Patient Data
Age: 50 years
Gender: Female
From the case:
Glandular odontogenic cyst
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/28957/annotated_viewer_json?lang=us"}
Mildly expanded multiseptated lucent lesion (43x22 mm) involving the left mandible.
From the case:
Glandular odontogenic cyst
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/28941/annotated_viewer_json?lang=us"}
10-month follow-up, post-operative.
Case Discussion
A well-delineated osteolytic lesion of the left mandible. The radiological differential includes odontogenic keratocyst and ameloblastoma.
Histological findings
- fragments of lamellar bone with surrounding osteoclastic activity
- occasional multinucleate giant cells are seen focally
- focally, there is a rim of fibrous tissue and is covered by attenuated squamous epithelium with focal areas of ciliated cuboidal type epithelium with areas of mucin vacuoles
- there is no corrugated parakeratinised squamous epithelium seen which is typically seen associated with an odontogenic keratocyst
Histological DDx: in view of the presence of ciliated cells, the differentials include periapical cyst, dentigerous cyst with ciliated metaplasia or nasopalatine cyst.
Final clinical diagnosis
Unable to process the form. Check for errors and try again.