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累及上颌窦的右侧上颌后牙区无症状腺性牙源性囊肿:病例报告及文献复习

Asymptomatic Glandular Odontogenic Cyst of the Right Posterior Maxilla Involving the Maxillary Sinus: Case Report With Literature Review.

作者信息

Albodbaij Mohammed H, Alkarri Bander Y, Alameer Israa A

机构信息

Oral and Maxillofacial Surgery, King Fahad Hospital, Ministry of Health, Hofuf, SAU.

Dentistry, Primary Health Care Corporation, Hofuf, SAU.

出版信息

Cureus. 2025 Jul 14;17(7):e87924. doi: 10.7759/cureus.87924. eCollection 2025 Jul.

Abstract

Glandular odontogenic cyst (GOC) is a rare jaw cyst with potential for recurrence and aggressive behaviour. We present a case of a 41-year-old male patient with an incidentally discovered, asymptomatic unilocular radiolucency in the right posterior maxilla extending into the maxillary sinus, along with a focused literature review on GOC cases involving the maxillary sinus. Initial radiographic diagnosis suggested an odontogenic keratocyst (OKC). The lesion was surgically enucleated via Caldwell-Luc approach, and histopathology confirmed GOC characterized by mucous cells, epithelial plaques, and pseudostratified columnar epithelium resembling respiratory type. The postoperative course was uneventful, with satisfactory osseous healing at six months. This case underscores the need to consider GOC in differential diagnoses of sinus-involved maxillary lesions. Imaging and histology are critical for diagnosis, and long-term follow-up is advised.

摘要

腺牙源性囊肿(GOC)是一种罕见的颌骨囊肿,具有复发和侵袭性行为的可能性。我们报告一例41岁男性患者,其右侧上颌后牙区偶然发现一个无症状的单房性透射区,延伸至上颌窦,并对涉及上颌窦的GOC病例进行了重点文献综述。最初的影像学诊断提示为牙源性角化囊肿(OKC)。通过Caldwell-Luc入路手术摘除病变,组织病理学证实为GOC,其特征为黏液细胞、上皮斑和类似呼吸型的假复层柱状上皮。术后过程顺利,六个月时骨愈合良好。该病例强调在涉及上颌窦的上颌病变鉴别诊断中需要考虑GOC。影像学和组织学对诊断至关重要,建议进行长期随访。

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