Batra Mahek, Mohod Swapnil, Sawarbandhe Prem A, Dadgal Komal V
Department of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 3;16(7):e63722. doi: 10.7759/cureus.63722. eCollection 2024 Jul.
Odontogenic keratocyst (OKC), a type of epithelial developmental cyst, is frequently found in the jaw region. It has invasive characteristics such as satellite cysts, rapid progression, and tissue expansion. The OKC often favors the mandibular angle and ascending ramus. OKC symptoms include pain, swelling, displacement or malpositioning of adjacent teeth, and erosion or thinning of the limited or no bucco-lingual cortical expansion. There is radiographic evidence of a distinct, often scalloped, radiolucent lesion with a characteristic "soap bubble" or "honeycomb" appearance. This article reports a female patient, aged 40 years, with the main concern of unilateral pain and swelling of the mandibular left side and the provisional diagnosis of ameloblastoma. After histopathological examination, the final diagnosis of the patient was OKC. This article also includes previously published literature on OKC with differential diagnosis and relevant clinical and radiologic findings of the case.
牙源性角化囊肿(OKC)是一种上皮发育性囊肿,常见于颌骨区域。它具有卫星囊肿、快速进展和组织扩张等侵袭性特征。OKC常好发于下颌角和升支。OKC的症状包括疼痛、肿胀、相邻牙齿移位或错位,以及有限或无颊舌侧皮质扩张的侵蚀或变薄。影像学证据显示有一个明显的、通常呈扇贝状的透射性病变,具有特征性的“肥皂泡”或“蜂窝”外观。本文报道了一名40岁女性患者,主要表现为左侧下颌单侧疼痛和肿胀,初步诊断为成釉细胞瘤。经组织病理学检查,患者最终诊断为OKC。本文还包括先前发表的关于OKC的文献,以及该病例的鉴别诊断和相关临床及影像学表现。