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上颌前部腺性牙源性囊肿——1例罕见病例报告

Glandular Odontogenic Cyst of Anterior Maxilla - A Rare Case Report.

作者信息

Arora Geetanjali, Kumar Jitender, Singh Minerva, Kumar Sanjeev

机构信息

Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SGT University, Gurugram, Haryana, India.

出版信息

Ann Maxillofac Surg. 2021 Jul-Dec;11(2):321-324. doi: 10.4103/ams.ams_83_21. Epub 2022 Feb 1.

DOI:10.4103/ams.ams_83_21
PMID:35265507
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8848708/
Abstract

RATIONALE

Glandular odontogenic cyst (GOC) is a rare type of cyst of the jaws, which shares histological features with that of lateral periodontal cyst, botryoid cyst, radicular cyst with mucous metaplasia, or low-grade mucoepidermoid carcinoma, making it difficult to come to a definitive diagnosis. Not many cases of GOC have been reported in the literature.

PATIENT CONCERNS

A 40-year-old male patient presented with pain in the upper right front tooth region. Mild extraoral swelling, obliterating the right nasolabial fold, was present. Tenderness on percussion was present in involved teeth.

DIAGNOSIS

On histopathological examination, GOC was confirmed featuring pseudostratified columnar cells with cilia, goblet cells, and mucous cells.

TREATMENT

Complete enucleation of the cyst was done.

OUTCOMES

No recurrence was noted on 1-year follow-up.

TAKE-AWAY LESSONS: Due to high recurrence rate and aggressive nature of the cyst, it is important to plan proper management and long-term follow-up.

摘要

原理

腺牙源性囊肿(GOC)是一种罕见的颌骨囊肿,其组织学特征与侧方牙周囊肿、葡萄状囊肿、伴有黏液化生的根端囊肿或低级别黏液表皮样癌相似,这使得难以做出明确诊断。文献中报道的GOC病例并不多。

患者情况

一名40岁男性患者右上颌前牙区疼痛。口外轻度肿胀,右鼻唇沟变平。患牙叩诊有压痛。

诊断

组织病理学检查确诊为GOC,其特征为具有纤毛的假复层柱状细胞、杯状细胞和黏液细胞。

治疗

囊肿完整摘除。

结果

1年随访未发现复发。

经验教训

由于该囊肿复发率高且具有侵袭性,因此规划适当的治疗和长期随访很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/45de78d48340/AMS-11-321-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/1f99f7ad622d/AMS-11-321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/2a0481a0fd96/AMS-11-321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/e3f1be8739f1/AMS-11-321-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/734c09a5ead0/AMS-11-321-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/5c080aff799c/AMS-11-321-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/45de78d48340/AMS-11-321-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/1f99f7ad622d/AMS-11-321-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/2a0481a0fd96/AMS-11-321-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/e3f1be8739f1/AMS-11-321-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/734c09a5ead0/AMS-11-321-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/5c080aff799c/AMS-11-321-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7f0d/8848708/45de78d48340/AMS-11-321-g008.jpg

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Glandular odontogenic cyst-Report of a rare case.腺牙源性囊肿——1例罕见病例报告
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Glandular odontogenic cyst: Series of five cases.腺源性牙源性囊肿:5例病例系列
J Oral Maxillofac Pathol. 2017 May-Aug;21(2):239-243. doi: 10.4103/jomfp.JOMFP_167_16.
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Glandular odontogenic cyst: A diagnostic dilemma.腺源性牙源性囊肿:诊断难题。
Indian J Dent. 2016 Jan-Mar;7(1):38-43. doi: 10.4103/0975-962X.179371.
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