Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
권호 표지

Two cases report of Calcifying Odontogenic Cyst

석회화치성낭의 두 증례보고

  • Lee, Byung-Do (Department of Oral & Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Lee, Wan (Department of Oral & Maxillofacial Radiology, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Paeng, Jun-Young (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Lee, Jun (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Choi, Moon-Ki (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University, Wonkwang Dental Research Institute) ;
  • Son, Hyun-Jin (Department of Pathology, School of Medicine, Eulji University)
  • 이병도 (원광대학교 치과대학 구강악안면방사선학교실, 원광 치의학 연구소) ;
  • 이완 (원광대학교 치과대학 구강악안면방사선학교실, 원광 치의학 연구소) ;
  • 팽준영 (원광대학교 치과대학 구강악안면외과학교실, 원광 치의학 연구소) ;
  • 이준 (원광대학교 치과대학 구강악안면외과학교실, 원광 치의학 연구소) ;
  • 최문기 (원광대학교 치과대학 구강악안면외과학교실, 원광 치의학 연구소) ;
  • 손현진 (을지대학교 의과대학 병리학교실)
  • Published : 2009.09.30
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Abstract

The calcifying odontogenic cyst (COC) is a rare disorder of the jaws and shows various radiographic features. The purpose of this study is to describe the different radiographic appearances of 2 cases of COC. Case 1 was located in the posterior maxilla extending into maxillary sinus, showing unilocular radiolucency with a well-defined margin. Cortical bone expansion and thinning were prominent. Root resorption of adjacent teeth was apparent. Case 2 showed unilocular radiolucency with a calcified material. Calcification was supposed to be dystrophic dental hard structures, detected at the periphery of the lesion. Ghost cell and proliferation of ameloblastoma-like tissues were common features for these two lesions on histopathological findings. This reports presented common and atypical radiographic features of the COC.

Keywords

References

  1. Gorlin RJ, Pindborg JJ, Clausen FP, Vickers RA. The calcifying odontogenic cyst-a possible analogue of the cutaneous calcifying epithelioma of Malherbe. An analysis of fifteen cases. Oral Surg Oral Med Oral Pathol 1962; 15 : 1235-43. https://doi.org/10.1016/0030-4220(62)90159-7
  2. Shamaskin RG, Svirsky JA, Kaugars GE. Intraosseous and extraosseous calcifying odontogenic cyst (Gorlin cyst). J Oral Maxillofac Surg 1989; 47 : 562-5. https://doi.org/10.1016/S0278-2391(89)80067-9
  3. Langland OE, Nortje CJ, Langlais RP. Diagnostic Imaging of the Jaws. 1st ed. Malvern: Williams & Wilkens; 1995.
  4. Erasmus JH, Thompson IO, van Rensburg LJ, van der Westhuijzen AJ. Central calcifying odontogenic cyst. A review of the literature and the role of advanced imaging techniques. Dentomaxillofac Radiol 1998; 27 : 30-5. https://doi.org/10.1038/sj.dmfr.4600315
  5. Li TJ, Yu SF. Clinicopathologic spectrum of the so-called calcifying odontogenic cysts: a study of 21 intraosseous cases with reconsideration of the terminology and classification. Am J Surg Pathol 2003; 27 : 372-84. https://doi.org/10.1097/00000478-200303000-00011
  6. Shear M. Cysts of the oral regions. Oxford: Butterworth-Heinemann Ltd; 1992.
  7. Pindborg J, Kramer I, Torloni H. Histological typing of odontogenic tumours. Jaw cysts, and allied lesions. WHO International Histological Classification of Tumors. Springer Verlag; 1992. p. 11-3. Geneva: The world health organization; 1971.
  8. Kramer I, Pindborg J, Shear M. The World Health Organization: histological typing of odontogenic tumours. 2nd ed. Berlin: Springer Verlag; 1992. p. 11-3.
  9. Praetorius F, Hjorting-Hansen E, Gorlin RJ, Vickers RA. Calcifying odontogenic cyst. Range, variations and neoplastic potential. Acta Odontol Scand 1981; 39 : 227-40. https://doi.org/10.3109/00016358109162284
  10. Toida M, Ishimaru J, Tatematsu N. Calcifying odontogenic cyst associated with compound odontoma: report of a case. J Oral Maxillofac Surg 1990; 48 : 77-81. https://doi.org/10.1016/0278-2391(90)90186-6
  11. Tajima Y, Yokose S, Sakamoto E, Yamamoto Y, Utsumi N. Ameloblastoma arising in calcifying odontogenic cyst. Report of a case. Oral Surg Oral Med Oral Pathol 1992; 74 : 776-9. https://doi.org/10.1016/0030-4220(92)90407-H
  12. Lin CC, Chen CH, Lin LM, Chen YK, Wright JM, Kessler HP, et al. Calcifying odontogenic cyst with ameloblastic fibroma: report of three cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98 : 451-60. https://doi.org/10.1016/j.tripleo.2004.01.010
  13. Farman AG, Smith SN, Nortje CJ, Grotepass FW. Calcifying odontogenic cyst with ameloblastic fibro-odontoma: one lesion or two? J Oral Pathol 1978; 7 : 19-27. https://doi.org/10.1111/j.1600-0714.1978.tb01881.x
  14. Hong SP, Ellis GL, Hartman KS. Calcifying odontogenic cyst. A review of ninety-two cases with reevaluation of their nature as cysts or neoplasms, the nature of ghost cells, and subclassification. Oral Surg Oral Med Oral Pathol 1991; 72 : 56-64. https://doi.org/10.1016/0030-4220(91)90190-N
  15. Nagao T, Nakajima T, Fukushima M, Ishiki T. Calcifying odontogenic cyst: a survey of 23 cases in the Japanese literature. J Maxillofac Surg 1983; 11 : 174-9. https://doi.org/10.1016/S0301-0503(83)80042-3
  16. Buchner A. The central (intraosseous) calcifying odontogenic cyst: an analysis of 215 cases. J Oral Maxillofac Surg 1991; 49 : 330-9. https://doi.org/10.1016/0278-2391(91)90365-S
  17. Ikemura K, Horie A, Tashiro H, Nandate M. Simultaneous occurrence of a calcifying odontogenic cyst and its malignant transformation. Cancer 1985; 56 : 2861-4. https://doi.org/10.1002/1097-0142(19851215)56:12<2861::AID-CNCR2820561224>3.0.CO;2-L
  18. Grodjesk JE, Dolinsky HB, Schneider LC, Dolinsky EH, Doyle JL. Odontogenic ghost cell carcinoma. Oral Surg Oral Med Oral Pathol 1987; 63 : 576-81. https://doi.org/10.1016/0030-4220(87)90231-3
  19. Shear M. Cysts of the oral regions. Bristol: Wright PSG; 1983.
  20. Yoshiura K, Tabata O, Miwa K, Tanaka T, Shimizu M, Higuchi Y, et al. Computed tomographic features of calcifying odontogenic cysts. Dentomaxillofac Radiol 1998; 27 : 12-6. https://doi.org/10.1038/sj.dmfr.4600305
  21. Neville B, Damm D, Allen C, Bouquot J. Oral and Maxillofacial Pathology. 1st ed. Philadelphia: WB Saunders; 1995.
  22. Devlin H, Horner K. The radiological features of calcifying odontogenic cyst. Br J Radiol 1993; 66 : 403-7. https://doi.org/10.1259/0007-1285-66-785-403
  23. Buchner A, Merrell PW, Hansen LS, Leider AS. Peripheral (extraosseous) calcifying odontogenic cyst. A review of forty-five cases. Oral Surg Oral Med Oral Pathol 1991; 72 : 65-70. https://doi.org/10.1016/0030-4220(91)90191-E