Lin C C, Chen C H, Lai S, Chen Y K, Wan W C, Lu S Y, Hong J M, Lin L M
Department of Oral Pathology, College of Dentistry, Kaohsiung Medical University, Taiwan.
Kaohsiung J Med Sci. 2000 Jan;16(1):53-8.
Glandular odontogenic cyst (GOC) is an extremely rare lesion occurring in the jawbones. Sialo-odontogenic cyst was first described as a multicystic lesion resembling a botryoid odontogenic cyst (BOC) or a central mucoepidermoid carcinoma by Padayachee in 1987. In 1988, Gardner used the term "glandular odontogenic cyst" and considered it as a histologic variant of BOC. Most authors agreed that GOC was odontogenic because of the concurrent ball-like epithelial structure, ameloblastoma, squamous odontogenic tumor-like proliferation in its wall, or hyaline bodies in the epithelium lining. Recently, immunohistochemical studies of the cytokeratin profiles have also supported this concept. Its aggressive behavior and the recurrent tendency make it important. A new case of GOC in a 59-year-old male presented as a multilocular radiolucency in the anterior region of the mandible, invading the marrow space by epithelial islands is described with other clinicopathologic features and the literature is briefly discussed.
腺牙源性囊肿(GOC)是一种发生于颌骨的极为罕见的病变。涎腺牙源性囊肿最初由帕达亚奇于1987年描述为一种多房性病变,类似于葡萄状牙源性囊肿(BOC)或中央型黏液表皮样癌。1988年,加德纳使用了“腺牙源性囊肿”这一术语,并将其视为BOC的一种组织学变异型。大多数作者认为GOC是牙源性的,这是因为其同时存在球状上皮结构、成釉细胞瘤、囊壁内鳞状牙源性肿瘤样增生或衬里上皮中的透明体。最近,细胞角蛋白谱的免疫组织化学研究也支持了这一概念。其侵袭性行为和复发倾向使其具有重要意义。本文描述了一例59岁男性GOC新病例,表现为下颌前部多房性透射影,上皮岛侵犯骨髓腔,并阐述了其他临床病理特征,同时简要讨论了相关文献 。