A case of glandular odontogenic cyst in the mandible
We report a case of glandular odontogenic cyst (GOC) arising in the mandible. The patient was a 55-year-old woman who presented with a painful swelling of the right premolar region of the mandible.Roentgenographic examination revealed a multilocular radiolucent lesion from the right first molar acro...
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| Published in | Japanese Journal of Oral and Maxillofacial Surgery Vol. 54; no. 3; pp. 164 - 168 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japanese Society of Oral and Maxillofacial Surgeons
2008
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0021-5163 2186-1579 |
| DOI | 10.5794/jjoms.54.164 |
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| Abstract | We report a case of glandular odontogenic cyst (GOC) arising in the mandible. The patient was a 55-year-old woman who presented with a painful swelling of the right premolar region of the mandible.Roentgenographic examination revealed a multilocular radiolucent lesion from the right first molar across themidline to the left second premolar region. The clinical diagnosis was a mandibular cyst. Enucleation of the cystand extraction of the teeth were performed with the patient under general anesthesia. Histological examinationshowed a multicystic lesion partially lined by non-keratinized epithelium with focal plaque-like thickening. Thesurface epithelium included eosinophilic cuboidal and ciliated cells. Cyst-like spaces and glandular structureswere also observed within the epithelium. Epithelial islands were also seen in connective tissue of the cyst.Immunohistochemically, epithelial cells were strongly positive for cytokeratin (CK) 13 and 19, but almost negativefor CK18. The histological diagnosis was GOC. The postoperative course was satisfactory, and no recurrencehas been noted 4 years 6 months after the operation. |
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| AbstractList | We report a case of glandular odontogenic cyst (GOC) arising in the mandible. The patient was a 55-year-old woman who presented with a painful swelling of the right premolar region of the mandible.Roentgenographic examination revealed a multilocular radiolucent lesion from the right first molar across themidline to the left second premolar region. The clinical diagnosis was a mandibular cyst. Enucleation of the cystand extraction of the teeth were performed with the patient under general anesthesia. Histological examinationshowed a multicystic lesion partially lined by non-keratinized epithelium with focal plaque-like thickening. Thesurface epithelium included eosinophilic cuboidal and ciliated cells. Cyst-like spaces and glandular structureswere also observed within the epithelium. Epithelial islands were also seen in connective tissue of the cyst.Immunohistochemically, epithelial cells were strongly positive for cytokeratin (CK) 13 and 19, but almost negativefor CK18. The histological diagnosis was GOC. The postoperative course was satisfactory, and no recurrencehas been noted 4 years 6 months after the operation. |
| Author | YAMAMOTO, Kazuhiko KITAYAMA, Wakashi AOKI, Kumiko FUJIMOTO, Masaki KOMATSU, Yuko KIRITA, Tadaaki |
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| References | 1) Gardner, D. G., Kessler, H. P., et al.: The glandular odontogenic cyst: an apparent entity. J Oral Pathol 17: 359-366 1988. 4) Padayachee, A. and Van Wyk, C. W.: Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid tumour: sialo-odontogenic cyst? J Oral Pathol 16: 499-504 1987. 13) 平田康, 岩本康弘, 他: 下顎前歯部に発生した腺性歯原性嚢胞の1例. 日口外誌 50: 27-30 2004. 14) Qin, X-N., Li, J-R., et al.: The glandular odontogenic cyst: clinicopathologic features and treatment of 14 cases. J Oral Maxillofac Surg 63: 694-699 2005. 12) Noffke, C., Raubenheimer, E. J., et al.: The glandular odontogenic cyst: clinical and radiological features; review of the literature and report of nine cases. Dentomaxillofac Radiol 31: 333-338 2002. 19) Sidoni, A., D'Errico, P., et al.: Central mucoepidermoid carcinoma of the mandible: report of a case treated 13 years after first radiographic demonstration. J Oral Maxillofac Surg 54: 1242-1245 1996. 16) 岡本喜之, 川田賢介, 他: 右側下顎智歯部に発生した腺性歯原性嚢胞の1例. 日口外誌 52: 11-14 2006. 18) Kaplan, I., Anavi, Y., et al.: The use of molecular markers as an aid in the diagnosis of glandular odontogenic cyst. Oral Oncol 41: 895-902 2005. 10) 笠原慎太郎, 瀬川清, 他: 上顎前歯部に発生した腺性歯原性嚢胞の1例. 日口外誌 47: 688-691 2001. 17) 武田泰典, 福田容子: 歯原性腫瘍ならびに関連病変の病理, 嚢胞 (歯原性嚢胞). 病理と臨床21: 191-198 2003. 6) 田原孝之, 松田耕策: 右下顎枝部に発生したglandular odontogenic cystの1例. 口科誌 46: 270-274 1997. 3) International Association of Oral Pathologists: Proceedings of the slide seminar on odontogenic tumors and cysts. Case 4. Noordwijkerhout, The Netherlands, June, 1984, p4-7. 8) Koppang, H. S., Johannessen, S., et al.: Glandular odontogenic cyst (sialo-odontogenic cyst): report of two cases and literature review of 45 previously reported cases. J Oral Pathol Med 27: 455-462 1998. 11) Sano, T., Shinoda, C., et al.: A case of glandular odontogenic cyst at the median section of the mandible. Jpn J Oral Diag/Oral Med 14: 548-551 2001. 5) 武田泰典, 高田隆: WIHOによる歯原性腫瘍の新たな組織分類とそれに関する上皮性嚢胞について. 日口外誌 52: 54-61 2006. 20) Pires, F. R., Chen, S-Y., et al.: Cytokeratin expression in central mucoepidermoid carcinoma and glandular odontogenic cyst. Oral Oncol 40: 545-551 2004. 7) 武田泰典: 腺性歯原性嚢胞glandular odontogenic cystの1例. 病理と臨床13: 871-875 1995. 15) Kaplan, I., Gal, G., et al.: Glandular odontogenic cyst: treatment and recurrence. J Oral Maxillofac Surg 63: 435-441 2005. 2) Kramer, I. R. H., Pindborg, J. J., et al.: Histological typing of odontogenic tumours. 2nd ed., Springer-Verlag, Berlin, 1992, p38. 9) Kishino, M., Fukuda, Y., et al.: A case of maxillary glandular odontogenic cyst. Oral Med Pathol 3: 116 1998. |
| References_xml | – reference: 15) Kaplan, I., Gal, G., et al.: Glandular odontogenic cyst: treatment and recurrence. J Oral Maxillofac Surg 63: 435-441 2005. – reference: 17) 武田泰典, 福田容子: 歯原性腫瘍ならびに関連病変の病理, 嚢胞 (歯原性嚢胞). 病理と臨床21: 191-198 2003. – reference: 19) Sidoni, A., D'Errico, P., et al.: Central mucoepidermoid carcinoma of the mandible: report of a case treated 13 years after first radiographic demonstration. J Oral Maxillofac Surg 54: 1242-1245 1996. – reference: 7) 武田泰典: 腺性歯原性嚢胞glandular odontogenic cystの1例. 病理と臨床13: 871-875 1995. – reference: 2) Kramer, I. R. H., Pindborg, J. J., et al.: Histological typing of odontogenic tumours. 2nd ed., Springer-Verlag, Berlin, 1992, p38. – reference: 3) International Association of Oral Pathologists: Proceedings of the slide seminar on odontogenic tumors and cysts. Case 4. Noordwijkerhout, The Netherlands, June, 1984, p4-7. – reference: 6) 田原孝之, 松田耕策: 右下顎枝部に発生したglandular odontogenic cystの1例. 口科誌 46: 270-274 1997. – reference: 20) Pires, F. R., Chen, S-Y., et al.: Cytokeratin expression in central mucoepidermoid carcinoma and glandular odontogenic cyst. Oral Oncol 40: 545-551 2004. – reference: 1) Gardner, D. G., Kessler, H. P., et al.: The glandular odontogenic cyst: an apparent entity. J Oral Pathol 17: 359-366 1988. – reference: 4) Padayachee, A. and Van Wyk, C. W.: Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid tumour: sialo-odontogenic cyst? J Oral Pathol 16: 499-504 1987. – reference: 10) 笠原慎太郎, 瀬川清, 他: 上顎前歯部に発生した腺性歯原性嚢胞の1例. 日口外誌 47: 688-691 2001. – reference: 14) Qin, X-N., Li, J-R., et al.: The glandular odontogenic cyst: clinicopathologic features and treatment of 14 cases. J Oral Maxillofac Surg 63: 694-699 2005. – reference: 16) 岡本喜之, 川田賢介, 他: 右側下顎智歯部に発生した腺性歯原性嚢胞の1例. 日口外誌 52: 11-14 2006. – reference: 18) Kaplan, I., Anavi, Y., et al.: The use of molecular markers as an aid in the diagnosis of glandular odontogenic cyst. Oral Oncol 41: 895-902 2005. – reference: 9) Kishino, M., Fukuda, Y., et al.: A case of maxillary glandular odontogenic cyst. Oral Med Pathol 3: 116 1998. – reference: 5) 武田泰典, 高田隆: WIHOによる歯原性腫瘍の新たな組織分類とそれに関する上皮性嚢胞について. 日口外誌 52: 54-61 2006. – reference: 13) 平田康, 岩本康弘, 他: 下顎前歯部に発生した腺性歯原性嚢胞の1例. 日口外誌 50: 27-30 2004. – reference: 8) Koppang, H. S., Johannessen, S., et al.: Glandular odontogenic cyst (sialo-odontogenic cyst): report of two cases and literature review of 45 previously reported cases. J Oral Pathol Med 27: 455-462 1998. – reference: 12) Noffke, C., Raubenheimer, E. J., et al.: The glandular odontogenic cyst: clinical and radiological features; review of the literature and report of nine cases. Dentomaxillofac Radiol 31: 333-338 2002. – reference: 11) Sano, T., Shinoda, C., et al.: A case of glandular odontogenic cyst at the median section of the mandible. Jpn J Oral Diag/Oral Med 14: 548-551 2001. |
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| Title | A case of glandular odontogenic cyst in the mandible |
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