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Peraza Labrador A, Shrestha A, Gonzalez M, Marin NRG, Villacis M, Kesterke M, Lopez JP, Wright J. Recurrence of Glandular Odontogenic Cysts: A Systematic Review. Head Neck Pathol 2024; 18:31. [PMID: 38637356 PMCID: PMC11026356 DOI: 10.1007/s12105-024-01637-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/23/2024] [Accepted: 03/15/2024] [Indexed: 04/20/2024]
Abstract
BACKGROUND The glandular odontogenic cyst (GOC) is a benign developmental cyst of the jaws that is characterized by a high recurrence rate. METHODS A systematic review is presented of reported cases, case series, and retrospective studies of recurrent cases of glandular odontogenic cysts, to determine the overall and detailed demographic features with documentation of the specific histologic features of the initial presentation of each cyst. Searches of detailed databases were carried out to identify articles published in the English language from 1988 to 2023. The variables were demographics, patient symptoms, cyst location, radiographic features, histopathological findings, type of treatment, and minimum eight months of follow-up. RESULTS Eighteen cases were identified: with an equal gender presentation of 50% females and 50% males. The average age was 44.7. The mean size was 3.5 cm. The most common location was in the anterior mandible in 50% (n = 9) of cases, followed by the posterior mandible 27.8% (n = 5). Most patients were asymptomatic 55.6% (n = 10). The most common histologic features at first diagnosis were mucous cells in 88.9% (n = 16), variable thickness with 83.3% (n = 15), eosinophilic cuboidal cells 88.9% (n = 16), microcysts 83.3% (n = 15), and clear cells 77.8% (n = 14) cases. CONCLUSION GOC has an aggressive behavior. Evidence was not conclusive to link any single or combination of histologic features to recurrence, and the strongest correlation for recurrence was the type of treatment. Since this is an uncommon cyst, more cases are needed. Follow-up should continue for at least five years, because recurrences were higher between years 3 and 5.
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Affiliation(s)
- Alberto Peraza Labrador
- Department of Diagnostic Sciences, Texas A&M University School of Dentistry, 3302 Gaston Avenue, Dallas, TX, 75246, USA.
- , Acarigua, Portuguesa, 3303, Venezuela.
| | - Ashim Shrestha
- University of New Haven, 300 Boston Post Rd, Weste Haven, Connecticut, 06516, USA
| | - Marianela Gonzalez
- Oral Surgery Department, Texas A&M University School of Dentistry, 3302 Gaston Avenue, Dallas, TX, 75246, USA
| | | | - Marcelo Villacis
- Oral Surgery Department, International University of Ecuador, Jorge Fernández S/N, Quito, 170411, Ecuador
| | - Mathew Kesterke
- Department of Orthodontics, Texas A&M University School of Dentistry, Room 718, 3302, Gaston Avenue, Dallas, TX, 75246, USA
| | - Juan Pablo Lopez
- Oral Surgery Department, Hospital Fundación Santa Fe Bogota, Carrera 7Ma Numero 117-15, Bogota, Colombia
| | - John Wright
- Department of Diagnostic Sciences, Texas A&M University School of Dentistry, 3302 Gaston Avenue, Dallas, TX, 75246, USA
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da Silva KD, Gomes APN, Balbinot KM, Sena YR, Mosconi C, de Mendonça EF, Tarquinio SBC, de Melo Alves Junior S, de Jesus Viana Pinheiro J, Ferreira de Aguiar MC. Glandular odontogenic cysts: a collaborative investigation of 22 cases and proteins related to invasiveness. J Oral Pathol Med 2022; 51:342-349. [PMID: 35122318 DOI: 10.1111/jop.13283] [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: 10/11/2021] [Revised: 12/29/2021] [Accepted: 01/31/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND A glandular odontogenic cyst has an intriguing, aggressive behaviour whose mechanisms have not yet been clarified. OBJECTIVE To conduct a collaborative cross-sectional study on the clinical, demographic, microscopic, and immunohistochemical characteristics of glandular odontogenic cysts, emphasizing the histopathological characteristics and expression of proteins related to invasiveness. METHODS Twenty-two cases of glandular odontogenic cyst from three oral and maxillofacial pathology services in Brazil were selected from 1988 to 2018. Clinical and demographic data were collected. Histopathological features were evaluated in detail. Sixteen cases of glandular odontogenic cyst were also submitted to immunohistochemistry to detect MT1-MMP, TKS4, TKS5, and cortactin, the key regulators of invadopodia formation. RESULTS GOCs were primarily seen in men over 40 years of age, in the posterior mandible and the anterior maxilla as a unilocular, radiolucent lesion. All cases presented hobnail cells, clear cells, and variable thickness of the lining epithelium, three of the ten key histopathological parameters to be evaluated in glandular odontogenic cysts. Immunohistochemistry revealed a greater expression of the studied proteins in the glandular odontogenic cysts than in the controls (p <0.0001). CONCLUSION Overexpression of proteins that regulate cell invasiveness was identified, and the present study's findings suggest that invadopodia activity is a possible mechanism used by glandular odontogenic cysts to promote local invasion, which could partly explain its intriguing biological behaviour.
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Affiliation(s)
- Karine Duarte da Silva
- Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
| | - Ana Paula Neutzling Gomes
- Department of Semiology and Clinics, School of Dentistry, Universidade Federal de Pelotas. Pelotas, Rio Grande do Sul, Brazil
| | - Karolyny Martins Balbinot
- Laboratory of Histopathology and Immunohistochemistry, School of Dentistry, Universidade Federal do Pará. Belém, Pará, Brazil
| | | | - Carla Mosconi
- Department of Oral Pathology, School of Dentistry, Universidade Federal de Goiás. Goiânia, Goiás, Brazil
| | | | - Sandra Beatriz Chaves Tarquinio
- Department of Semiology and Clinics, School of Dentistry, Universidade Federal de Pelotas. Pelotas, Rio Grande do Sul, Brazil
| | | | - João de Jesus Viana Pinheiro
- Laboratory of Histopathology and Immunohistochemistry, School of Dentistry, Universidade Federal do Pará. Belém, Pará, Brazil
| | - Maria Cássia Ferreira de Aguiar
- Department of Oral Pathology and Surgery, School of Dentistry, Universidade Federal de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
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Glandular Odontogenic Cyst in Dentigerous Relationship: An Uncommon Case Report. Case Rep Dent 2019; 2019:8647158. [PMID: 31355014 PMCID: PMC6637709 DOI: 10.1155/2019/8647158] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2019] [Accepted: 06/03/2019] [Indexed: 12/17/2022] Open
Abstract
Glandular odontogenic cyst (GOC) is an uncommon cyst of the jaw. Less than 200 cases are reported in the literature, and only 22 cases are associated with an unerupted tooth (dentigerous relationship). Although it is an asymptomatic lesion, it can be destructive and has high recurrence rates. The diagnosis can be especially challenging due to the lack of distinct diagnostic clinic-radiological criteria and nonspecific microscopic features, mimicking benign and malignant lesions. Conservative surgical treatment has been the choice for most surgeons, but marginal or partial jaw resection has been reported. This report describes a rare case of GOC in a dentigerous relationship, which was treated with enucleation and peripheral osteotomy.
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Carvalho FSR, Feitosa VP, Silva PGDB, Soares ECS, Ribeiro TR, Fonteles CSR, Costa FWG. Evaluation of different therapeutic Carnoy's formulations on hard human tissues: A Raman microspectroscopy, microhardness, and scanning electron microscopy study. J Craniomaxillofac Surg 2018; 46:749-758. [PMID: 29655532 DOI: 10.1016/j.jcms.2018.02.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2017] [Revised: 02/07/2018] [Accepted: 02/14/2018] [Indexed: 10/18/2022] Open
Abstract
PURPOSE To evaluate different therapeutic Carnoy's solution formulations on hard human tissues. MATERIALS AND METHODS An in vitro study was performed with human teeth (n = 36) and bone fragments (n = 18), randomly divided into two experimental groups (Group I = Carnoy solution with chloroform; Group II = Carnoy solution without chloroform) and a control group (saline solution). The groups were subdivided into pre-conditioning, post-conditioning, and post-conditioning with saline washing. Raman microspectroscopy, Knoop microhardness test, and scanning electron microscopy with energy dispersive X-ray spectroscopy were used. RESULTS There was demineralization of dental structures regarding mineral/matrix and carbonate/phosphate ratios (GI versus GII, p < 0.05). The presence of chloroform resulted in a statistically significant reduction of the teeth surface microhardness (p = 0.036), but not exceeding 0.01 μm. Both GI and GII showed significant structural changes by using scanning electron microscopy with energy dispersive X-ray spectroscopy. CONCLUSION Carnoy's solution altered the organic and inorganic matrix of the human calcified specimens analyzed in vitro, and its effect was more pronounced when chloroform was present.
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Affiliation(s)
- Francisco Samuel Rodrigues Carvalho
- Division of Oral and Maxillofacial Surgery, Federal University of Ceará, Fortaleza, Brazil; Division of Oral and Maxillofacial Morphology and Oral and Maxillofacial Surgery, UNIFOR, Fortaleza, Brazil.
| | | | | | - Eduardo Costa Studart Soares
- Division of Oral and Maxillofacial Surgery, Walter Cantídio University Hospital, Federal University of Ceará, Fortaleza, Brazil
| | | | | | - Fábio Wildson Gurgel Costa
- Division of Oral Radiology, Walter Cantídio University Hospital, Federal University of Ceará, Fortaleza, Brazil
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Chrcanovic BR, Gomez RS. Glandular odontogenic cyst: An updated analysis of 169 cases reported in the literature. Oral Dis 2017; 24:717-724. [PMID: 28744957 DOI: 10.1111/odi.12719] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Revised: 06/27/2017] [Accepted: 07/17/2017] [Indexed: 11/29/2022]
Affiliation(s)
- B R Chrcanovic
- Department of Prosthodontics; Faculty of Odontology; Malmö University; Malmö Sweden
| | - R S Gomez
- Department of Oral Surgery and Pathology; School of Dentistry; Universidade Federal de Minas Gerais; Belo Horizonte Brazil
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Faisal M, Ahmad SA, Ansari U. Glandular odontogenic cyst - Literature review and report of a paediatric case. J Oral Biol Craniofac Res 2015; 5:219-25. [PMID: 26587384 DOI: 10.1016/j.jobcr.2015.06.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2015] [Accepted: 06/20/2015] [Indexed: 11/16/2022] Open
Abstract
Glandular odontogenic cyst (GOC) is an extremely rare lesion occurring in the jawbones. The present paper is a review of 181 cases of GOCs reported in English literature, since it was first reported by Padayache and Van Wyk in 1987. Mandible was involved in 130 cases and maxilla in 51 cases. Anterior mandible was the most common area of involvement. Radiographic appearance was that of a unilocular radiolucency in 98 of 176 reported cases. Rest presented as multilocular radiolucency. Cortical expansion was observed in 136 of the 180 reported cases while cortex breach or perforation was seen in 81 cases. The treatment of choice was that of minor procedures that included enucleation with or without curettage, peripheral ostectomy, cryotherapy, etc. in 157 of the total 177 reported cases. Marginal jaw resection, segmental mandibulectomy etc. was reported in 20 cases. Although minor surgical procedures were the treatment of choice in most studies, two major studies of Kaplan et al. and Fowler et al. involving 111 and 46 cases, recorded a recurrence rate of 35.9 and 19.6%, respectively. The age range was between 11 and 82 years. The respective mean age of patients in the above mentioned studies was 45.7 for Kaplan's and 51 years for Fowler's whereas in our study, the mean age was 45.9 years. Very rarely does GOC presents itself in a paediatric patient. The paper also reports a case of an 11-year-old child whose histopathogy came out to be a case of a GOC.
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Affiliation(s)
- Mohammad Faisal
- Associate Professor, A Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Syed Ansar Ahmad
- Assistant Professor, Faculty of Dentistry, Jamia Millia Islamia, New Delhi, India
| | - Uzma Ansari
- Resident, Faculty of Dental Sciences, King George Medical University, Lucknow, India
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Abstract
In this short communication, the very rare glandular odontogenic cyst (GOC) is presented as an independent entity. The GOC is a jawbone cyst of the maxilla and mandible. The typical radiological and histopathological characteristics of the GOC are described. Furthermore, differential diagnoses, current treatment options and the recurrence rates of this of entity are discussed.
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Mascitti M, Santarelli A, Sabatucci A, Procaccini M, Lo Muzio L, Zizzi A, Rubini C. Glandular odontogenic cyst: review of literature and report of a new case with cytokeratin-19 expression. Open Dent J 2014; 8:1-12. [PMID: 24624237 PMCID: PMC3950754 DOI: 10.2174/1874210601408010001] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2013] [Revised: 12/13/2013] [Accepted: 12/17/2013] [Indexed: 01/03/2023] Open
Abstract
The glandular odontogenic cyst (GOC) was a rare jawbone cyst described in 1988 as a distinct entity. This lesion can involve either jaw, and the anterior region of the mandible was the most commonly affected area. Clinical and radiographic findings were not specific, and the diagnosis of GOC can be extremely difficult due to the rarity of this lesion. The cyst presented a wall constituted by fibrous connective tissue and was lined by a non-keratinized stratified squamous epithelium of variable thickness. Large areas of the lining epithelium presented cylinder cells, sometimes ciliated. A variable amount of mucina was occasionally noted. Due to the strong similarities, this cyst can be easily misdiag-nosed as a central mucoepidermoid carcinoma (CMEC). Immunohistochemistry may be an aid in diagnosis; in fact has been demonstrated that there were differences in the expression of cytokeratins (CK) in GOC and CMEC. In this study, we reported a new case of GOC in a 38 year female patient. In addition, we carried out a review of 110 previous cases reported in literature.
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Affiliation(s)
- Marco Mascitti
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Andrea Santarelli
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy ; Institute of Health and Science on Aging INRCA, Ancona, Italy
| | - Antonio Sabatucci
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy
| | - Maurizio Procaccini
- Department of Clinic Specialistic and Odontostomatological Sciences, Polytechnic University of Marche, Ancona, Italy ; Institute of Health and Science on Aging INRCA, Ancona, Italy
| | - Lorenzo Lo Muzio
- Department of Sperimental and Clinical Medicine, University of Foggia, Foggia, Italy
| | - Antonio Zizzi
- Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy
| | - Corrado Rubini
- Department of Biomedical Sciences and Public Health, Polytechnic University of Marche, Ancona, Italy
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