Noffke C, Raubenheimer E J
Departments of Oral and Maxillofacial Radiology, Faculty of Dentistry, Medical University of Southern Africa, South Africa.
Dentomaxillofac Radiol. 2002 Nov;31(6):333-8. doi: 10.1038/sj.dmfr.4600730.
Nine cases with glandular odontogenic cysts (GOC's) are presented bringing the total number reported in the literature to 54. Our study confirmed that most GOC's occur in the mandible, whereas maxillary lesions present only in the globulo-maxillary region. The radiological features were found to be non-distinctive and presented as well-defined radiolucencies with uni- and multilocular appearances. Most of the mandibular GOC's were unilocular, involved the symphysis region and only one extended into the ramus. All GOC's larger than 6 cm in diameter showed perforated margins radiologically. Our two multilocular GOC's demonstrated microscopic features supporting their infiltrative radiological appearance. The invasive clinical and radiological features of GOC support the notion of a possible histo-pathologic overlap between GOC and low-grade central mucoepidermoid carcinoma of the jaw.
本文报告了9例腺牙源性囊肿（GOC），使文献报道的总数达到54例。我们的研究证实，大多数GOC发生在下颌骨，而上颌病变仅出现在球上颌区域。放射学特征不具特异性，表现为边界清晰的透射影，有单房和多房表现。大多数下颌GOC为单房，累及下颌联合区域，只有1例延伸至下颌支。所有直径大于6 cm的GOC在放射学上均显示边缘穿孔。我们的2例多房GOC在显微镜下表现出支持其浸润性放射学表现的特征。GOC的侵袭性临床和放射学特征支持了GOC与下颌低度中央型黏液表皮样癌之间可能存在组织病理学重叠的观点。
