• Title/Summary/Keyword: Unilocular radiolucency

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UNICYSTIC AMELOBLASTOMA MISDIAGNOSED AS AN APICAL PERIODONTAL CYST : A CASE REPORT (치근단 낭으로 오진한 단낭성 법랑모세포종)

  • 윤정훈;정원균
    • Restorative Dentistry and Endodontics
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    • v.26 no.2
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    • pp.124-126
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    • 2001
  • A case of an unicystic ameloblastoma of the mandible presenting as an apical periodontal cyst was reported. The lesion showed an unilocular radiolucency with well delineated border. Histologic examination revealed that a fibrous cyst wall with a lining that consists of partially of ameloblastic epithelium. The overlying epithelial cells are loosely cohesive and resemble stellate reticulum. The fibrous cyst wall of the cyst is infiltrated by typical follicular ameloblastoma. but devoid of inflammatory reaction in the cystic wall. Some considerations regarding differential diagnosis. pathogenesis and biologic behaviour of the lesion were discussed.

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Multilocular developmental salivary gland defect

  • Kim, Jin-Soo
    • Imaging Science in Dentistry
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    • v.42 no.4
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    • pp.261-263
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    • 2012
  • Developmental salivary gland defect is a bone depression on the lingual surface of the mandible containing salivary gland or fatty soft tissue. The most common location is within the submandibular gland fossa and often close to the inferior border of the mandible. This defect is asymptomatic and generally discovered only incidentally during radiographic examination of the area. This defect also appears as a well-defined, corticated, unilocular radiolucency below the mandibular canal. Although it is not uncommon for this defect to appear as a round or ovoid radiolucency, multilocular radiolucency of these defects is relatively rare. This report presents a case of a developmental salivary gland defect with multilocular radiolucency in a male patient.

Two cases report of Calcifying Odontogenic Cyst (석회화치성낭의 두 증례보고)

  • Lee, Byung-Do;Lee, Wan;Paeng, Jun-Young;Lee, Jun;Choi, Moon-Ki;Son, Hyun-Jin
    • Imaging Science in Dentistry
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    • v.39 no.3
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    • pp.169-173
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    • 2009
  • 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.

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Glandular odontogenic cyst in the posterior mandible: A case report

  • Han, Jin-Woo
    • The Journal of the Korean dental association
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    • v.54 no.2
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    • pp.149-154
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    • 2016
  • The glandular odontogenic cyst (GOC) is a rare cyst derived from odontogenic epithelium with a spectrum of characteristics including salivary gland features. It occurs more commonly in the mandible and most often in the anterior mandible. Radiographically, most cases present a well-defined unilocular or multilocular radiolucency with a cortical boundary. Despite no unique or pathognomonic clinical or radiographic features, the lesion shows potentially aggressive behavior. A 76-year-old male was referred to Gangneung-Wonju National University Dental Hospital with a chief complaint of slight swelling of the right mandible. Cone-beam computed tomography examination revealed a unilocular radiolucent lesion involving impacted third molar at the right posterior mandible. Slight lingual cortical thinning with suspected perforation was also shown. Histopathologically, multiple areas of cyst epithelium showed a glandular differentiation, resulting in mucoid-filled secretory cells and microcyst. Based on these findings, the final diagnosis was determined to be GOC.

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A STUDY OF AMELOBLASTOMA ON THE RELATIONSHIP BETWEEN HISTOPATHOLOGIC PATTERNS AND RADIOGRAPHIC CHARACTERISTICS (법랑모세포종의 조직병리학적 분류에 따른 방사선학적 소견에 관한 연구)

  • Choi Hyun Bae;You Dong Soo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.22 no.2
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    • pp.339-348
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    • 1992
  • The purpose of this study was to evaluate the correlationship between histopathologic types of ameloblastoma and their radiographic appearances. The materials for this study consisted of 106 patients diagnosed as ameloblastoma both radiographically and histologically. The obtained results were as follows: 1. The incidence of ameloblastoma in male(60cases, 56.6%) was slightly higher than that in female (46 cases, 43.4%). The average age was estimated as 30.7 years with a range from 6 to 76 years. The second decade revealed the highest rate. 2. 106 ameloblstomas were histopathologically classified as 36 unicystic, 28 plexiform, 20 follicular, 14 acanthomatous, 7 granular cell, and 1 basal cell ameloblastoma. 3. Unilocular, soap-bubble appearance and scalloped margin were the radiographic appearances frequently seen in unicystic ameloblastoma. The predominant radiographic appearance of plexiform ameloblastoma showed unilocular radiolucency with scalloped margin. 4. 19.8%, 21 cases of ameloblastoma in this study showed containing tooth in their tumor mass by radiography. 5. Root resorption occured in 37 cases(34.9%) and tooth displacement in 7 cases(6.6%). Root resorption and tooth displacement occured in same patient were 24 cases(22.6%). 6. Recurrence occured in 21.7% and average year between initial treatment and recurrence were 2 years.

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Adenomatoid odontogenic tumor of the mandible with unusual radiographic features: A case report

  • Narayanan, Veena S.;Naidu, Giridhar;Ragavendra, Raju;Mhaske-Jedhe, Shubangi;Haldar, Maya
    • Imaging Science in Dentistry
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    • v.43 no.2
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    • pp.111-115
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    • 2013
  • Adenomatoid odontogenic tumor (AOT) usually presents as a unilocular, pericoronal radiolucency in the maxillary anterior region in adolescent females. Very few conditions occur in such a narrow age range and at such a restrictive site. Rarely, these tumors present with varied clinical features. A case of AOT of the mandible is reported with unusual features such as large size, multilocular appearance, and aggressive behavior. The role of radiology in diagnosis of atypical AOT is extremely important. The unique radiological manifestations of the lesion helped in the diagnosis, and it was managed conservatively with no evidence of recurrence.

Odontogenic myxoma: a case report with recent image modalities

  • Kim Jae-Duk;Kim Kwang-Won;Lim Sung-Hoon
    • Imaging Science in Dentistry
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    • v.34 no.4
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    • pp.199-202
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    • 2004
  • The odontogenic myxoma is an benign, slow growing neoplasm which is of ectomesenchymal origin. This neoplasm occurs almost exclusively in the jaw bones and comprises 0.2% to 17.7% of odontogenic tumors. The odontogenic myxoma may show a wide spectrum of radiographic appearances, unilocular, multilocular radiolucency and a distinct or diffuse border, making the differential diagnosis difficult. We present a case of the odontogenic myxoma in the maxilla with conventional and recent image modalities. Occlusal film revealed a medially extended multilocular lesion with intralesional fine and straight trabeculations from the scalloped margin and buccal expansion and thinning of cortical bone. Computed tomogram revealed lesion showed equivalent density to the muscles in the left maxillary sinus with partial cortical discontinuity of medial wall and the tennis-racket pattern with internal straight trabeculations. MRI revealed intermediate signal intensity on Tl weighted image and high signal intensity on T2 weighted image. In Gd enhanced MR image, the peripheral portions of the lesion were enhanced.

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BOTRYOID ODONTOGENIC CYST MISINTERPRETED AS AN APICAL PERIODONTAL CYST : A CASE REPORT (치근단 낭으로 오인한 포도상 치성낭 1 예)

  • Yoon, Jung-Hoon;Jung, Il-Young
    • Restorative Dentistry and Endodontics
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    • v.25 no.4
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    • pp.491-493
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    • 2000
  • A case of a botryoid odontogenic cyst of the globulomaxillary area between the right upper lateral incisor and the canine presenting as an apical periodontal cyst was reported. The cyst showed an unilocular radiolucency with a well delineated hyperostotic border. Histologic examination revealed multiple cysts lined by one or two-cell layers, some areas demonstrated a bud-like thickening of the epithelium. Clear cells were also conspicuous, but devoid of inflammatory reaction in the cystic wall. Some considerations regarding differential diagnosis, histogenetic and biologic behaviour of the lesion were discussed.

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CALCIFYING ODONTOGENIC CYST OF THE MANDIBLE (하악에 발생된 석회화 치성낭종)

  • An Sang-Hee;Choi Karp-Shik
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.23 no.2
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    • pp.357-361
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    • 1993
  • The calcifying odontogenic cyst is rare lesion having features of both cyst and neoplasm. Clinically it frequently occurs in young adult and more frequent in the anterior area of the jaw. Radiographically, this lesion has several radiopaque foci within unilocular or multilocular radiolucency. The authors experienced cystic and neoplastic types of calcifying odontogenic cysts in the anterior area of the mandible in a 16-year-old male and 21-year-old female patients who suffered from pain, swelling and teeth displacemeent on the affected area. And we discussed the clinical, radiological and histopathological features with a brief review of the literatures.

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A case report of Adenomatoid Odontogenic Tumor in the mandibular anterior region (하악 전치부에서 발생한 선양치성종양의 증례보고)

  • Lee, Byung-Do;Lee, Wan;Kwon, Kyung-Hwan;Paeng, Jun-Young;Son, Hyun-Jin
    • Imaging Science in Dentistry
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    • v.39 no.2
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    • pp.99-102
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    • 2009
  • Adenomatoid odontogenic tumor (AOT) is a tumor of odontogenic epithelium with varying degrees of inductive changes in the connective tissue. The common radiographic appearance of AOT is a unilocular radiolucency associated with an unerupted tooth. Detectable radiopacities have been reported in many cases. We present a case of AOT in a 9-year old-female patient. Cystic lesion with numerous, punctuate radiopaque foci was observed on the anterior region of the mandible. These radiopacities were situated mostly on the buccal side of impacted tooth on the multi-planar images of cone beam computed tomograph. Characteristic duct like structures and amyloid like material were observed on histopathologic finding. (Korean J Oral Maxillofac Radiol2009; 39 : 99-102)

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