Abu-Id M H, Kreusch T, Brüschke C
Abteilung für Mund-, Kiefer- und Gesichtschirurgie, Plastische Operationen, Klinikum Nord/Heidberg, Hamburg.
Mund Kiefer Gesichtschir. 2005 May;9(3):188-92. doi: 10.1007/s10006-005-0605-9.
Glandular odontogenic cyst (GOC) is a rare lesion of both, the maxilla and mandible, leading to extensive osteolysis. Histologically, it shows thin layers of squamous and cylindrical cells, lined with mucinous metaplasia. This makes it difficult to differentiate from a mucoepidermoid carcinoma. The recurrence rate is high.
During a routine X-ray examination we saw massive osteolysis of the whole mandible in a 30-year-old female. All teeth were vital. The biopsy taken showed a benign cyst although the clinical aspect was similar to an ameloblastoma. The cyst was removed after intravital fixation with Carnoy's solution. The bony cavity was left without filling material. Uneventful bony healing occurred.
Due to rare occurrence and similarity to botryoid odontogenic cyst and low-grade mucoepidermoid carcinoma GOC is difficult to identify. It remains without clinical signs for years and is identified in routine X-rays in most cases. We recommend cystectomy after use of Carnoy's solution for intravital fixation. No filling material is required for complete bony healing.
腺牙源性囊肿（GOC）是一种在上颌骨和下颌骨均较为罕见的病变，可导致广泛的骨质溶解。在组织学上，它表现为鳞状细胞和柱状细胞的薄层，伴有黏液化生。这使得它难以与黏液表皮样癌相鉴别。其复发率较高。
在一次常规X线检查中，我们在一名30岁女性患者身上发现了整个下颌骨的大面积骨质溶解。所有牙齿均活力正常。尽管临床症状与成釉细胞瘤相似，但活检显示为良性囊肿。在用卡诺伊液进行活体固定后切除了囊肿。骨腔未填充材料。骨愈合过程顺利。
由于GOC发病率低，且与葡萄状牙源性囊肿和低级别黏液表皮样癌相似，因此难以识别。它多年来无临床症状，大多数情况下是在常规X线检查中被发现。我们建议在使用卡诺伊液进行活体固定后行囊肿切除术。完全骨愈合无需填充材料。
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