Magnusson B, Göransson L, Odesjö B, Gröndahl K, Hirsch J M
Department of Oral Pathology, Faculty of Odontology, Göteborg University, Sweden.
Dentomaxillofac Radiol. 1997 Jan;26(1):26-31. doi: 10.1038/sj.dmfr.4600205.
This study describes the clinical, radiographic and histopathological features of seven glandular odontogenic cysts. These cysts comprised 0.012% of 5800 jaw cysts diagnosed in a 19-year period. There was strong predilection for the mandible (five of the seven cases). Both clinical and radiographic features were nonspecific. The main histological findings were a nonkeratinized, stratified squamous epithelium lining to the cyst cavity which varied in thickness with superficial eosinophilic cuboidal cells and mucous pools within the spinous cell layer. Daughter cysts were found in the wall of 2 cysts. At surgery, most walls were found to be thin and lumen to contain a serous, low viscosity exudate. Because of the high rate of recurrence found in three cases out of the seven after conservative surgical treatment, careful clinical and radiographic follow-up is recommended.
本研究描述了7例腺牙源性囊肿的临床、影像学和组织病理学特征。在19年期间诊断的5800例颌骨囊肿中，这些囊肿占0.012%。下颌骨有明显的偏好（7例中有5例）。临床和影像学特征均无特异性。主要组织学表现为囊肿腔内衬非角化复层鳞状上皮，厚度不一，表面有嗜酸性立方细胞，棘细胞层内有黏液池。2例囊肿壁内发现子囊。手术时，发现大多数囊壁薄，腔内含有浆液性、低粘度渗出物。由于7例中有3例在保守手术治疗后复发率高，建议进行仔细的临床和影像学随访。
