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Moles SL, Magraw CBL. Pediatric Odontogenic Cysts and Tumors. Oral Maxillofac Surg Clin North Am 2024; 36:283-294. [PMID: 38462396 DOI: 10.1016/j.coms.2024.01.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Abstract
Pediatric odontogenic cysts and tumors are rare and often associated with developing or impacted teeth. Odontogenic cysts are broadly categorized as inflammatory or developmental while odontogenic tumors are classified histologically as epithelial, mesenchymal, or mixed tumors. This article will discuss the presentation, diagnosis, and treatment of odontogenic cysts and tumors in the pediatric population.
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Affiliation(s)
- Sarah Loren Moles
- Head and Neck Surgical Oncology and Microvascular Reconstruction, Providence Cancer Institute, Portland, OR, USA
| | - Caitlin B L Magraw
- The Head and Neck Institute, Head and Neck Surgical Associates, Portland, OR, USA; Department of Oral and Maxillofacial Surgery, Oregon Health and Sciences University, Portland, OR, USA.
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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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Ajay A, Vasanthi V, Ramadoss R, Kumar AR. Glandular odontogenic cyst: Review of literature and report of two cases. J Cancer Res Ther 2024; 20:488-492. [PMID: 38554373 DOI: 10.4103/jcrt.jcrt_2344_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 12/27/2022] [Indexed: 04/01/2024]
Abstract
Glandular odontogenic cyst (GOC) is a rare developmental odontogenic cyst from the cell rests of Serres. GOC is locally aggressive with a tendency toward recurrence. The most common site of occurrence is the anterior mandible with an asymptomatic presentation. Radiographically, it presents as unilocular or multilocular radiolucency. It bears histopathological resemblance to low-grade mucoepidermoid carcinoma. We report two cases of GOC occurring in a 16-year-old and a 33-year-old male patient with a review of the clinical presentation, histopathological features, and diagnostic aspects of GOC reported so far in literature.
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Affiliation(s)
- Ashwini Ajay
- Department of Oral Pathology and Microbiology, SRM Dental College, SRMIST, Chennai, Tamil Nadu, India
| | - V Vasanthi
- Department of Oral Pathology and Microbiology, SRM Dental College, SRMIST, Chennai, Tamil Nadu, India
| | - Ramya Ramadoss
- Department of Oral Biology, Saveetha Dental College, Chennai, Tamil Nadu, India
| | - Annasamy Ramesh Kumar
- Department of Oral Pathology and Microbiology, SRM Dental College, SRMIST, Chennai, Tamil Nadu, India
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Buaoud MM, Musrati A, Hagstrom J. Prevalence of odontogenic cysts in a group of Libyan population: A retrospective study. Niger J Clin Pract 2023; 26:1152-1156. [PMID: 37635610 DOI: 10.4103/njcp.njcp_37_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
Background Odontogenic cysts (OCs) are commonly encountered lesions affecting the human jaws having special clinical and radiographic features depending on cyst type. The aim of this study was to determine the prevalence of odontogenic jaw cysts in a Libyan population in Benghazi and to compare these data with previously published reports from Libyan and other geographic areas. Materials and Methods This is a descriptive study where screening of 2189 biopsies (retrieved from the archives of The Department of Oral Pathology/University of Benghazi, Libya) was performed for the sake of recognizing the three cysts chosen for the purpose of this study. Results : Out of the screened lesions, 276 cases (12.6%) were diagnosed as odontogenic cysts in the period from 2006 to 2019. Of those, 67.39% were inflammatory and 32.61% were developmental in nature. Radicular cysts (60.5%) were the most frequent cysts followed by dentigerous cysts (14.8%) and keratocysts (14.5%). The mean ages of the patients were 32.3, 29.7, and 33.2 years, respectively. Occurrence of the cysts was noticed more in the maxilla than in the mandible (1.3:1). The overall male-to-female ratio was 1.1:1. Conclusions The prevalence of odontogenic cysts was similar to that reported in a previous study in Libya and other countries irrespective to WHO (2017) classification of odontogenic cysts.
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Affiliation(s)
- M M Buaoud
- Department of Pathology, National Cancer Institute, Misrata, Libya
| | - A Musrati
- Department of Oral Pathology, Institute of Dentistry, University of Turku, Turku, Finland
| | - J Hagstrom
- Department of Oral Pathology, Institute of Dentistry, University of Turku, Turku, Finland
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Kochaji N, Alhessani S, Ibrahim S, Al-Awad A. Posterior mandibular glandular cyst: A rare case report. Int J Surg Case Rep 2023; 106:108169. [PMID: 37058808 PMCID: PMC10130598 DOI: 10.1016/j.ijscr.2023.108169] [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: 01/25/2023] [Revised: 04/05/2023] [Accepted: 04/06/2023] [Indexed: 04/16/2023] Open
Abstract
BACKGROUND Odontogenic glandular cyst (GOC) is one of the uncommon cysts of the jaws with difficult diagnosis due to the presence of many clinical and histopathological overlaps with other odontogenic lesions, and the definitive diagnosis is only possible by histological examination. It is initially asymptomatic and affects the anterior mandible with no gender predilection. Surgical resection is the preferred treatment due to the high rate of recurrence. To date, there are less than 200 documented cases worldwide. CASE PRESENTATION A 33-year-old female patient who consulted the Department of Oral and Maxillofacial Surgery due to numbness and swelling. She has no medical history with medications or genetic diseases. The lesion was diagnosed as an odontogenic glandular cyst, and then treated with surgical resection and plate-and-screw replacement. CLINICAL DISCUSSION Odontogenic Glandular cyst is an uncommon cyst it is difficult to diagnose depending on clinical features and radiographic imaging only, the definitive diagnosis is based on histological examination. The preferred treatment is surgical resection with safety edges. CONCLUSION More care should be given to report this rare entity to assure accurate and early diagnosis.
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Affiliation(s)
- Nabil Kochaji
- Oral Histology & Pathology Department, Damascus University, Damascus, Syria.
| | - Sulieman Alhessani
- Oral Histology & Pathology Department, Damascus University, Damascus, Syria
| | - Sami Ibrahim
- Oral Maxillofacial Surgery, General Assembly of Damascus Hospital, Syria
| | - Ali Al-Awad
- Oral Maxillofacial Surgery, General Assembly of Damascus Hospital, Syria
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Gorgis R, Christian Krarup SA, Reibel J, Nørholt SE. Glandular Odontogenic Cyst: a Case Report and Literature Review. J Oral Maxillofac Res 2023; 14:e4. [PMID: 37521326 PMCID: PMC10382194 DOI: 10.5037/jomr.2023.14204] [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: 03/18/2023] [Accepted: 06/29/2023] [Indexed: 08/01/2023]
Abstract
Background The glandular odontogenic cyst is now a well-known entity comprising < 0.5% of all odontogenic cysts with a recent review tabulating about 200 cases in the English literature. Glandular odontogenic cyst shows epithelial features that simulate salivary gland or glandular differentiation. The importance of glandular odontogenic cyst relates to the fact that it has a high recurrence rate and shares overlapping histologic features with central mucoepidermoid carcinoma. The purpose of this paper is to describe the clinical, radiological, and histopathological features of a case of glandular odontogenic cyst with the course of treatment and 9-years follow-up, followed by a review of the literature. Methods A 63-year-old male was referred for further investigation of a mandibular radiolucency observed by his general dental practitioner. The main complaint was a murmuring sensation in the lower jaw right side. Radiological examination revealed a well-defined, unilocular, radiolucent lesion, involving the right mandible with 17 and 68 mm in mediolaterally and anteroposterior dimension, respectively. Results A total enucleation of the cystic lesion and surgical extraction of tooth #46, #47 and #48, was performed under local anaesthesia. Histopathologic examination revealed a glandular odontogenic cyst. Conclusions Glandular odontogenic cyst shows no pathognomonic clinico-radiographic characteristics, and therefore in many cases it resembles a wide spectrum of lesions. Diagnosis can be extremely difficult due to histopathological similarities with dentigerous cyst, lateral periodontal cyst and central mucoepidermoid carcinoma. Therefore a careful histopathological examination and a long-term follow-up (preferably seven years) are required to rule out recurrences.
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Affiliation(s)
- Romario Gorgis
- Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, AarhusDenmark.
- Section of Oral Surgery and Oral Pathology, Institute of Odontology and Oral Health, Aarhus University, AarhusDenmark.
| | | | - Jesper Reibel
- Section of Oral Pathology and Oral Medicine, Department of Odontology, Faculty of Health and Medical Sciences, University of Copenhagen, CopenhagenDenmark.
| | - Sven Erik Nørholt
- Department of Oral and Maxillofacial Surgery, Aarhus University Hospital, AarhusDenmark.
- Section of Oral Surgery and Oral Pathology, Institute of Odontology and Oral Health, Aarhus University, AarhusDenmark.
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Nel C, Robinson L, Roza ALOC, Ker-Fox J, Gomes NR, Fonseca FP, Santos-Silva AR, Romañach MJ, Vargas PA, van Heerden WF. Clinical and radiologic spectrum of glandular odontogenic cysts: A multicenter study of 92 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2022; 133:593-603. [PMID: 35065903 DOI: 10.1016/j.oooo.2021.11.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Revised: 11/15/2021] [Accepted: 11/20/2021] [Indexed: 11/18/2022]
Abstract
OBJECTIVE The purpose of this multicenter retrospective study was to report the clinical and radiologic features of 92 glandular odontogenic cysts (GOCs) diagnosed over a 20-year period. STUDY DESIGN Histologically confirmed cases of GOC were retrospectively reviewed from 4 oral pathology laboratories in South Africa and Brazil to categorize the clinical and radiologic spectrum of GOCs. RESULTS The mean age of patients was 46 years (range 17-87) with a male-to-female ratio of 1.2:1. GOCs had a mandibular predilection (68%), with 42% of all cases located anteriorly. Additionally, 42% of cases crossed the midline. Radiologically, most lesions were unilocular (53%) and uniformly radiolucent (97%), with well-demarcated borders (93%). Cortical expansion (62%), loss of cortical integrity (71%), and maxillary sinus (67%) and nasal cavity encroachment (72%) were common findings. Significant differences in lesions between the 2 countries were discovered in sex predilection, clinical signs and symptoms, and lesion locations within the mandible and maxilla. CONCLUSION GOCs present with a wide spectrum of clinical and radiologic features, ranging from cysts with typical GOC-like presentations to more aggressive lesions. The need for advanced imaging in the surgical planning of GOCs exhibiting radiologic signs of aggression is justified based on the high recurrence rate.
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Affiliation(s)
- Chané Nel
- Department of Oral Pathology and Oral Biology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | - Liam Robinson
- Department of Oral Pathology and Oral Biology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa
| | | | - Jason Ker-Fox
- Department of Financial Management. Faculty of Economics and Management Science, University of Pretoria, Pretoria, South Africa
| | - Nathália Rodrigues Gomes
- Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Felipe Paiva Fonseca
- Department of Oral Pathology and Oral Biology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa; Department of Oral Surgery and Pathology, School of Dentistry, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil
| | - Alan Roger Santos-Silva
- Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), São Paulo, Brazil
| | - Mário José Romañach
- Department of Oral Diagnosis and Pathology, School of Dentistry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, Brazil
| | - Pablo Agustin Vargas
- Department of Oral Pathology and Oral Biology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa; Department of Oral Diagnosis, Piracicaba Dental School, University of Campinas (UNICAMP), São Paulo, Brazil
| | - Willie Fp van Heerden
- Department of Oral Pathology and Oral Biology, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
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M S, Periasamy S, Kumar SP, Thota R. Glandular Odontogenic Cyst: A Diagnostic and Management Dilemma. Cureus 2021; 13:e20701. [PMID: 35106238 PMCID: PMC8788895 DOI: 10.7759/cureus.20701] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2021] [Indexed: 11/05/2022] Open
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Gunasekaran N, Krishnan R, Krishnan R. Glandular odontogenic cyst: A case report of an unusual lesion. JOURNAL OF MAHATMA GANDHI INSTITUTE OF MEDICAL SCIENCES 2021. [DOI: 10.4103/jmgims.jmgims_133_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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Crane H, Karbhari B, Hughes D, Orr R, Brierley D. Glandular Odontogenic Cyst with Metaplastic Cartilage: Report of an Unusual Case and Literature Review. Head Neck Pathol 2020; 15:1041-1046. [PMID: 33104949 PMCID: PMC8384936 DOI: 10.1007/s12105-020-01239-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Accepted: 10/15/2020] [Indexed: 12/01/2022]
Abstract
Glandular odontogenic cysts are rare odontogenic cysts with a wide range of histopathological features. In this paper we describe the clinical and pathological features of an unusual case of a glandular odontogenic cyst with metaplastic cartilage. The previous literature of odontogenic cysts presenting with metaplastic cartilage is reviewed alongside a discussion of the differential diagnoses. To our knowledge this is the first reported case of a glandular odontogenic cyst with metaplastic cartilage.
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Affiliation(s)
- Hannah Crane
- Academic Unit of Oral and Maxillofacial Medicine and Pathology, School of Clinical Dentistry, 19 Claremont Crescent, Sheffield, UK
| | - Bhavesh Karbhari
- Department of Oral and Maxillofacial Surgery, Chesterfield Royal Hospital, Chesterfield, UK
| | - David Hughes
- Department of Histopathology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK
| | - Robert Orr
- Department of Oral and Maxillofacial Surgery, Chesterfield Royal Hospital, Chesterfield, UK
| | - Daniel Brierley
- Academic Unit of Oral and Maxillofacial Medicine and Pathology, School of Clinical Dentistry, 19 Claremont Crescent, Sheffield, UK
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Sun HH, Lin SC, Park CM, Elo JA. Asymptomatic intrabony radiolucency of the anterior mandible. Oral Surg Oral Med Oral Pathol Oral Radiol 2020; 130:350-356. [PMID: 32173391 DOI: 10.1016/j.oooo.2019.05.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2018] [Revised: 04/28/2019] [Accepted: 05/07/2019] [Indexed: 11/30/2022]
Affiliation(s)
- Ho-Hyun Sun
- Division of Oral and Maxillofacial Surgery, Alameda Health System, Highland Hospital, Oakland, CA, USA; University of the Pacific, Dugoni School of Dentistry, San Francisco, CA, USA
| | - Sheng-Chuan Lin
- Division of Oral and Maxillofacial Surgery, Alameda Health System, Highland Hospital, Oakland, CA, USA; University of the Pacific, Dugoni School of Dentistry, San Francisco, CA, USA
| | - Chan M Park
- Division of Oral and Maxillofacial Surgery, Alameda Health System, Highland Hospital, Oakland, CA, USA; University of the Pacific, Dugoni School of Dentistry, San Francisco, CA, USA
| | - Jeffrey A Elo
- Division of Oral and Maxillofacial Surgery, College of Dental Medicine, Western University of Health Sciences, Pomona, CA, USA; Department of Oral and Maxillofacial Surgery, Loma Linda University Medical Center, Loma Linda, CA, USA.
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Poudel P, Srii R, Chaurasia N, Upadhyaya C. Glandular odontogenic cyst-Report of a rare case. Clin Case Rep 2020; 8:351-354. [PMID: 32128187 PMCID: PMC7044353 DOI: 10.1002/ccr3.2638] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 12/02/2019] [Accepted: 12/08/2019] [Indexed: 11/11/2022] Open
Abstract
Glandular odontogenic cyst is a rare developmental odontogenic cyst that bears similarity to several other odontogenic lesions. Till 2017, only 169 such cases have been reported in the literature. Herein, we describe one more case of it occurring in a 35-year-old female patient.
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Affiliation(s)
- Pratibha Poudel
- Department of Oral and Maxillofacial PathologyKathmandu University School of Medical SciencesDhulikhelNepal
| | - Ritesh Srii
- Department of Oral and Maxillofacial PathologyKathmandu University School of Medical SciencesDhulikhelNepal
| | - Nitesh Chaurasia
- Department of Oral and Maxillofacial SurgeryKathmandu University School of Medical SciencesDhulikhelNepal
| | - Chandan Upadhyaya
- Department of Oral and Maxillofacial SurgeryKathmandu University School of Medical SciencesDhulikhelNepal
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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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Tavargeri AK, Anehosur V, Niranjan KC, Nayyar A. Case report of a rare glandular odontogenic cyst in a child: A diagnostic dilemma. Int J Health Sci (Qassim) 2019; 13:53-55. [PMID: 31123441 PMCID: PMC6512145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
This paper reports a case of glandular odontogenic cyst (GOC) in a 12-year-old male patient. GOC is a rare entity occurring in the jaw bones. Known for its aggressive behavior and nonspecific clinical features, it may mimic other clinicopathological lesions such as botryoid odontogenic cyst and central mucoepidermoid tumor making the diagnosis challenging. It is more prevalent in the middle age adult population, and very few cases have been reported in children.
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Affiliation(s)
- Anand K. Tavargeri
- Department of Pedodontics and Preventive Dentistry, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India,Address for correspondence: Dr. Anand K. Tavargeri, Department of Pedodontics and Preventive Dentistry, SDM College of Dental Sciences and Hospital, Dharwad – 580 009, Karnataka, India. Phone: +91 9886242451. E-mail:
| | | | - K. C. Niranjan
- Department of Oral and Maxillofacial Pathology, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India
| | - Amrita Nayyar
- Department of Pedodontics and Preventive Dentistry, SDM College of Dental Sciences and Hospital, Dharwad, Karnataka, India
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Cousin T, Bobek S, Oda D. Glandular odontogenic cyst associated with ameloblastoma: Case report and review of the literature. J Clin Exp Dent 2017. [PMID: 28638564 PMCID: PMC5474343 DOI: 10.4317/jced.53775] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Glandular odontogenic cyst (GOC) associated with ameloblastoma is an exceedingly rare histologic presentation with no known clinical significance or treatment applications. Four cases have been reported, three in the mandible and one in the maxilla. The age range is 14-65 and with male predilection. All four presented with swellings and two with pain. We add one more case to the literature of a 58-year old male presenting with an expansile multilocular radiolucency between teeth #19-23. The ameloblastomatous changes in this case are consistent with those of a unicystic ameloblastoma-mural subtype. Although the histologic changes are those of a unicystic ameloblastoma, the clinical and radiographic findings are not. This case therefore presents a clinical challenge with regards to treatment planning for recurrence and prognosis. We conclude that treatment for GOC therefore be based on individual clinical presentation.
Key words:Glandular odontogenic cyst, GOC, ameloblastoma, unicystic ameloblastoma, mural unicystic ameloblastoma.
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Affiliation(s)
- Timothée Cousin
- DDS candidate. University of Washington School of Dentistry, Seattle WA USA
| | - Samuel Bobek
- MD, DMD. Swedish Hospital Maxillofacial Surgery, Seattle WA USA
| | - Dolphine Oda
- BDS, MSc. Department of Oral and Maxillofacial Surgery, University of Washington School of Dentistry, Seattle WA USA
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Urs AB, Kumar P, Augustine J, Malhotra R. Glandular odontogenic cyst: Series of five cases. J Oral Maxillofac Pathol 2017; 21:239-243. [PMID: 28932033 PMCID: PMC5596674 DOI: 10.4103/jomfp.jomfp_167_16] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
Abstract
Introduction: Glandular odontogenic cyst (GOC) is a clinically rare and histopathologically unusual type of developmental odontogenic cyst with unpredictable and potentially aggressive behaviour. Materials and Methods: Archival data of cases histopathologically identified as GOC were analyzed from the Department of Oral Pathology over the past six years. The clinical, radiographic, histopathological features and treatment were evaluated. Special stains such as periodic acid Schiff, mucicarmine along with immunohistochemical staining for cytokeratin 19 were employed to confirm the histopathological diagnosis. Results: The study indicated a strong female predilection with slightly more number of cases found in maxilla than mandible. Most cases showed a well defined multilocular radiolucency. The microscopic features which aid in its differentiation from its mimickers such as central mucoepidermoid carcinoma, lateral periodontal cyst, dentigerous cyst and botryoid odontogenic cyst which were observed included presence of variable thickness of the lining epithelium, epithelial plaques and whorls, hobnail cells, ciliated cells, clear cells and goblet cells. Conclusion: The present case series aims to throw light on the clinical, radiographic and microscopic features of GOC, which may aid in its definitive diagnosis in problematic cases.
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Affiliation(s)
- Aadithya B Urs
- Department of Oral Pathology and Microbiology, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Priya Kumar
- Department of Oral Pathology and Microbiology, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Jeyaseelan Augustine
- Department of Oral Pathology and Microbiology, Maulana Azad Institute of Dental Sciences, New Delhi, India
| | - Rewa Malhotra
- Department of Oral Pathology and Microbiology, Maulana Azad Institute of Dental Sciences, New Delhi, India
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Figueiredo NR, Dinkar AD, Khorate MM. Glandular odontogenic cyst of the maxilla: a case report and literature review. Pan Afr Med J 2016; 25:116. [PMID: 28292079 PMCID: PMC5325494 DOI: 10.11604/pamj.2016.25.116.10879] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2016] [Accepted: 10/17/2016] [Indexed: 11/17/2022] Open
Abstract
Glandular Odontogenic Cyst is a relatively rare cyst of odontogenic origin, which shows glandular or salivary features that are thought to indicate the pluripotentiality of odontogenic epithelium. It is seen in middle-aged adults, and commonly involves the anterior region of the jaws, especially the mandible. It shows non-specific clinico-radiographic findings which may resemble other lesions, but has characteristic histopathologic features which help in its diagnosis. This paper reports an unusual presentation of a glandular odontogenic cyst which was diagnosed in a 64-year old female in the posterior maxilla, along with a literature review of this cyst, especially the cases reported in India in the past.
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Affiliation(s)
- Nigel Roque Figueiredo
- Oral Medicine, Diagnosis and Radiology Department, Goa Dental College & Hospital, Bambolim-Goa, India
| | - Ajit Dattatray Dinkar
- Oral Medicine, Diagnosis and Radiology Department, Goa Dental College & Hospital, Bambolim-Goa, India
| | - Manisha Maruti Khorate
- Oral Medicine, Diagnosis and Radiology Department, Goa Dental College & Hospital, Bambolim-Goa, India
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