Glandular odontogenic cyst
Patient Data
Age: 50
Gender: Female
From the case:
Glandular odontogenic cyst
X-ray
Frontal
43x22 mm mildly expanded multiseptated lucent lesion involving left mandible.
Case Discussion
Radiological differential includes Keratocystic Odontogenic Tumor (Odontogenic Keratocyst) and ameloblastoma.
Histological findings
- fragments of lamellar bone with surrounding osteoclastic activity
- occasional multinucleate giant cells 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
Glandular odontogenic cyst
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