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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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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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3
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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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4
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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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5
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Intraosseous carcinoma arising from an odontogenic cyst: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol 2013; 116:e445-9. [DOI: 10.1016/j.oooo.2012.02.029] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2011] [Revised: 02/06/2012] [Accepted: 02/28/2012] [Indexed: 11/21/2022]
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6
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Uchida K, Ochiai T, Sinohara A, Miki M, Muto A, Yoshinari N, Hasegawa H, Taguchi A. Primary Intraosseous Odontogenic Carcinoma Arising from a Dentigerous Cyst. J HARD TISSUE BIOL 2013. [DOI: 10.2485/jhtb.22.375] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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7
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Affiliation(s)
- Lee J Slater
- Scripps Oral Pathology Service, 5190 Governor Drive, Suite 106 San Diego, CA 92122-2848, USA
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8
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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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9
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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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10
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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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11
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Piattelli A, Lezzi G, Fioroni M, Santinelli A, Rubini C. Ki-67 expression in dentigerous cysts, unicystic ameloblastomas, and ameloblastomas arising from dental cysts. J Endod 2002; 28:55-8. [PMID: 11833688 DOI: 10.1097/00004770-200202000-00001] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
This study investigated whether or not an ameloblastoma developing in the wall of a dentigerous cyst is a distinct lesion from the unicystic ameloblastoma. An immunohistochemical evaluation of Ki-67 in dentigerous cysts, unicystic ameloblastomas, and ameloblastomas arising in dentigerous cysts was done. The values of Ki-67 positivity were 3.14 for the dentigerous cyst, between 5.32 and 16.56 for unicystic ameloblastoma, and 11.77 for ameloblastoma arising in a dentigerous cyst. Statistically significant differences were found between the dentigerous cyst and the unicystic ameloblastoma and between the dentigerous cyst and the ameloblastoma arising from a dentigerous cyst. No statistically significant difference was present between unicystic ameloblastoma and ameloblastoma arising from dentigerous cyst. These immunohistochemical data confirm the hypothesis that an ameloblastoma arising from a dentigerous cyst has a similar biological behavior to the unicystic ameloblastoma and should be considered as merely a histologic variant.
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Affiliation(s)
- Adriano Piattelli
- Department of Oral Medicine and Pathology, Dental School, University of Chieti, Italy
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12
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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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13
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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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14
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15
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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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16
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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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17
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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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18
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Affiliation(s)
- K Fanibunda
- Department of Oral Surgery, Dental School, University of Newcastle upon Tyne, England
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19
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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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20
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van der Wal KG, de Visscher JG, Eggink HF. Squamous cell carcinoma arising in a residual cyst. A case report. Int J Oral Maxillofac Surg 1993; 22:350-2. [PMID: 8106809 DOI: 10.1016/s0901-5027(05)80665-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
A case of squamous cell carcinoma (SCC) arising in a mandibular residual cyst in a 62-year-old man is presented. The treatment included enucleation followed by primary closure. Histologic examination revealed a poorly differentiated SCC in the cyst lining without invasion through the connective tissue wall. Eight and a half years later, the patient was still free from recurrence.
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Affiliation(s)
- K G van der Wal
- Department of Oral and Maxillofacial Surgery, Medisch Centrum Leeuwarden, The Netherlands
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21
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Antoh M, Hasegawa H, Kawakami T, Kage T, Chino T, Eda S. Hyperkeratosis and atypical proliferation appearing in the lining epithelium of a radicular cyst. Report of a case. J Craniomaxillofac Surg 1993; 21:210-3. [PMID: 7689599 DOI: 10.1016/s1010-5182(05)80484-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
It is widely accepted that radicular cysts (apical periodontal cysts) are commonly lined with stratified squamous epithelium without keratin formation. However, we identified a case of maxillary radicular cyst with remarkable keratinization and atypical proliferation of the lining epithelium among the 207 radicular cyst cases seen at our department. Histopathological and clinical findings of these cysts were reviewed.
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Affiliation(s)
- M Antoh
- Department of Oral Pathology, Matsumoto Dental College, Shiojiri, Japan
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22
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Ventä I, Oikarinen VJ, Söderholm AL, Lindqvist C. Third molars confusing the diagnosis of carcinoma. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1993; 75:551-5. [PMID: 8488019 DOI: 10.1016/0030-4220(93)90222-p] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
The purpose of this study was to describe cases of oral cancer in which the initial presenting symptoms were considered to be due to third molars and in which the underlying carcinoma therefore escaped early diagnosis. Between 1986 and 1990 a total of five cases with squamous cell carcinoma associated with a third molar (impacted, partially or totally erupted, or recently extracted) were treated at our unit. Because of acute or chronic symptoms related to disturbed eruption of third molars, the detection of a simultaneous malignant change and referral were delayed. In conclusion, all third molars, especially impacted, partially erupted, or overerupted ones, should be examined critically, especially if the patient has symptoms.
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Affiliation(s)
- I Ventä
- Department of Oral and Maxillofacial Surgery, University of Helsinki, Finland
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23
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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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24
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Schwimmer AM, Aydin F, Morrison SN. Squamous cell carcinoma arising in residual odontogenic cyst. Report of a case and review of literature. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1991; 72:218-21. [PMID: 1923401 DOI: 10.1016/0030-4220(91)90167-b] [Citation(s) in RCA: 28] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Odontogenic cysts are common pathologic lesions found in the oral and perioral structures. A case of squamous cell carcinoma arising within the lining of a large odontogenic cyst is described. Clinical and pathologic aspects of the previously reported cases are presented.
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Affiliation(s)
- A M Schwimmer
- Department of Dentistry, Beth Israel Medical Center--Mount Sinai School of Medicine, City University of New York
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25
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Foley WL, Terry BC, Jacoway JR. Malignant transformation of an odontogenic keratocyst: report of a case. J Oral Maxillofac Surg 1991; 49:768-71. [PMID: 2056380 DOI: 10.1016/s0278-2391(10)80247-2] [Citation(s) in RCA: 33] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- W L Foley
- University of North Carolina, Chapel Hill
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26
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Maxymiw WG, Wood RE. Carcinoma arising in a dentigerous cyst: a case report and review of the literature. J Oral Maxillofac Surg 1991; 49:639-43. [PMID: 2037921 DOI: 10.1016/0278-2391(91)90347-o] [Citation(s) in RCA: 41] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- W G Maxymiw
- Department of Dentistry, Princess Margaret Hospital, Toronto, Canada
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27
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Herbener GH, Gould AR, Neal DC, Farman AG. An electron and optical microscopic study of juxtaposed odontogenic keratocyst and carcinoma. ORAL SURGERY, ORAL MEDICINE, AND ORAL PATHOLOGY 1991; 71:322-8. [PMID: 2011355 DOI: 10.1016/0030-4220(91)90308-y] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Odontogenic keratocyst and squamous cell carcinoma commonly occur within the oral cavity; however, the juxtaposition of these lesions is rare. The light microscopic and ultrastructural features of such an event are reported. Although some morphologic similarities between the cyst and tumor were observed, definitive evidence of a common origin was not obtained.
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Affiliation(s)
- G H Herbener
- Department of Anatomical Sciences and Neurobiology, School of Medicine, University of Louisville, Ky
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28
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Horowitz I, Bodner L. Use of xenograft bone with aspirated bone marrow for treatment of cystic defect of the jaws. Head Neck 1989; 11:516-23. [PMID: 2584007 DOI: 10.1002/hed.2880110608] [Citation(s) in RCA: 31] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Xenografts of Kiel bone in combination with autologous aspirated bone marrow were used to graft 20 cystic defects in the jaws. Sixteen cases (80%) were successful. Results were evaluated by clinical and radiographic follow-up of the patient up to 4 years (average 2.3 years) after surgery. Inability to create a water-tight closure followed by immediate secondary infection were considered as the causes for failure rather than rejection by the host.
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Affiliation(s)
- I Horowitz
- Unit of Oral and Maxillofacial Surgery, Tel Aviv Medical Center, Israel
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