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Glandular odontogenic cyst in the posterior mandible: A case report

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초록

The glandular odontogenic cyst (GOC) is a rare cyst derived from odontogenic epithelium with a spectrum of characteristics including salivary gland features. It occurs more commonly in the mandible and most often in the anterior mandible. Radiographically, most cases present a well-defined unilocular or multilocular radiolucency with a cortical boundary. Despite no unique or pathognomonic clinical or radiographic features, the lesion shows potentially aggressive behavior. A 76-year-old male was referred to Gangneung-Wonju National University Dental Hospital with a chief complaint of slight swelling of the right mandible. Cone-beam computed tomography examination revealed a unilocular radiolucent lesion involving impacted third molar at the right posterior mandible. Slight lingual cortical thinning with suspected perforation was also shown. Histopathologically, multiple areas of cyst epithelium showed a glandular differentiation, resulting in mucoid-filled secretory cells and microcyst. Based on these findings, the final diagnosis was determined to be GOC.

Abstract

The glandular odontogenic cyst (GOC) is a rare cyst derived from odontogenic epithelium with a spectrum of characteristics including salivary gland features. It occurs more commonly in the mandible and most often in the anterior mandible. Radiographically, most cases present a well-defined unilocular or multilocular radiolucency with a cortical boundary. Despite no unique or pathognomonic clinical or radiographic features, the lesion shows potentially aggressive behavior. A 76-year-old male was referred to Gangneung-Wonju National University Dental Hospital with a chief complaint of slight swelling of the right mandible. Cone-beam computed tomography examination revealed a unilocular radiolucent lesion involving impacted third molar at the right posterior mandible. Slight lingual cortical thinning with suspected perforation was also shown. Histopathologically, multiple areas of cyst epithelium showed a glandular differentiation, resulting in mucoid-filled secretory cells and microcyst. Based on these findings, the final diagnosis was determined to be GOC.

참고문헌 (14)

  1. Padayachee A, "Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid tumour: sialoodontogenic cyst", J Oral Pathol, 16, pp.499~504 (1987)
  2. Kramer IR, "The WHO hisological typing of odontogenic tumours. A commentary on the second edition", Cancer, 70, pp.2988~2994 (1992)
  3. Lyrio MC, "Treatment of mandibular glandular odontogenic cyst with immediate reconstruction : case report and 5-year follow-up", Br J Oral Maxillofac Surg, 48, pp.651~653 (2010)
  4. 정기정, "A huge glandular odontogenic cyst occurring at posterior mandible", Imaging Science in Dentistry, 34(4), pp.209~213 (2004), 대한구강악안면방사선학회
  5. Kaplan I, "Glandular odontogenic cyst: a challenge in diagnosis and treatment", Oral Dis, 14, pp.575~581 (2008)
  6. Oliveira JX, "Odontogenic glandular cyst: a case report", J Oral Sci, 51, pp.467~470 (2009)
  7. Zhang L, "Immunohistochemical expression of SHH, PTC, SMO and GLI1 in glandular odontogenic cysts and dentigerous cysts", Oral Dis, 16, pp.818~822 (2010)
  8. Krishnamurthy A, "Glandular odontogenic cyst: report of two cases and review of literature", Head Neck Pathol, 3, pp.153~158 (2009)
  9. Manor R, "Radiological features of glandular odontogenic cyst", Dentomaxillofac Radiol, 32, pp.73~79 (2003)
  10. Araújo de Morais HH, "Glandular odontogenic cyst: case report and review of diagnostic criteria", J Craniomaxillofac Surg, 40, pp.46~50 (2012)
  11. Boffano P, "Surgical treatment of glandular odontogenic cysts", J Craniofac Surg, 21, pp.776~780 (2010)
  12. Kaplan I, "Glandular odontogenic cyst : treatment and recurrence", J Oral Maxillofac Surg, 63, pp.435~441 (2005)
  13. Kaplan I, "The use of molecular markers as an aid in the diagnosis of glandular odontogenic cyst", Oral Oncol, 41, pp.895~902 (2005)
  14. Fowler CB, "Glandular odontogenic cyst: analysis of 46 cases with special emphasis on microscopic criteria for diagnosis", Head Neck Pathol, 5, pp.364~375 (2011)

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