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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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2
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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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3
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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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5
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Gandra PK, Ali M, Goswami S, Goud AK, Gowtham S. Surgeons Approach to Glandular Odontogenic Cyst of Mandible Mimicking Mucoepidermoid Carcinoma. J Maxillofac Oral Surg 2022; 21:697-700. [DOI: 10.1007/s12663-020-01406-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2019] [Accepted: 07/01/2020] [Indexed: 11/28/2022] Open
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6
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Maruyama S, Mori T, Yamazaki M, Abé T, Ryo E, Kano H, Hasegawa G, Tanuma JI. Central mucoepidermoid carcinoma arising directly from a glandular odontogenic cyst of the mandible: a case report. Diagn Pathol 2021; 16:61. [PMID: 34247629 PMCID: PMC8274059 DOI: 10.1186/s13000-021-01124-0] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2021] [Accepted: 07/06/2021] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Central mucoepidermoid carcinoma (MEC) is a rare salivary gland tumor that affects the jawbone. Glandular odontogenic cyst (GOC) is also a rare odontogenic developmental cyst with glandular differentiation. GOC shares some histological features with central MEC, and a pre-existing GOC can develop into central MEC. Here, we present a rare case of central MEC developed directly from a pre-existing GOC of the mandible. CASE PRESENTATION A 67-year-old Japanese man presented with a cystic lesion in the right third molar region. Histologically, the biopsy specimen demonstrated both typical findings of a GOC component lined with non-keratinized squamous epithelium and a recognizable component of central MEC consisting of polycystic nests with mucous cells, intermediate cells, and epidermoid cells in the cyst wall. The results from the immunohistochemistry for cytokeratin (CK) profiling demonstrated that, while both central MEC and GOC expressed CKs 7, 14, 18, and 19, CK13 was interestingly exclusively expressed in GOC. Fluorescence in-situ hybridization (FISH) revealed the rearrangement of the Mastermind like (MAML)-2 gene in both the MEC and GOC components. CONCLUSIONS Our case suggests that central MEC and GOC may be in the same spectrum of diseases caused by the rearrangement of the MAML-2 gene. However, given that the expression profile of CK13 was completely different between central MEC and GOC, they can be considered as separate tumors. Overall, we demonstrated a rare case in which central MEC may have originated directly from the GOC.
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Affiliation(s)
- Satoshi Maruyama
- Oral Pathology Section, Department of Surgical Pathology, Niigata University Hospital, 1-754 Asahimachi-dori, Chuo-ku, 951-8520, Niigata, Japan. .,Department of Pathology, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, 4132 Urasa, Minami Uonuma-shi, 949-7302, Niigata, Japan.
| | - Taisuke Mori
- Department of Diagnostic Pathology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan
| | - Manabu Yamazaki
- Division of Oral Pathology, Department of Tissue Regeneration and Reconstruction, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkoucho-dori, Chuo-ku, 951-8514, Niigata, Japan
| | - Tatsuya Abé
- Division of Oral Pathology, Department of Tissue Regeneration and Reconstruction, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkoucho-dori, Chuo-ku, 951-8514, Niigata, Japan
| | - Eijitsu Ryo
- Department of Diagnostic Pathology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, 104-0045, Tokyo, Japan
| | - Hiroyuki Kano
- Department of Oral Surgery, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, 4132 Urasa, Minami Uonuma-shi, 949-7302, Niigata, Japan
| | - Go Hasegawa
- Department of Pathology, Uonuma Institute of Community Medicine, Niigata University Medical and Dental Hospital, 4132 Urasa, Minami Uonuma-shi, 949-7302, Niigata, Japan
| | - Jun-Ichi Tanuma
- Division of Oral Pathology, Department of Tissue Regeneration and Reconstruction, Faculty of Dentistry, Niigata University Graduate School of Medical and Dental Sciences, 2-5274 Gakkoucho-dori, Chuo-ku, 951-8514, Niigata, Japan
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7
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Non-neoplastic jaw cysts: a 30-year epidemiological study of 2150 cases in the Italian population. Br J Oral Maxillofac Surg 2021; 59:168-173. [DOI: 10.1016/j.bjoms.2020.08.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2020] [Accepted: 08/10/2020] [Indexed: 11/21/2022]
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8
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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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9
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Sreekumar VN, Salim S, Cherian SK, John R. A vacillating swelling in maxillary anterior region-Diagnostic challenges and management. Natl J Maxillofac Surg 2020; 11:292-297. [PMID: 33897198 PMCID: PMC8051655 DOI: 10.4103/njms.njms_84_18] [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: 11/14/2018] [Revised: 01/04/2019] [Accepted: 04/10/2019] [Indexed: 12/05/2022] Open
Abstract
In most of the cystic lesions appearing in the oral cavity, proper diagnosis and treatment remains a challenge. As glandular odontogenic cyst (GOC) is a rare type of developmental odontogenic cyst, it was not included in our differential diagnosis. The report of GOC was quite surprising as it was rare and never came in this discussion. A 25-year-old male patient was reported to our center with a chief complaint of painless swelling in the right anterior region of the maxilla. The swelling was oval shaped and diffuse extending from the distal aspect of 11 to the mesial aspect of 14 and superiorly extending into the sulcus. Working diagnosis was a periapical cyst, so conventional treatment of root canal treatment, cyst enucleation, and apicoectomy was done. This article presents a rare case which was primarily misdiagnosed and treated and has been subsequently revealed histopathologically as a rare clinicopathological entity.
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Affiliation(s)
- Vinod Nair Sreekumar
- Department of Oral and Maxillofacial Surgery, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India
| | - Shiad Salim
- Department of Oral and Maxillofacial Surgery, PMS College of Dental Science and Research, Thiruvananthapuram, Kerala, India
| | - Sangeeth K Cherian
- Department of Prosthodontics, PMS College of Dental Science and Research, Kerala, India
| | - Richie John
- General Practitioner, Thiruvananthapuram, Kerala, India
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10
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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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11
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Plackal JJ, Sylesh RN, Mammootty Safiya NA, Wasan B, Ramaiah A, Kuntamukkula VKS. Gardner's Cyst Enswathing the Maxillary Antrum: Report of A Rare Case and Review of Literature. J Int Soc Prev Community Dent 2019; 9:652-658. [PMID: 32039087 PMCID: PMC6905317 DOI: 10.4103/jispcd.jispcd_210_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Accepted: 08/02/2019] [Indexed: 12/05/2022] Open
Abstract
Glandular odontogenic cyst (GOC) was named so by Gardner and the credit of discovery can be attributed to the work of Padayachee and Van Wyk (1987). The incidence of GOC is said to be between 0.012% and 1.3%. Even so, a little over 100 cases are reported in English literature. Mandible is more commonly affected than maxilla (20%) with almost 80% cases reported, with an anterior predilection. Even though GOC affecting maxilla is discussed in the literature, to the best of our ability, we could find that, in India, less than five cases affecting the maxillary sinus is ever reported, with none explaining about such a huge cyst that has encompassed the whole of the ipsilateral maxillary sinus. The aim to publish this case report was to understand the rarity in pathology, which GOC encompasses. Such rare cases if reported need to be published for the knowledge, prompt diagnosis, and appropriate treatment planning. Any pathology in the head and neck region should be seen with an eagle’s eye for appropriate management to increase patients’ quality of life.
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Affiliation(s)
- Jacob J Plackal
- Department of Oral and Maxillofacial Surgery, KVG Dental College and Hospital, Sullia, Karnataka, India
| | - R Nithin Sylesh
- Consultant Oral and Maxillofacial Surgeon, RNS Dental Clinic, Coimbatore, Tamil Nadu, India
| | | | - Bharti Wasan
- Department of Oral and Maxillofacial Surgery, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India
| | - Arun Ramaiah
- Consultant Oral and Maxillofacial Surgeon, Cleft and Craniofacial Centre, St. Thomas Hospital, Chengannur, Kerala, India
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12
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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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The reliability of MAML2 gene rearrangement in discriminating between histologically similar glandular odontogenic cysts and intraosseous mucoepidermoid carcinomas. Oral Surg Oral Med Oral Pathol Oral Radiol 2018; 127:e136-e147. [PMID: 30692056 DOI: 10.1016/j.oooo.2018.12.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2018] [Revised: 11/28/2018] [Accepted: 12/06/2018] [Indexed: 11/24/2022]
Abstract
OBJECTIVE MAML2 expression is proven in the majority of mucoepidermoid carcinomas (MECs) arising in salivary glands. MEC can also occur intraosseously (IMEC). Glandular odontogenic cyst (GOC) is an odontogenic cyst with histologic overlap with IMEC. This study aimed to determine the reliability of MAML2 in distinguishing IMEC cases from GOC cases. STUDY DESIGN An institutional review board-approved retrospective search of IMEC, GOC, and IMEC with prior history of GOC was performed within the archives of the University of Florida and the University of Alberta Oral Pathology Biopsy Services. Nine cases from 5 patients were selected. Break-apart fluorescent in situ hybridization analysis was performed on 7 cases for the presence of MAML2 rearrangement. RESULTS Four cases had negative MAML2 gene rearrangement, and 3 cases had positive MAML2 gene rearrangement. CONCLUSIONS Although it can be concluded that the 3 cases with positive translocation for MAML2 were IMECs, the same conclusion could not be drawn for the 4 cases with negative translocation. Whether the cases that were negative for translocation were GOCs with MEC-like islands or were MAML2-negative IMECs could not be ascertained. Therefore, MAML2 rearrangement is not always reliable in differentiating IMECs from GOCs with overlapping histology.
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Menditti D, Laino L, DI Domenico M, Troiano G, Guglielmotti M, Sava S, Mezzogiorno A, Baldi A. Cysts and Pseudocysts of the Oral Cavity: Revision of the Literature and a New Proposed Classification. In Vivo 2018; 32:999-1007. [PMID: 30150421 DOI: 10.21873/invivo.11340] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2018] [Revised: 06/16/2018] [Accepted: 06/21/2018] [Indexed: 01/19/2023]
Abstract
This article includes a comprehensive and up-to-date review on the cysts of the oral cavity. Several classifications of odontogenic (OC) and non-odontogenic (non-OC) oral cysts and the surrounding regions have been proposed. We suggest a new critical classification based on an established relationship between anatomical area, histological origin and clinical behavior (frequency, rate of recurrence, malignant potential). Moreover, the differential cytokeratin (CKs) expression of the various cysts is reported as epithelium-specific markers of differential diagnosis. Finally, issues related to differential diagnosis and therapeutic approaches of the cysts included in the two groups are described.
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Affiliation(s)
- Dardo Menditti
- Department of Dentistry, Orthodontics and Oral Surgery, University of Campania, Naples, Italy
| | - Luigi Laino
- Department of Clinical and Experimental Medicine, University of Campania, Naples, Italy
| | - Marina DI Domenico
- Department of General Pathology and Biochemistry, University of Campania, Naples, Italy
| | - Giuseppe Troiano
- Department of Clinical and Experimental Medicine, University of Campania, Naples, Italy
| | - Mario Guglielmotti
- Department of Dentistry, Orthodontics and Oral Surgery, University of Campania, Naples, Italy
| | - Sara Sava
- Department of Dentistry, Orthodontics and Oral Surgery, University of Campania, Naples, Italy
| | - Antonio Mezzogiorno
- Department of Mental Health and Physics, Preventive Medicine, University of Campania, Naples, Italy
| | - Alfonso Baldi
- Department of Environmental, Biological and Pharmaceutical Sciences and Technologies, University of Campania, Naples, Italy
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15
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Greer RO, Eskendri J, Freedman P, Ahmadian M, Murakami-Walter A, Varella-Garcia M. Assessment of biologically aggressive, recurrent glandular odontogenic cysts for mastermind-like 2 (MAML2) rearrangements: histopathologic and fluorescent in situ hybridization (FISH) findings in 11 cases. J Oral Pathol Med 2017; 47:192-197. [PMID: 29121421 DOI: 10.1111/jop.12658] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/05/2017] [Indexed: 11/29/2022]
Abstract
BACKGROUND Glandular odontogenic cyst (GOC) demonstrates a significant predilection toward localized biologic aggressiveness and recurrence. GOC shares certain histopathologic features with intraosseous mucoepidermoid carcinoma (IMEC). The current investigation evaluates a group of recurrent, biologically aggressive GOCs to determine whether any cases demonstrated unique histologic features or mastermind-like2 (MAML2) rearrangements common to IMEC. METHODS Microscopic slides from 11 previously diagnosed GOCs were stained with hematoxylin and eosin and assessed by 2 study participants for 10 classic histopathologic features required to establish a diagnosis of GOC. Cases were evaluated utilizing break-apart fluorescent in situ hybridization (FISH) analysis for the presence of MAML2 gene rearrangements. Clinical and demographic data on all patients were recorded. RESULTS The mean age for patients included in the study was 55.27 years with a range of 36 to 72 years. The most common presenting symptom was a jaw expansion, and all cysts presented initially as a unilocular or multilocular radiolucency. Cysts displayed a minimum of 6 of 10 histologic parameters necessary for a diagnosis of GOC. One case demonstrated MAML2 rearrangements by FISH. That case also showed marked ciliation of cyst-lining epithelial cells and extensive mucous-secreting goblet cell proliferation. CONCLUSION Findings in the current study are in concert with previous investigations, and although this study finds only limited molecular evidence to support the premise that recurrent biologically aggressive GOCs are a precursor to IMEC, detection of MAML2 rearrangements in 1 case suggests that such a theoretic transition, while rare, is possible.
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Affiliation(s)
- Robert O Greer
- Division of Oral and Maxillofacial Pathology, School of Dental Medicine, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA.,Department of Pathology, School of Medicine, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA.,Division of Medical Oncology and University of Colorado Cancer Center, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA
| | - Jeffrey Eskendri
- Section of Oral and Maxillofacial Pathology, New York Presbyterian/Queens, Flushing, NY, USA
| | - Paul Freedman
- Section of Oral and Maxillofacial Pathology, New York Presbyterian/Queens, Flushing, NY, USA.,Oral Pathology Laboratory Inc., Flushing, NY, USA
| | - Moni Ahmadian
- Section of Oral and Maxillofacial Pathology, New York Presbyterian/Queens, Flushing, NY, USA
| | - Aline Murakami-Walter
- Division of Medical Oncology and University of Colorado Cancer Center, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA
| | - Marileila Varella-Garcia
- Division of Medical Oncology and University of Colorado Cancer Center, Anschutz Medical Campus, University of Colorado, Aurora, CO, USA
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16
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Lo Muzio L, Mascitti M, Santarelli A, Rubini C, Bambini F, Procaccini M, Bertossi D, Albanese M, Bondì V, Nocini PF. Cystic lesions of the jaws: a retrospective clinicopathologic study of 2030 cases. Oral Surg Oral Med Oral Pathol Oral Radiol 2017; 124:128-138. [DOI: 10.1016/j.oooo.2017.04.006] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2017] [Revised: 03/14/2017] [Accepted: 04/06/2017] [Indexed: 11/26/2022]
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17
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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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Alaeddini M, Eshghyar N, Etemad-Moghadam S. Expression of podoplanin and TGF-beta in glandular odontogenic cyst and its comparison with developmental and inflammatory odontogenic cystic lesions. J Oral Pathol Med 2016; 46:76-80. [DOI: 10.1111/jop.12475] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/15/2016] [Indexed: 12/13/2022]
Affiliation(s)
- Mojgan Alaeddini
- Dental Research Center; Dentistry Research Institute; Tehran University of Medical Science; Tehran Iran
| | - Nosratollah Eshghyar
- Department of Oral and Maxillofacial Pathology; Tehran University of Medical Sciences; Tehran Iran
| | - Shahroo Etemad-Moghadam
- Dental Research Center; Dentistry Research Institute; Tehran University of Medical Science; Tehran Iran
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19
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Mittal A, Narang V, Kaur G, Sood N. Glandular Odontogenic Cyst of Mandible: A Rare Entity. J Clin Diagn Res 2016; 9:ED09-10. [PMID: 26813085 DOI: 10.7860/jcdr/2015/15005.6901] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2015] [Accepted: 09/13/2015] [Indexed: 11/24/2022]
Abstract
Glandular odontogenic cyst (GOC) is a rare developmental odontogenic cyst. It is a slow growing and asymptomatic swelling, usually affecting middle aged men and has tendency to reoccur. Here, we report a case of GOC in the anterior portion of mandible diagnosed by histopathology.
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Affiliation(s)
- Ankur Mittal
- Resident, Department of Pathology, Dayanand Medical College and Hospital , Ludhiana, Punjab, India
| | - Vikram Narang
- Assistant Professor, Department of Pathology, Dayanand Medical College and Hospital , Ludhiana, Punjab, India
| | - Gursheen Kaur
- Resident, Department of Medicine, Dayanand Medical College and Hospital , Ludhiana, Punjab, India
| | - Neena Sood
- Professor and Head, Department of Pathology, Dayanand Medical College and Hospital , Ludhiana, Punjab, India
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20
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Abstract
Odontogenic cysts represent a common form of pathology of the jaws, and the natural history, clinicopathologic findings, and appropriate management strategies are important to the oral and maxillofacial surgeon. Odontogenic cysts in the pediatric populations are important pathologic entities given their potential impact on the growth and development of the maxillofacial complex. Inappropriate management strategies can severely affect the form and function of the growing child. Categorizing pediatric odontogenic cysts into inflammatory or developmental causes provides a convenient way of conceptualizing these various entities and helps facilitate the appropriate diagnosis and the subsequent management.
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21
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Anchlia S, Bahl S, Shah V, Vyas S. Glandular odontogenic cyst: a rare entity revealed and a review of the literature. BMJ Case Rep 2015; 2015:bcr-2015-211502. [PMID: 26297768 DOI: 10.1136/bcr-2015-211502] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
A glandular odontogenic cyst (GOC) is a developmental cyst that is a clinically rare and histopathologically unusual type of odontogenic cyst. GOCs are now relatively well-known entities; their importance relates to the fact that they exhibit a propensity for recurrence rates from 21% to 55%, similar to odontogenic keratocysts, and may be confused microscopically with central mucoepidermoid carcinoma. Furthermore, some microscopic features of GOCs may also be found in dentigerous, botryoid, radicular and surgical ciliated cysts. The present case report aims to describe a typical case of GOC, throwing light on its epidemiology and origin, as well as on its clinical, radiographic and microscopic features, which may be helpful for diagnosis in problematic cases, long-term follow-up and to determine the most appropriate treatment.
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Affiliation(s)
- Sonal Anchlia
- Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Ahmedabad, Vadodara, Gujarat, India
| | - Sumit Bahl
- Department of Oral & Maxillofacial Pathology, KM Shah Dental College, Ahmedabad, Gujarat, India
| | - Vandana Shah
- Department of Oral & Maxillofacial Pathology, KM Shah Dental College & Hospital, Vadodara, Gujarat, India
| | - Siddharth Vyas
- Department of Oral & Maxillofacial Surgery, Government Dental College & Hospital, Ahmedabad, Gujarat, India
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22
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Raju SP, Reddy SP, Ananthnag J. Glandular odontogenic cyst of the anterior mandible. NORTH AMERICAN JOURNAL OF MEDICAL SCIENCES 2015; 7:65-9. [PMID: 25789251 PMCID: PMC4358051 DOI: 10.4103/1947-2714.152081] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
Context: Glandular odontogenic cyst (GOC) is a rare cyst occurring in the middle-age people with mandibular anterior as the common site of occurrence. Case Report: We report a case of massive GOC in a 65-year-old female with an emphasis on its clinical course, histological features, and treatment modalities. Conclusion: The aggressiveness and recurrences of GOC warrants clinicians for the careful examination, treatment, and long-term follow-up.
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Affiliation(s)
| | - Sridhar Padala Reddy
- Department of Oral and Maxillofacial Surgery, Vishnu Dental College, Bhimavaram, India
| | - Jakkula Ananthnag
- Department of Oral and Maxillofacial Surgery, Lenora Dental College, Rajahmundry, Andhra Pradesh, India
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