Glandular odontogenic cyst goc is an unusual entity of jaws, which shows features that overlap with botryoid odontogenic cyst and mucoepidermoid tumor. The glandular odontogenic cyst goc, though rare, has now become a well known entity. It clinically presents as a slowgrowing intraosseous lesion. Similar to the conventional lateral periodontal cyst, the boc exhibits a predilection for the mandibular canine and first premolar region. The botryoid odontogenic cyst is a rare type of odontogenic developmental cyst that accounts for less than 1% of all odontogenic cysts. A 42yearold male patient with botryoid odontogenic cyst boc was treated by surgical removal. Article info abstract botryoid odontogenic cysts boc is an unusual multi cystic variant of the lateral periodontal cyst. In the clinical and radiographic followup of 6 months, the patient is free of diseases. Differential diagnosis of radiolucent lesions of the jaws. Such variants have distinctive clinical and histologic characteristics, including a lobular appearance in situ, multiple cystic spaces lined by thin, nonkeratinized epithelium with.
Pdf botryoid odontogenic cyst boc is considered to be a polycystic. Orthopantamogram revealed a multilocular radiolucency extending from 43 to 47. Pdf the lateral periodontal cyst, as the name implies, occurs on a lateral. It is more often found in middleaged and older adults, and the teeth more likely affected are mandibular lower canines and premolars. Botryoid odontogenic cyst philippine journal of otolaryngology.
Case report open access clinical and histologic features of. Odontogenic cyst are a group of jaw cysts that are formed from tissues involved in odontogenesis tooth development. Three previously unreported cases of botryoid odontogenic cyst, one of which recurred 9 years after initial surgical removal, are presented. Microscopically, the lesion is similar to the lateral periodontal cyst but exhibits some differences. Mar 01, 2017 the botryoid odontogenic cyst is the multilocular variant of the lpc and the loculations are lined by thick and thin nonkeratinized epithelial lumina. Marsupialization before enucleation as a treatment strategy for a. Lateral periodontal cyst lpc is a rare developmental odontogenic cyst. Botryoid odontogenic cyst boc is considered as a variant of the lpc, with different radiographic features and higher risk of recurrence 315. The radiographic appearance of goc varies and is not pathognomonic. We report a case of boc in a 29yearold male patient. Case report open access clinical and histologic features. Download atlas of oral diseases a guide for daily practice pdf for free.
The treatment was enucleating followed by immediate autogenous bone graft. The high attenuation was considered to be due to highly concentrated protein of thick, viscous keratin in the lumen of the keratocyst. Those that arise from odontogenic epithelium are called odontogenic, those that have their source in other epithelial structures are known as non odontogenic. The challenging diagnosis of primordial odontogenic tumor. Botryoid odontogenic cyst boc is considered a rare multilocular variant of the lateral periodontal cyst, usually involves the mandibular premolarcanine area, followed by the anterior region of the maxilla.
It occurs most commonly in middleaged men, especially in the anterior mandible. In the 20 years since it was first described, 111 cases have been reported, an incidence of 0. It is an extremely rare condition that may appear at all ages but usually in individuals of over fifty years and it may present as a lateral periodontal cyst but most often in a multilocular fashion. Remarkably free of symptoms until the cyst have reached. Anuradha a1, urmila u2, vijay srinivas g3, sabitha deviramisetty4, puneeth hk5 1 professor, department of. The management of aggressive cysts of the jaws europe. Several methods of treatment of goc including curettage, enucleation, and en bloc excision have been used. Glandular odontogenic cyst has an uncertain histogenesis and was recently listed.
Odontogenic cysts mouth dentistry branches free 30. Odontogenic cyst and non odontogenic cyst free download as powerpoint presentation. Glandular odontogenic cyst of maxilla journal of clinical. Clinically, the most common site of occurrence is the mandible. Fewer than 40 of these lesions have been described, many of which have recurred. Odontogenic cysts mouth dentistry branches free 30day. Dentistry 204 oral pathology 53 cysts of the oral region odontogenic cysts definition of a cyst a pathological cavity lined by epithelium and filled with a fluid, or a semisolid material. Pdf botryoid odontogenic cyst developing from lateral. Gingival cyst of the adult, lateral periodontal cyst, and. Pot occurs in young patients and typically is associated with an unerupted tooth, with the mandible being the main anatomic site of occurrence. This procedure reduces the internal hydrostatic pressure, allowing free. We report a case of boc in a 21yearold male patient. Botryoid odontogenic cyst with extensive clear cells. Atlas of oral diseases a guide for daily practice was published by sureshkumars on 20170717.
Glandular odontogenic cyst goc, an unusual multilocular cystic lesion of jaws exhibiting the features of both botryoid odontogenic cyst and mucoepidermoid tumor has been reported recently as a new entity with uncertain histogenesis. This is a relatively new entity in that a proper description was published by weathers and waldron but case series appeared only in the 1990s and later. Odontogenic cysts and tumors are mandibular and maxillary lesions that occur across all patient demographics across age, sex, race, and social economic status, as altered remnants of dental development. It was first described in 1973, and up to the present less than a hundred. Pdf clinical and histologic features of botryoid odontogenic cyst. In 1987, padayachee and van wyk 1 first reported two cases that shared the features of both botryoid odontogenic cysts and central mucoepidermoid tumors and suggested that the term sialo odontogenic cyst be adopted for such lesions to avoid confusion and mismanagement. Glandular odontogenic cyst goc is a rare odontogenic cyst of the jaw bones, accounting for 0. In this study, a series of 10 cases of botryoid odontogenic cysts retrieved from. In this paper we describe the clinical and pathological features of an unusual case of a glandular odontogenic cyst with metaplastic cartilage. Botryoid odontogenic cyst boc is considered as an unusual multilocular variant of lateral periodontal cyst. Odontogenic and non odontogenic developmental cysts zebopochodne i niezebopochodne torbiele rozwojowe dentigerous cyst, dc torbiel zawiazkowa odontogenic keratocyst, okc zebopochodna torbiel rogowaciejaca lateral periodontal cyst lpc and botryoid odontogenic cyst boc torbiel przyzebna boczna i zebopochodna torbiel groniasta. Scribd is the worlds largest social reading and publishing site. Find more similar flip pdfs like atlas of oral diseases a guide for daily practice. Ameloblastoma are described as the most frequently diagnosed odontogenic tumor 11 and often arise with clinical and radiographic features reminiscent of odontogenic cysts, including dentigerous cyst 12.
Lateral periodontal cyst c botryoid odontogenic cyst gingival cysts c gingival cysts of adults c gingival of infants alveolar cyst glandular odontogenic cyst calcifying odontogenic cyst orthokeratinised odontogenic cyst table 1 figure 1 radicular cyst at the apex of a dead tooth with necrotic pulp. Mar 21, 2017 botryoid odontogenic cyst it is a variant of lateral odontogenic cyst, but that the term botryoid odontogenic cyst should be retained because of the tendency of this variant to recur if inadequately removed. Padayachee and van wyk presented multilocular cystic lesions that were similar to botryoid odontogenic cysts but with a glandular ingredient and suggested the name sialo odontogenic cyst. T he botryoid odontogenic cyst is considered to be a multiloculated variant of the lateral periodontal cyst. The botryoid odontogenic cyst has a predilection for occurrence in the mandibular caninepremolar region and in persons over the age of 50 years. Gocs should be distinguished from lateral periodontal cyst lpc, botryoid odontogenic cyst boc, and central mucoepidermoid carcinoma as they exhibit considerable overlapping of histological features. Aug 01, 2011 botryoid odontogenic cyst is a rare multilocular variant of lateral periodontal cysts. Abstract the botryoid odontogenic cyst is considered a rare multilocular variant of the lateral periodontal cyst. The botryoid odontogenic cyst is considered to be a multiloculated variant of the lateral periodontal cyst. Such variants have distinctive clinical and histologic characteristics, including a lobular appearance in situ, multiple cystic spaces. Glandular odontogenic cyst presenting as a dentigerous cyst. Jcdr ameloblastoma, botryoid odontogenic cyst boc, cd56.
The patient was a 59 yearold female with two fluctuant swellings covered by semilucent mucosa on the attached gingiva between the maxillary and mandibular right canine and first premolar teeth, respectively. These cysts show variable features and some lie on a cyst tumour interface, making classification and diagnosis difficult. Odontogenic cysts are closed sacs, and have a distinct membrane derived from rests of odontogenic epithelium. Botryoid odontogenic cyst boc is a developmental, noninflammatory. Intrabony cysts are most common in the jaws, because the mandible and maxilla are the only bones with epithelial. Botryoid odontogenic cyst versus glandular odontogenic cyst. This cystic lesion site is in the periodontal space of vital teeth. It does not differ from the other jaw bone cysts in the typical radiological projections and that is why the diagnosis of the dentigerous cyst, odontogenic cyst, radicular and the keratocyst is made on the basis of the radiographical examination and in the case of the multilocular cyst, the. Synchronous occurrence of two lateral periodontal cysts in. Santos pp, freitas vs, freitas rde a, pinto lp, souza lb 2011 botryoid odontogenic cyst. Goc is a rare lesion with a frequency rate of only 0. Three previously unreported cases of botryoid odontogenic cyst, one of which.
Periodic radiographic postoperative evaluations are recommended for these lesions, since the possibility of recurrence. Conservative management of botryoid odontogenic cysts using. A botryoid odontogenic cyst is considered to be a rare multilocular variant of a. The 1992 world health organization who classification of odontogenic cysts is widely recognized and categorizes them as developmental or inflammatory in nature. Aug 10, 2011 cysts of the jaws are classified into several categories depending on histogenesis and aetiology. Glandular odontogenic cyst associated with ameloblastoma. Check pages 151 198 of atlas of oral diseases a guide for daily practice in the flip pdf version. Mcqs on odontogenic cysts and tumors oral pathology.
An expansile lesion in the body of the left mandible had high attenuation 225 hu on nonenhanced ct scans. The world health organization named goc as an independent pathologic entity and classified it as a developmental odontogenic epithelial cyst. Cysts that derive their epithelium from tissues involved in tooth formation are classed odontogenic and can be inflammatory or developmental in origin. Free access to our ejournal including all medical and dental specialities. Periapical radiographs revealed at the respective sites between the roots of the canine and first. The glandular odontogenic cyst goc was first described by gardner in 1988 and recognized as a distinct entity by the world health organization in 1992. Botryoid odontogenic cyst boc is considered to be a polycystic variant. Glandular odontogenic cyst of the anterior maxilla in a. Botryoid odontogenic cysts boc is a multicystic variant of the lateral periodontal cyst, a developmental cyst believed to arise from remnants of the dental lamina. Calcifying odontogenic cyst coc is a nonaggressive odontogenic cyst, however, in a. W two cystic lesions with features of both botryoid odontogenic cyst and the central mucoepidermoid tumour. Update of the who classification of odontogenic and.
They may be incidental findings from routine imaging in any office or found through workup for craniofacial surgery or injury. An odontogenic cyst is a pathological, epitheliallined cavity containing fluid or semifluid which arises from the epithelial remnants of tooth formation. The botryoid odontogenic cyst is a morphologic variant of developmental cysts of odontogenic epithelial residue, i. Oct 26, 2020 glandular odontogenic cysts are rare odontogenic cysts with a wide range of histopathological features. Known for its aggressive behavior and nonspecific clinical features, it may mimic other clinicopathological lesions such as botryoid odontogenic cyst and central mucoepidermoid tumor making the diagnosis challenging. This paper reports a case of glandular odontogenic cyst goc in a 12yearold male patient. The clinical and histopathological features of two cases of botryoid odontogenic cyst are reported. Botryoid odontogenic cyst boc originally described by weathers and waldron 1973 is a variant of a lateral periodontal cyst characterized by macroscopic and microscopic multilocular growth pattern. Wikiproject dentistry rated stubclass, lowimportance this article is supported by. Often patients with this condition are symptomatic. Glandular odontogenic cyst has an uncertain histogenesis and was recently listed by the world health organization as a developmental odontogenic epithelial cyst. The goc is included in the who histologic typing of odontogenic tumors under the terms goc or sialo odontogenic cyst. Download fulltext pdf download fulltext pdf read full. Glandular odontogenic cyst with metaplastic cartilage.
Primordial odontogenic tumor pot is a benign mixed odontogenic tumor comprised of a loose connective tissue with a similar morphology with dental papilla and exhibiting in its periphery the presence of a columnar epithelium. Histologic examination revealed an odontogenic keratocyst with no evidence of mineralization or calcification within the lesion. Dentgerous cyst the most common developmental cyst usually 3 rd molarthe only cyst that can develop into an ameloblastoma rushton bodies 5. Botryoid odontogenic cyst is a variant of the lateral periodontal cyst. This fourth edition reflects advances in immunohistochemistry, molecular biology and human genetics, which have contributed to the understanding of the etiology, pathogenesis, pathology. It usually presents as a slowgrowing, asymptomatic swelling generally affecting the anterior parts of jaws, particularly the mandible. D another focus of the lining epithelium and adjacent epithelial islands with intraepithelial iron positive pigments. Unusual ct appearance in an odontogenic keratocyst of the. A case report of glandular odontogenic cyst of mandible. Definition a cyst originating in tissue that forms teeth, derived from epithelium, usually containing fluid or semisolid material, that develops during various stages of odontogenesis and is nearly always enclosed within bone types of odontogenic cyst 1 inflammatory a periapical cyst b paradental cyst 2 developmental a dentigerous follicular cyst b calcifying. The first reported case of a multilocular cystic lesion of the jaws resembled a cluster of grapes and called botryoid odontogenic cyst was made by weathers and waldron in 1973 5.
Botryoid odontogenic cyst variant of the lateral periodontal cyst mandiblemaxilla anterior to premolars nonaggressive behavior, yet may recur after curettage thin lining with focal clear cell acanthomatous nodules. Mcqs on odontogenic cysts and tumors oral pathology mcqs. Odontogenic cysts free download as powerpoint presentation. When polycystic, known as botryoid odontogenic cyst.
Odontogenic cyst and non odontogenic cyst epithelium anatomy. Botryoid odontogenic cyst oral surgery, oral medicine, oral. Glandular odontogenic cyst goc is a rare developmental cystic lesion of the jaws accounting for 0. Case report of a rare glandular odontogenic cyst in a. Glandular odontogenic cysts gocs are rare intrabony solitary or multiloculated cysts of odontogenic origin. Botryoid odontogenic cyst is a rare multilocular variant of lateral periodontal cysts.
The glandular odontogenic cyst goc is an uncommon cyst of the jaws, locally aggressive and with recurring potential 1 kramer irh, pindborg jj, shear m, eds. Aug 23, 2015 a variety of cysts frequently present in the jaws. Padayachee and van wyk in 1987 described a cyst with histological features similar to the botryoid odontogenic cyst and a mucoepidermoid tumor and termed it sialo odontogenic cyst. The botryoid odontogenic cyst boc is a developmental cyst of odontogenic epithelial origin considered as a rare multilocular variety of lateral periodontal cyst who 1992. For the free flaps examined in this work, no intraoperative complications were noted. Among the odontogenic cysts, developmental and inf lammatory types can be distinguished.
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