Imaging Science in Dentistry

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

DOI QR Code

Glandular odontogenic cyst mimicking ameloblastoma in a 78-year-old female: A case report

  • Lee, Byung-Do (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Lee, Wan (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Kwon, Kyung-Hwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Choi, Moon-Ki (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Choi, Eun-Joo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Yoon, Jung-Hoon (Department of Oral and Maxillofacial Pathology, College of Dentistry, Daejeon Dental Hospital, Wonkwang University)
  • Received : 2014.02.05
  • Accepted : 2014.03.13
  • Published : 2014.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Glandular odontogenic cyst (GOC) is a rare, potentially aggressive jaw lesion. The common radiographic features include a well-defined radiolucency with distinct borders, presenting a uni- or multilocular appearance. A cystic lesion in the posterior mandible of a 78-year-old female was incidentally found. Radiographs showed a unilocular lesion with a scalloped margin, external root resorption of the adjacent tooth, and cortical perforation. This lesion had changed from a small ovoid shape to a more expanded lesion in a period of four years. The small lesion showed unilocularity with a smooth margin and a well-defined border, but the expanded lesion produced cortical perforation and a lobulated margin. The provisional diagnosis was an ameloblastoma, whereas the histopathological examination revealed a GOC. This was a quite rare case, given that this radiographic change was observed in the posterior mandible of an elderly female. This case showed that a GOC can grow even in people in their seventies, changing from the unilocular form to an expanded, lobulated lesion. Here, we report a case of GOC with characteristic radiographic features.

Keywords

References

  1. Hussain K, Edmondson HD, Browne RM. Glandular odontogenic cysts. Diagnosis and treatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995; 79: 593-602. https://doi.org/10.1016/S1079-2104(05)80101-5
  2. Kaplan I, Anavi Y, Hirshberg A. Glandular odontogenic cyst: a challenge in diagnosis and treatment. Oral Dis 2008; 14: 575-81. https://doi.org/10.1111/j.1601-0825.2007.01428.x
  3. Macdonald-Jankowski DS. Glandular odontogenic cyst: systematic review. Dentomaxillofac Radiol 2010; 39: 127-39. https://doi.org/10.1259/dmfr/30943934
  4. Kramer IR, Pindborg JJ, Shear M. Histological typing of odontogenic tumors. 2nd ed. Berlin/New York: Springer Verlag; 1992.
  5. Padayachee A, Van Wyk CW. Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid tumour: sialo-odontogenic cyst? J Oral Pathol 1987; 16: 499-504. https://doi.org/10.1111/j.1600-0714.1987.tb00680.x
  6. Gardner DG, Kessler HP, Morency R, Schaffner DL. The glandular odontogenic cyst: an apparent entity. J Oral Pathol 1988; 17: 359-66. https://doi.org/10.1111/j.1600-0714.1988.tb01298.x
  7. Manor R, Anavi Y, Kaplan I, Calderon S. Radiological features of glandular odontogenic cyst. Dentomaxillofac Radiol 2003; 32: 73-9. https://doi.org/10.1259/dmfr/22912856
  8. Tambawala SS, Karjodkar FR, Yadav A, Sansare K, Sontakke S. Glandular odontogenic cyst: a case report. Imaging Sci Dent 2014; 44: 75-9. https://doi.org/10.5624/isd.2014.44.1.75
  9. Ramer M, Montazem A, Lane SL, Lumerman H. Glandular odontogenic cyst: report of a case and review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997; 84: 54-7. https://doi.org/10.1016/S1079-2104(97)90295-X
  10. Koppang HS, Johannessen S, Haugen LK, Haanaes HR, Solheim T, Donath K. Glandular odontogenic cyst (sialo-odontogenic cyst): report of two cases and literature review of 45 previously reported cases. J Oral Pathol Med 1998; 27: 455-62.
  11. Noffke C, Raubenheimer EJ. The glandular odontogenic cyst: clinical and radiological features; review of the literature and report of nine cases. Dentomaxillofac Radiol 2002; 31: 333-8. https://doi.org/10.1038/sj.dmfr.4600730
  12. White SC, Pharoah MJ. Oral radiology: principles and interpretation. 4th ed. St. Louis: Mosby; 1999. p. 364.
  13. Kaplan I, Anavi Y, Manor R, Sulkes J, Calderon S. The use of molecular markers as an aid in the diagnosis of glandular odontogenic cyst. Oral Oncol 2005; 41: 895-902. https://doi.org/10.1016/j.oraloncology.2005.04.015
  14. Fowler CB, Brannon RB, Kessler HP, Castle JT, Kahn MA. Glandular odontogenic cyst: analysis of 46 cases with special emphasis on microscopic criteria for diagnosis. Head Neck Pathol 2011; 5: 364-75. https://doi.org/10.1007/s12105-011-0298-3
  15. Shear MS, Speight PM. Cysts of the oral and maxillofacial regions. 4th ed. Oxford: Blackwell Pub; 2007. p. 94-9.
  16. Boffano P, Cassarino E, Zavattero E, Campisi P, Garzino-Demo P. Surgical treatment of glandular odontogenic cysts. J Craniofac Surg 2010; 21: 776-80. https://doi.org/10.1097/SCS.0b013e3181d7a3e6

Cited by

  1. Lesions of the jaws presenting as radiolucencies on cone-beam CT vol.71, pp.10, 2014, https://doi.org/10.1016/j.crad.2016.05.018