Boukssim Sara, Soualem Hajar, Chami Bassima
Odontology Department, Mohammed V Military Training Hospital Mohammed V University in Rabat, Rabat, MAR.
Cureus. 2025 Jul 2;17(7):e87166. doi: 10.7759/cureus.87166. eCollection 2025 Jul.
Simple bone cysts (SBCs) are rare benign intraosseous lesions typically discovered incidentally during radiographic examinations. This report presents two cases of mandibular SBCs in young North African males. The first case involved a 15-year-old with an asymptomatic radiolucent lesion between teeth 44 and 45, incidentally found after dental trauma. The second case concerned a 22-year-old with a swelling and a separate asymptomatic radiolucent lesion extending from tooth 34 to 38. In both cases, imaging revealed well-defined unilocular lesions with scalloped borders and no cortical expansion. Surgical exploration uncovered empty bone cavities containing minimal serosanguinous fluid. Histopathological analysis confirmed the diagnosis of SBCs by identifying fibrous connective tissue lacking epithelial lining. Both patients underwent successful surgical curettage. These cases underscore the importance of radiographic, clinical, and histological correlation in diagnosing SBCs and highlight surgical exploration as both diagnostic and therapeutic. Accurate recognition is essential to avoid unnecessary aggressive treatment.
单纯性骨囊肿（SBCs）是罕见的良性骨内病变，通常在影像学检查时偶然发现。本报告介绍了两例年轻北非男性下颌骨SBCs病例。第一例患者为15岁男性，在44和45牙之间有一个无症状的透射性病变，在牙齿外伤后偶然发现。第二例患者为22岁男性，有肿胀，并且有一个单独的无症状透射性病变，从34牙延伸至38牙。在这两个病例中，影像学显示边界清晰的单房性病变，边界呈扇贝状，无皮质扩张。手术探查发现为空的骨腔，内含少量血清样液体。组织病理学分析通过识别缺乏上皮衬里的纤维结缔组织确诊为SBCs。两名患者均接受了成功的手术刮除术。这些病例强调了影像学、临床和组织学相关性在诊断SBCs中的重要性，并突出了手术探查在诊断和治疗方面的作用。准确识别对于避免不必要的积极治疗至关重要。
