Glandular odontogenic cyst mimicking ameloblastoma in a 78-year-old female: A case report.
10.5624/isd.2014.44.3.249
- Author:
Byung Do LEE
1
;
Wan LEE
;
Kyung Hwan KWON
;
Moon Ki CHOI
;
Eun Joo CHOI
;
Jung Hoon YOON
Author Information
1. Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University, Iksan, Korea. eebydo@wonkwang.ac.kr
- Publication Type:Case Report
- Keywords:
Mandible;
Diagnosis;
Odontogenic Cysts
- MeSH:
Aged*;
Ameloblastoma*;
Diagnosis;
Female;
Humans;
Jaw;
Mandible;
Odontogenic Cysts*;
Pectinidae;
Root Resorption;
Tooth
- From:Imaging Science in Dentistry
2014;44(3):249-252
- CountryRepublic of Korea
- Language:English
-
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.
