SURGICAL TREATMENT OF ODONTOGENIC KERATOCYST IN THE MANDIBLE: A CASE REPORT

Odontogenic keratocysts (OK) are benign odontogenic cysts known for their aggressive behavior and high recurrence rate. A 39-year-old female patient with a history of breast cancer six years ago, without bone metastases or antiresorptive medication use, was referred to the oral surgery service due t...

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Published inOral surgery, oral medicine, oral pathology and oral radiology Vol. 137; no. 6; p. e198
Main Authors ROSA, Suelen, HAMMERSCHMIDT, Aline, PROHNY, João Paulo Stanislovicz, SCHUSSEL, Juliana Lucena, WASTNER, Bruna Da Fonseca, SASSI, Laurindo Moacir
Format Journal Article
LanguageEnglish
Published Elsevier Inc 01.06.2024
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Summary:Odontogenic keratocysts (OK) are benign odontogenic cysts known for their aggressive behavior and high recurrence rate. A 39-year-old female patient with a history of breast cancer six years ago, without bone metastases or antiresorptive medication use, was referred to the oral surgery service due to a radiographic finding. The clinical examination showed no intraoral or extraoral changes. Imaging revealed a well-defined unilocular radiolucent area distal to tooth 37. An incisional biopsy confirmed the diagnosis of OK. Treatment included enucleation, curettage, and chemical cauterization with 5-fluorouracil, which was retained in the cavity with gauze and removed after 24 hours. The patient has been under radiographic follow-up for 12 months without recurrence. The complementary use of 5-fluorouracil after lesion removal appears effective in reducing the recurrence of OK.
ISSN:2212-4403
2212-4411
DOI:10.1016/j.oooo.2023.12.250