Glandular odontogenic cyst: Report of a case with cytokeratin expression

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Abstract

The glandular odontogenic cyst is a rare lesion that was recognized as a distinct entity in the latest WHO typing of odontogenic tumors. We report a glandular odontogenic cyst that recurred after surgical removal from the anterior mandible of a 54-year-old white man. Immunohistochemical study showed that the cystic epithelium reacted positively to antibodies directed against cytokeratins (CKs) 7, 13, 14, and 19 and negatively to CKs 8 and 18.

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    2010, Journal of Oral and Maxillofacial Surgery
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    According to WHO, GOC is defined as “a cyst arising in the tooth-bearing areas of the jaws and characterized by an epithelial lining with cuboidal or columnar cells, both at the surface and lining, with crypts or cyst-like spaces within the thickness of the epithelium.”20 GOC occurs over a wide age range, with a mean age of 49 years, and there is a slight predilection for men.12,18,19,21-23 The most common clinical presentation is the presence of an asymptomatic slow-growing swelling in the face,9,12,21,22 often observed at the anterior mandible,9,12,13,18,19,21,23,24 as was found in the present case.

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    Padayachee and Van Wyk1 initially reported it as a sialodontogenic cyst in 1987, but the World Health Organization (WHO) renamed it 5 years later for lack of evidence of a salivary gland origin.2 A total of 67 cases have been reported in the English-language literature to date.1–38 It is clear from reports that GOC is a lesion with relatively high rate of recurrence.4

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a

Associate Professor, Department of Oral Pathology.

b

Postgraduate student, Department of Oral Radiology.

c

Postgraduate student, Department of Oral Pathology.

d

Professor and Chairman, Department of Oral Pathology.

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