J Korean Assoc Oral Maxillofac Surg.  2010 Jun;36(3):211-213. 10.5125/jkaoms.2010.36.3.211.

Glandular odontogenic cyst of mandible: case report

• Kwon JI
• Kim HW
• Han SH
• Nam W
• Cha IH
• Kim HJ

• KMID: 2189950
• DOI: http://doi.org/10.5125/jkaoms.2010.36.3.211

Abstract

Glandular odontogenic cyst (GOC) is an intraoral cyst originated from serre remnants which has incidence of rare frequency. Only 111 cases have been reported since Gardener first introduced it in 1987. The clinical features are the following components: cortical bone thinning, locally aggressive root resorption, non-painful swelling. The following recurrences rate are 64.3% in conservative treatment, and 0% in wide excision for instance, segmental or marginal mandibulectomy. So, its prognosis is similar to that of odontogenic keratocyst and ameloblastoma. Therefore, periodic recall follow ups are essential to detect disease recurrence. Here, we will report the first case of GOC diagnosed in our department considering with references. And we share this treatment experience because these aggessive lesions may be misjudged for simple dental cyst.

Keyword

Glandular odontogenic cyst; Mandible

MeSH Terms

Ameloblastoma
Follow-Up Studies
Incidence
Mandible
Odontogenic Cysts
Prognosis
Recurrence
Root Resorption

Figure

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  Fig. 1. Preoperative panoramic view showing well-defined cystic lesion on right ramus area with impacted tooth.

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  Fig. 2. Coronal and axial computed tomography scan showing large cystic lesion with cortical thinning.

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  Fig. 3. A: Histologic section.(H&E staining, original magnification x200) This histologic section showing pseudo-glandular structure in connective tissue. B: Histologic section.(H&E staining, original magnification x400) This histologic section showing squamous epithelial lining, with a flat interface, and intraepithelial goblet cell.

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  Fig. 4. Postoperative 6-month panoramic view showing no evidence of recurrence on right ramus area.

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  Fig. 5. 2005 Kaplan's treatment scheme of glandular odontogenic cyst 4. (GOC: glandular odontogenic cyst, FU: follow up)

Reference

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