Cousin Timothée, Bobek Samuel, Oda Dolphine
DDS candidate. University of Washington School of Dentistry, Seattle WA USA.
MD, DMD. Swedish Hospital Maxillofacial Surgery, Seattle WA USA.
J Clin Exp Dent. 2017 Jun 1;9(6):e832-e836. doi: 10.4317/jced.53775. eCollection 2017 Jun.
Glandular odontogenic cyst (GOC) associated with ameloblastoma is an exceedingly rare histologic presentation with no known clinical significance or treatment applications. Four cases have been reported, three in the mandible and one in the maxilla. The age range is 14-65 and with male predilection. All four presented with swellings and two with pain. We add one more case to the literature of a 58-year old male presenting with an expansile multilocular radiolucency between teeth #19-23. The ameloblastomatous changes in this case are consistent with those of a unicystic ameloblastoma-mural subtype. Although the histologic changes are those of a unicystic ameloblastoma, the clinical and radiographic findings are not. This case therefore presents a clinical challenge with regards to treatment planning for recurrence and prognosis. We conclude that treatment for GOC therefore be based on individual clinical presentation. Glandular odontogenic cyst, GOC, ameloblastoma, unicystic ameloblastoma, mural unicystic ameloblastoma.
与成釉细胞瘤相关的腺牙源性囊肿（GOC）是一种极为罕见的组织学表现，目前尚无已知的临床意义或治疗应用。已报道4例，其中3例位于下颌骨，1例位于上颌骨。年龄范围为14至65岁，男性居多。所有4例均表现为肿胀，2例伴有疼痛。我们在此文献中增加1例58岁男性病例，其在19至23号牙之间出现膨胀性多房性透射区。该病例中的成釉细胞瘤样改变与单囊性成釉细胞瘤-壁内型一致。尽管组织学改变为单囊性成釉细胞瘤，但临床和影像学表现并非如此。因此，该病例在复发治疗计划和预后方面提出了临床挑战。我们得出结论：GOC的治疗应基于个体临床表现。腺牙源性囊肿、GOC、成釉细胞瘤、单囊性成釉细胞瘤、壁内单囊性成釉细胞瘤
