.
Study Design: Histopathological reports from 164 dental follicles and dentigerous cysts from the Department of Oral and Maxillofacial Surgery/Oral Pathology of the VU Free University medical center in Amsterdam, The Ne-therlands, were reviewed. Histopathological slides from 39 cases reporting the presence of odontogenic epithelium within the connective tissue were re-evaluated in order to assess the possible presence of focal ameloblastomas.
Results: Focal ameloblastomas were detected in one dental follicle and in two dentigerous cysts. During a follow-up period of 6, 8 and 22 years, respectively, no clinical signs of (recurrent) ameloblastoma have occurred in these patients.
Conclusions: Focal ameloblastoma possibly represents the early stage of ameloblastoma development.
Key words:Ameloblastoma, odontogenic epithelium, dentigerous cyst, dental follicle.
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Affiliation(s)
- Marco Meleti
- Unit of Oral Pathology and Laser-assisted Surgery, Department of Otolaryngological/Dental/ Ophthalmological and Cervico-Facial Sciences, University of Parma, Italy
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11
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Squamous cell carcinoma arising in dentigerous cysts. J Craniomaxillofac Surg 2012; 40:e355-7. [PMID: 22417771 DOI: 10.1016/j.jcms.2012.01.020] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2011] [Revised: 01/30/2012] [Accepted: 01/31/2012] [Indexed: 11/23/2022] Open
Abstract
We present two cases of squamous cell carcinoma (SCC) arising in dentigerous cysts. Malignant transformation in dentigerous cysts is rare giving rise to diagnostic difficulties. We propose imaging at an early stage to reduce delays in diagnosis.
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12
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Bodner L, Manor E, Shear M, van der Waal I. Primary intraosseous squamous cell carcinoma arising in an odontogenic cyst: a clinicopathologic analysis of 116 reported cases. J Oral Pathol Med 2011; 40:733-8. [PMID: 21689161 DOI: 10.1111/j.1600-0714.2011.01058.x] [Citation(s) in RCA: 86] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
Abstract
PURPOSE To review the literature on primary intraosseous squamous cell carcinoma (PIOSCC) associated with odontogenic cyst. METHODS All well-documented cases of PIOSCC published between 1938 and 2010 were collected. Only cases of PIOSCC arising from the lining of an odontogenic cyst, including the keratocystic odontogenic tumor, were selected. Age, sex, signs and symptoms, affected jaw, cyst type, treatment, histopathology, and outcome were recorded. RESULTS The mean age was 60.2 years (range 1.3-90). There were 80 (69%) men and 36 (31%) women. Mass and pain were the most common presenting symptoms. The mandible was affected in 92 (79%) patients and the maxilla in 24 (21%). It was a residual/radicular cyst in 70 (60%) patients and a dentigerous cyst or a keratocystic odontogenic tumor in the remaining 40%. The histopathology was well-differentiated SCC in 53 (46%) patients and moderately differentiated SCC in 47 (40%) patients. Fifty-three (46%) patients were treated with surgery alone and 44 (38%) with surgery and radiotherapy. Fifty-eight (62%) patients survived 2 years and 36 (38%) survived 5 years. CONCLUSION PIOSCC has a predilection for men (M/F ratio of 2.22:1), affects mainly adults in their 6-8th decades, occurs most frequently (79%) in the mandible, and is associated mainly with a residual/radicular cyst. Histologically, the well-to-moderately differentiated SCC was the most common. Surgery alone or combined therapy of surgery and radiation was the most common approach. The prognosis is 62% surviving 2 years and 38% 5 years.
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Affiliation(s)
- Lipa Bodner
- Department of Oral and Maxillofacial Surgery, Soroka University Medical Center and Ben-Gurion University of the Negev, Beer-Sheva, Israel.
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13
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Giebułtowicz J, Wroczyński P, Samolczyk-Wanyura D. Comparison of antioxidant enzymes activity and the concentration of uric acid in the saliva of patients with oral cavity cancer, odontogenic cysts and healthy subjects. J Oral Pathol Med 2011; 40:726-30. [DOI: 10.1111/j.1600-0714.2011.01045.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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14
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Stathopoulos P, Mezitis M, Kappatos C, Titsinides S, Stylogianni E. Cysts and Tumors Associated With Impacted Third Molars: Is Prophylactic Removal Justified? J Oral Maxillofac Surg 2011; 69:405-8. [DOI: 10.1016/j.joms.2010.05.025] [Citation(s) in RCA: 41] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2009] [Revised: 03/11/2010] [Accepted: 05/19/2010] [Indexed: 11/25/2022]
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15
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Yamada T, Ueno T, Moritani N, Mishima K, Hirata A, Matsumura T. Primary intraosseous squamous cell carcinomas: Five new clinicopathologic case studies. J Craniomaxillofac Surg 2009; 37:448-53. [DOI: 10.1016/j.jcms.2009.05.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2008] [Revised: 05/27/2009] [Accepted: 05/28/2009] [Indexed: 11/16/2022] Open
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16
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McCrea S. Adjacent dentigerous cysts with the ectopic displacement of a third mandibular molar and supernumerary (forth) molar: a rare occurrence. ACTA ACUST UNITED AC 2009; 107:e15-20. [PMID: 19464637 DOI: 10.1016/j.tripleo.2009.02.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2008] [Revised: 01/07/2009] [Accepted: 02/05/2009] [Indexed: 10/20/2022]
Abstract
Dentigerous cysts are the most common odontological cysts of the jaws, being associated with the crowns of permanent teeth, especially unerupted mandibular third molars. Multiple dentigerous cysts are rare and most often occur in association with a developmental syndrome. This article presents an unusual case of nonsyndromic adjacent dentigerous cysts associated with a mandibular third molar and a supernumerary molar. This occurrence has not been previously reported.
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Affiliation(s)
- Shane McCrea
- The Dental Implant and Gingival-Plastic Surgery Centre, Bournemouth, Dorset, UK.
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17
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Chantravekin Y, Rungsiyanont S, Tang P, Tungpisityotin M, Swasdison S. Primary Intraosseous Squamous Cell Carcinoma Derived from Odontogenic Cyst: Case Report and Review of 56 Cases. ACTA ACUST UNITED AC 2008. [DOI: 10.1016/s0915-6992(08)80030-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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18
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Charles M, Barr T, Leong I, Ngan BY, Forte V, Sándor GK. Primary Intraosseous Malignancy Originating in an Odontogenic Cyst in a Young Child. J Oral Maxillofac Surg 2008; 66:813-9. [DOI: 10.1016/j.joms.2007.10.005] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2006] [Revised: 10/04/2007] [Accepted: 10/28/2007] [Indexed: 11/16/2022]
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19
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Giuliani M, Grossi GB, Lajolo C, Bisceglia M, Herb KE. Conservative Management of a Large Odontogenic Keratocyst: Report of a Case and Review of the Literature. J Oral Maxillofac Surg 2006; 64:308-16. [PMID: 16413905 DOI: 10.1016/j.joms.2005.10.013] [Citation(s) in RCA: 69] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Michele Giuliani
- Università Cattolica del Sacro Cuore, School of Dentistry, Roma, Italy.
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20
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Sato T, Kamiya Y, Tochihara S, Toyoda N, Asada K, Ishibashi K. Primary Intraosseous Squamous Cell Carcinoma of the Mandible: Report of a Case and Review of the Recent Literture. ACTA ACUST UNITED AC 2006. [DOI: 10.3353/omp.11.83] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Cavalcanti MGP, Veltrini VC, Ruprecht A, Vincent SD, Robinson RA. Squamous-cell carcinoma arising from an odontogenic cyst—The importance of computed tomography in the diagnosis of malignancy. ACTA ACUST UNITED AC 2005; 100:365-8. [PMID: 16122667 DOI: 10.1016/j.tripleo.2004.12.012] [Citation(s) in RCA: 28] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2004] [Revised: 12/10/2004] [Accepted: 12/12/2004] [Indexed: 11/20/2022]
Abstract
Primary intraosseous carcinoma of the mandible is rare, and when it occurs often arises within or closely associated with an odontogenic cyst. The purpose of this article is to show the role of computed tomography (CT) in the early detection of carcinomatous changes, because of its specificity in establishing the nature of the lesion. An unusual case of a squamous cell carcinoma that arose in an odontogenic cyst is described. The appearance on the panoramic radiograph was suggestive of a benign cystic lesion in the left side of the mandible, but when a CT scan was performed, the appearance of the lesion was compatible with malignancy. Histopathological analysis confirmed the suspicion of a squamous cell carcinoma, but without CT investigation it would be impossible to demonstrate that carcinomatous change had developed from a cystic lesion.
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22
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Swinson BD, Jerjes W, Thomas GJ. Squamous Cell Carcinoma Arising in a Residual Odontogenic Cyst: Case Report. J Oral Maxillofac Surg 2005; 63:1231-3. [PMID: 16094597 DOI: 10.1016/j.joms.2005.04.016] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Brian D Swinson
- Department of Oral and Maxillofacial Surgery, University College Hospital, London, England.
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23
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Gulbranson SH, Wolfrey JD, Raines JM, McNally BP. Squamous cell carcinoma arising in a dentigerous cyst in a 16-month-old girl. Otolaryngol Head Neck Surg 2002; 127:463-4. [PMID: 12447244 DOI: 10.1067/mhn.2002.129039] [Citation(s) in RCA: 36] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
Squamous cell carcinoma arising in a dentigerous cyst is a rare lesion with distinct histopathology and stringent criteria for diagnosis.(1,2) During the past century, <60 cases have been reported.(3) Of the previously documented cases, all have occurred in adults. We present the case of a squamous cell carcinoma arising in a dentigerous cyst in a 16-month-old girl. This case poses interesting questions regarding the pathophysiology of these tumors and highlights the importance of maintaining a high index of suspicion regardless of age when evaluating cystic lesions of the mandible and maxilla.
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Affiliation(s)
- Scott H Gulbranson
- Good Samaritan Region Medical Center, Phoenix Children's Hospital, AZ 85006, USA.
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24
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Makowski GJ, McGuff S, Van Sickels JE. Squamous cell carcinoma in a maxillary odontogenic keratocyst. J Oral Maxillofac Surg 2001; 59:76-80. [PMID: 11152194 DOI: 10.1053/joms.2001.19297] [Citation(s) in RCA: 44] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- G J Makowski
- University of Texas Health Science Center at San Antonio, USA
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25
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Yasuoka T, Yonemoto K, Kato Y, Tatematsu N. Squamous cell carcinoma arising in a dentigerous cyst. J Oral Maxillofac Surg 2000; 58:900-5. [PMID: 10935592 DOI: 10.1053/joms.2000.8219] [Citation(s) in RCA: 66] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- T Yasuoka
- Department of Oral and Maxillofacial Surgery, Gifu University School of Medicine, Japan.
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27
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Das S, Bhowmick A, Mukherjee S, Ghosh LM, Banerjee S. Giant dentigerous cyst. Indian J Otolaryngol Head Neck Surg 1999; 51:66-8. [PMID: 23119550 PMCID: PMC3451054 DOI: 10.1007/bf02996535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Dentigerous cyst - a cyst of dental origin, though common in lower jaw is relatively uncommon in upper jaw. Here a 14 years, F, presented with huge swelling of unilateral maxilla and clinicoradiologically diagnosed as dentigerous cyst is being reported along with brief review of literature.
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Affiliation(s)
- S Das
- Medical college, Calcutta
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Abstract
BACKGROUND Squamous cell carcinoma arising in a dentigerous cyst is extremely uncommon. The diagnosis of carcinoma arising in a dentigerous cyst requires microscopically that an area of benign cystic epithelium is observed to transition into squamous cell carcinoma. In the present case, the patient was diagnosed with squamous cell carcinoma of the neck with an unknown primary. The primary site was found to be the follicular space associated with the right mandibular third molar. METHODS Light microscopic studies were performed to arrive at the final diagnosis. RESULTS Transition of the epithelial lining of the dentigerous cyst to squamous cell carcinoma was observed in multiple fields. CONCLUSIONS The present case demonstrates that odontogenic cysts have to be considered a possible source of metastatic disease.
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Affiliation(s)
- A M Manganaro
- Department of Oral and Maxillofacial Surgery, Brooke Army Medical Center, Hospital Dental Clinic (Oral Surgery), Fort Sam Houston, Texas 78234-6200, USA
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29
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Abstract
This paper reports a case of two separate dentigerous cysts in the mandible of one patient. An unusual feature was the relationship of one of the cysts to an unerupted lateral incisor. The prudence of accounting for any missing teeth in patients and the value of panoramic radiographic screening is illustrated.
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30
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Yoshida H, Onizawa K, Yusa H. Squamous cell carcinoma arising in association with an orthokeratinized odontogenic keratocyst. Report of a case. J Oral Maxillofac Surg 1996; 54:647-51. [PMID: 8632255 DOI: 10.1016/s0278-2391(96)90653-9] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/01/2023]
Affiliation(s)
- H Yoshida
- Department of Oral and Maxillofacial Surgery, Institute of Clinical Medicine, University of Tsukuba, Ibaraki-ken, Japan
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31
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McDonald AR, Pogrel MA, Carson J, Regezi J. p53-positive squamous cell carcinoma originating from an odontogenic cyst. J Oral Maxillofac Surg 1996; 54:216-8. [PMID: 8604074 DOI: 10.1016/s0278-2391(96)90451-6] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Affiliation(s)
- A R McDonald
- Department of Oral and Maxillofacial Surgery, University of California, San Francisco 94143-0440, USA
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32
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Daley TD, Wysocki GP. The small dentigerous cyst. A diagnostic dilemma. ORAL SURGERY, ORAL MEDICINE, ORAL PATHOLOGY, ORAL RADIOLOGY, AND ENDODONTICS 1995; 79:77-81. [PMID: 7614167 DOI: 10.1016/s1079-2104(05)80078-2] [Citation(s) in RCA: 63] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The dentigerous (follicular) cyst is recognized as one of the most common lesions of the jaws. Clinical, radiographic, histologic, and prognostic characteristics are well established for medium to large pericoronal cysts that are lined by nonkeratinized stratified squamous epithelium. However, it can be difficult, if not impossible, to distinguish between a small dentigerous cyst and a large dental follicle despite the availability of both radiographic and histologic information. Epidemiologic data derived from a comparative study of 1662 dentigerous cysts and 824 dental follicles showed considerable overlap in age distribution and site predilection and were therefore of minimal use in reaching a final diagnosis. At present, it appears that identifying a cystic cavity at the time of surgery may be the only reliable way to arrive at a definitive diagnosis when radiographic and histologic features are insufficient to distinguish between a small dentigerous cyst and a large dental follicle.
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Affiliation(s)
- T D Daley
- Department of Pathology, University of Western Ontario, Canada
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33
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Shah NJ, Pathere SM, Dabhalkar JP. A giant dentigerous cyst. Indian J Otolaryngol Head Neck Surg 1994. [DOI: 10.1007/bf03048588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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34
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Johnson LM, Sapp JP, McIntire DN. Squamous cell carcinoma arising in a dentigerous cyst. J Oral Maxillofac Surg 1994; 52:987-90. [PMID: 8064467 DOI: 10.1016/s0278-2391(10)80087-4] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- L M Johnson
- Section of Diagnostic Sciences, UCLA School of Dentistry, Los Angeles 90024-1668
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35
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Kaya O, Bocutoğlu O. A misdiagnosed giant dentigerous cyst involving the maxillary antrum and affecting the orbit. Case report. Aust Dent J 1994; 39:165-7. [PMID: 8067933 DOI: 10.1111/j.1834-7819.1994.tb03086.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
A case report of gigantic, previously misdiagnosed dentigerous cyst is presented. The cyst originated from an impacted upper right cuspid and its expansion involved the whole of the right maxillary sinus, the orbital floor and the lateral wall of the nose. The extent of the expansion was highlighted by the injection of contrast medium.
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Affiliation(s)
- O Kaya
- Department of Oral and Maxillofacial Surgery, Atatürk University
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36
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Tanaka N, Iwaki H, Yamada T, Amagasa T. Carcinoma after enucleation of a calcifying odontogenic cyst: a case report. J Oral Maxillofac Surg 1993; 51:75-8. [PMID: 8419577 DOI: 10.1016/s0278-2391(10)80394-5] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- N Tanaka
- First Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Tokyo Medical and Dental University, Japan
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