
Glandular odontogenic cyst mimicking ameloblastoma in a 78-year-old female: A case report
Author(s) -
ByungDo Lee,
Wan Lee,
Kang Beom Kwon,
Moon-Ki Choi,
Eun Jung Choi,
JungHoon Yoon
Publication year - 2014
Publication title -
imaging science in dentistry
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.515
H-Index - 22
eISSN - 2233-7830
pISSN - 2233-7822
DOI - 10.5624/isd.2014.44.3.249
Subject(s) - lesion , perforation , medicine , ameloblastoma , mandible (arthropod mouthpart) , radiography , radiodensity , anatomy , cyst , pathology , radiology , maxilla , biology , materials science , botany , punching , metallurgy , genus
Glandular odontogenic cyst (GOC) is a rare, potentially aggressive jaw lesion. The common radiographic features include a well-defined radiolucency with distinct borders, presenting a uni- or multilocular appearance. A cystic lesion in the posterior mandible of a 78-year-old female was incidentally found. Radiographs showed a unilocular lesion with a scalloped margin, external root resorption of the adjacent tooth, and cortical perforation. This lesion had changed from a small ovoid shape to a more expanded lesion in a period of four years. The small lesion showed unilocularity with a smooth margin and a well-defined border, but the expanded lesion produced cortical perforation and a lobulated margin. The provisional diagnosis was an ameloblastoma, whereas the histopathological examination revealed a GOC. This was a quite rare case, given that this radiographic change was observed in the posterior mandible of an elderly female. This case showed that a GOC can grow even in people in their seventies, changing from the unilocular form to an expanded, lobulated lesion. Here, we report a case of GOC with characteristic radiographic features.