• Title/Summary/Keyword: Large cyst

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Simple bone cyst recurred in adjacent areas: A case report

  • Jin-Soo Kim
    • Imaging Science in Dentistry
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    • v.53 no.4
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    • pp.383-388
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    • 2023
  • Simple bone cyst is a pseudocyst that typically occurs in patients during their second and third decades of life. This benign entity is an empty or fluid-filled cavity that lacks a true epithelial lining. Simple bone cysts are often asymptomatic and are commonly found in mandibular body, predominantly in the posterior region. The treatment of simple bone cysts can be influenced by factors such as the patient's age, the size of the lesion, and the presence or absence of symptoms. In the case of a simple bone cyst in the mandible that is small and symptomless, a watchful waiting approach may be appropriate. However, if the cyst is large and symptomatic, surgical treatment is recommended. This report presents a radiological examination of a simple bone cyst that developed around the root of the mandibular first molar in a 36-year-old female patient. The cyst recurred in adjacent areas despite surgical treatment.

Spinal Extradural Arachnoid Cyst

  • Choi, Seung Won;Seong, Han Yu;Roh, Sung Woo
    • Journal of Korean Neurosurgical Society
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    • v.54 no.4
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    • pp.355-358
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    • 2013
  • Spinal extradural arachnoid cyst (SEAC) is a rare disease and uncommon cause of compressive myelopathy. The etiology remains still unclear. We experienced 2 cases of SEACs and reviewed the cases and previous literatures. A 59-year-old man complained of both leg radiating pain and paresthesia for 4 years. His MRI showed an extradural cyst from T12 to L3 and we performed cyst fenestration and repaired the dural defect with tailored laminectomy. Another 51-year-old female patient visited our clinical with left buttock pain and paresthesia for 3 years. A large extradural cyst was found at T1-L2 level on MRI and a communication between the cyst and subarachnoid space was illustrated by CT-myelography. We performed cyst fenestration with primary repair of dural defect. Both patients' symptoms gradually subsided and follow up images taken 1-2 months postoperatively showed nearly disappeared cysts. There has been no documented recurrence in these two cases so far. Tailored laminotomy with cyst fenestration can be a safe and effective alternative choice in treating SEACs compared to traditional complete resection of cyst wall with multi-level laminectomy.

A Long-term Follow-Up Case of Enucleation of Dentigerous Cyst in the Maxilla: Case Report (상악골에 발생한 거대 함치성낭종의 적출술 후 장기치료 결과: 증례보고)

  • Lee, Eun-Young;Kim, Kyoung-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.77-82
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    • 2011
  • A long-term follow-up study of a case of impacted teeth associated with a large dentigerous cyst in the left maxilla is presented. The patient was a 30-year-old man who had a large dentigerous cyst in the premaxilla and left posterior maxilla, which impacted the canine and supernumerary tooth. This is one of the most prevalent types of odontogenic cysts associated with an erupted or developing tooth, particularly the mandibular third molars. The other teeth commonly affected in order of frequency are the maxillary canines, maxillary third molars and rarely, the central incisor. Radiographically, the cyst appears as huge ovoid well-demarcated unilocular radiolucency with a sclerotic border and causes ectopic displacement of the inferior border of the maxillary sinus without destruction. Dentigerous cysts may grow unnoticed to such extensive sizes as to occupy a considerable portion of the maxillary sinus. These cysts appear to be associated with a supernumerary tooth in the maxillary anterior incisors region called the mesiodens and impacted canine. The present case report describes the surgical enucleation of a dentigerous cyst involving the permanent maxillary left canine and mesioden. After surgery, left maxillary sinus recovered their normal size and apposition of bone was observed around the apex of the posterior teeth. During the subsequent years, there was no recurrence of the cystic lesion but the inflammation was evoked in the anterior maxilla after 42 months. This complication appeared to have correlated with bony healing in the enucleation site of the cyst. We report the healing status of a huge dentigerous cyst in the maxilla for 5 years with a review of the relevant literature.

Use of intraoperative impression smear cytology to guide successful treatment of a large renal cyst in a dog: a case report

  • Balda, Ignacio Otero;Vagias, Michail;Cassidy, Joseph;O'Brien, Peter J.;Mullins, Ronan A.
    • Journal of Veterinary Science
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    • v.23 no.2
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    • pp.34.1-34.7
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    • 2022
  • A 13-yr-old Shih tzu was referred for surgical management of right-sided cranial abdominal mass, which corresponded to large, cavitated renal mass on ultrasonography, and was suspected to represent neoplasia. Intraoperative impression smear cytology (ISC) of the renal mass wall was consistent with benign renal cyst (RC), without evidence of neoplasia or infection. Deroofing and omentalisation were performed and histopathology was consistent with benign RC. Chronic kidney disease was diagnosed 4 mon postoperatively, however, the dog was asymptomatic, without cyst reoccurrence. Intraoperative ISC is an expedient and inexpensive diagnostic technique that can guide most appropriate treatment in dogs with large RCs.

A case of Bronchogenic Cyst in Diaphragm (횡경막에 발생한 기관지성 낭종)

  • 박상철
    • Journal of Chest Surgery
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    • v.33 no.10
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    • pp.847-850
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    • 2000
  • Isolated bronchogenic cysts of the diaphragm are rare abnormalities. They are usually asymptomatic unless secondarily infected or large enough to cause compression of vital structures. The patient was a 31-year-old man and had no symptoms except mild postprandial epigastric discomfort. The chest X-ray and chest C-T examination revealed a mediastinal mass at the left cardio-vertebro-phrenic angle. We performed the operation under the impression of solid mass at mediastinum. We revealed that the mass was bronchogenic cyst in diaphragm. Therefore we report this case with review of literatures.

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A Case Report of the Radicular Cyst in Maxillary Anterior Teeth Treated by Enucleation (상악전치에 발생한 치근단낭종 치험례)

  • Lee, You-Il
    • The Journal of the Korean dental association
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    • v.21 no.12 s.175
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    • pp.991-995
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    • 1983
  • A radicular cyst is a slowly-growing epithelial sac lining a pathologic cavity in the bone at the apex of a tooth. Large radicular cyst revealed by radiographic examination almost always appear to involved several teeth. The author observed a 31 year old woman with a labial swelling and palatal mucosal expansion of the maxillary anterior region. Radiographic examination indicated that the lesion extended from the left maxillary lateral incisor to the right lateral incisor. Cyst consisted of tan to gray yellow slightly firm to partly hard plaque like tissue measuring 3.4 x 2.2 x 0.3㎝. The author has treated the cyst by means of enucleation with apicoecomies of the involved teeth except the right central incisor. Recovery proceed satisfactorily and there were no clinical or radiologic signs of recurrence 8 months later.

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Expansile dentigerous cyst invading the entire maxillary sinus: a case report

  • Cho, Ju-Yeon;Nam, Ki-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.4
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    • pp.245-248
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    • 2012
  • Reported cases of a large dentigerous cyst involving the whole maxillary sinus are uncommon. A 22-year-old female patient suffering from swelling of the right infraorbital area and cheek with dull pain was referred to our department. Findings on computed tomography (CT) and magnetic resonance imaging (MRI) revealed a huge mass containing a displaced maxillary third molar involving the right maxillary sinus as a whole, with partial erosion of the posterior sinus cortical bone. Under general anesthesia, the mass was enucleated using the Caldwell-Luc approach, and, following histopathological analysis, was diagnosed as a dentigerous cyst. The case was followed for a period of seven years, and no evidence of sinus infection or recurring cyst formation was observed during that time.

Surgical Management of Dentigerous Cyst for Preserving Permanent Tooth Buds (영구치 보존을 고려한 함치성 낭종의 외과적 처치)

  • Park, Chanyoung;Park, Kitae
    • Journal of the korean academy of Pediatric Dentistry
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    • v.41 no.1
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    • pp.85-92
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    • 2014
  • Dentigerous cyst is the most common developmental odontogenic cyst of the jaw which is associated with unerupted teeth. Treatment modalities range from enucleation to marsupialization. Enucleation is the process in which the cyst is completely removed, and this is usually indicated for smaller lesions. Larger cysts can be treated by marsupialization, which is a process that consists of making a surgical cavity on the wall of the cyst, emptying its content and maintaining the continuity between the cyst and the oral cavity. This procedure allows decompression of the cyst, regeneration of the bone-defected area, and also lets the wall of the cyst change into normal mucosa. This technique will protect adjacent structures and will promote spontaneous eruption of succedaneous teeth previously surrounded by the cyst. These are two case reports of a 5-year-old and an 11-year-old boy with dentigerous cysts found regarding supernumerary tooth and pulpotomized mandibular primary molars, respectively. Due to the large size of the cysts, both cases were treated with marsupialization. This case report shows that in cases regarding large-sized dentigerous cysts, marsupialization can be an effective surgical technique that promotes spontaneous eruption of cyst-involved succedaneous teeth and the preservation of adjacent teeth.

Structural and Histochemical Changes in the Cyst cell and the Interstitial Cell in the Testis of a Teleost Hexagrammos agrammus associated with the Reproductive Cycle (생식주기(生殖周期)에 따른 노래미, Hexagrammos agrammus 정소내(精巢內)의 cyst 세포(細胞) 및 간질세포(間質細胞)의 구조적(構造的), 조직화학적(組織化學的) 변화(變化))

  • Chung, Ee-Yung;Lee, Ki-Young
    • Korean Journal of Ichthyology
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    • v.6 no.2
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    • pp.193-205
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    • 1994
  • In order to understand fine structural and histochemical changes in the cyst cell and he interstitial cell in the testis of the spottybelly greenling Hexagrammos agrammus associated with the reproductive cycle from January to December, 1992, there cells were studied by electron microscopy and light microscopy. The cyst cells in the mature testis show a weak affinity to haematoxylin. while they become larger in size. At this time, these cells appear to be more functional than those on the growing stage because several mitochondria, endoplasmic reticulum, glycogen particles and a few lipid droplets appear in the cytoplasm of the cyst cell. It appears, therefore, that the cyst cell of this species has vital functions for nutrition, secretion and steroidogenesis. Well-developed interstitial cells contain large rod-shape or spherical mitochondria with tubular cristae and the large quantities of smooth endoplasmic recticulum and electron-dense materials in the vesicle at the mature and spawning stage. The interstitial cells of this species show characteristics of steroid interstitial cells having a vesicular nucleus, mitochondria with tubular cristae, and smooth endoplasmic reticulum. However, these interstitial cells of teleost give negative histochemical reactions for Sudan black B.

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SURGICAL AND ORTHODONIC TREATMENT OF IMPACTED TEETH ASSOCIATED WITH DENTIGEROUS CYSTS : CASE REPORT (함치성낭종으로 인해 매복된 치아의 외과 및 교정적 치료를 이용한 맹출: 증례보고)

  • Kim, Woo-Sung;An, Kyoung-Mi;Sohn, Dong-Seok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.2
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    • pp.173-179
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    • 2009
  • Dentigerous cyst is an odontogenic cyst which occurs in unerupted tooth crown. After the crown formation, enamel epithelium remnants surrounded continuously proliferates and it forms effusionfluid cyst and expands due to increased internal osmotic pressure. Treatments of cysts are mainly enucleation, marsupialization and de-compression. When deciding the way of treatment, the age of a patient, the anatomical circumstances, the region of lesion and the size of cyst should be considered. Marsupialization is that some parts of internal cystic wall would be converted into oral mucosa if the cyst is large size and is concerned about neighboring anatomic structure. It can be accompanied by enucleation later and eruption of related tooth can be possible. If there is a limitation of spontaneous tooth eruption, eruption of tooth can be induced by orthodontic apparatus. There were 3 patients had dentigerous cyst and underwent marsupialization, their impacted teeth had preserved and had induced eruption, all showing satisfactory results.