Boffano Paolo, Cassarino Emanuele, Zavattero Emanuele, Campisi Paola, Garzino-Demo Paolo
Division of Maxillofacial Surgery, Head and Neck Department, San Giovanni Battista Hospital, Turin, Italy.
J Craniofac Surg. 2010 May;21(3):776-80. doi: 10.1097/SCS.0b013e3181d7a3e6.
Glandular odontogenic cyst (GOC) is an unusual entity of jaws, which shows features that overlap with botryoid odontogenic cyst and mucoepidermoid tumor. Glandular odontogenic cyst has an uncertain histogenesis and was recently listed by the World Health Organization as a developmental odontogenic epithelial cyst: it is characterized by an epithelial lining with cuboidal or columnar cells, both at the surface and lining, with crypts or cystlike spaces within the thickness of the epithelium. The radiographic appearance of GOC varies and is not pathognomonic. Several methods of treatment of GOC including curettage, enucleation, and en bloc excision have been used. The recurrence rate of GOC described in literature varies between 21% and 55% according to the different treatment options. We report 2 patients with GOC, describe their clinicopathologic aspects, and discuss the treatment modalities in relation to 2 different clinical situations.
腺源性牙源性囊肿(GOC)是颌骨的一种罕见病变,其表现出与葡萄状牙源性囊肿和黏液表皮样瘤重叠的特征。腺源性牙源性囊肿的组织发生尚不明确,最近被世界卫生组织列为发育性牙源性上皮囊肿:其特征是上皮衬里由立方状或柱状细胞组成,表面和衬里均如此,上皮厚度内有隐窝或囊样间隙。GOC的影像学表现各异,并无特异性。治疗GOC的方法有多种,包括刮治术、摘除术和整块切除术。根据不同的治疗选择,文献中报道的GOC复发率在21%至55%之间。我们报告2例GOC患者,描述其临床病理特征,并针对2种不同临床情况讨论治疗方式。