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Clinical and radiologic spectrum of glandular odontogenic cysts: A multicenter study of 92 cases.

Authors :
Nel C
Robinson L
Roza ALOC
Ker-Fox J
Gomes NR
Fonseca FP
Santos-Silva AR
RomaƱach MJ
Vargas PA
van Heerden WF
Source :
Oral surgery, oral medicine, oral pathology and oral radiology [Oral Surg Oral Med Oral Pathol Oral Radiol] 2022 May; Vol. 133 (5), pp. 593-603. Date of Electronic Publication: 2021 Nov 27.
Publication Year :
2022

Abstract

Objective: The purpose of this multicenter retrospective study was to report the clinical and radiologic features of 92 glandular odontogenic cysts (GOCs) diagnosed over a 20-year period.<br />Study Design: Histologically confirmed cases of GOC were retrospectively reviewed from 4 oral pathology laboratories in South Africa and Brazil to categorize the clinical and radiologic spectrum of GOCs.<br />Results: The mean age of patients was 46 years (range 17-87) with a male-to-female ratio of 1.2:1. GOCs had a mandibular predilection (68%), with 42% of all cases located anteriorly. Additionally, 42% of cases crossed the midline. Radiologically, most lesions were unilocular (53%) and uniformly radiolucent (97%), with well-demarcated borders (93%). Cortical expansion (62%), loss of cortical integrity (71%), and maxillary sinus (67%) and nasal cavity encroachment (72%) were common findings. Significant differences in lesions between the 2 countries were discovered in sex predilection, clinical signs and symptoms, and lesion locations within the mandible and maxilla.<br />Conclusion: GOCs present with a wide spectrum of clinical and radiologic features, ranging from cysts with typical GOC-like presentations to more aggressive lesions. The need for advanced imaging in the surgical planning of GOCs exhibiting radiologic signs of aggression is justified based on the high recurrence rate.<br /> (Copyright © 2021 Elsevier Inc. All rights reserved.)

Details

Language :
English
ISSN :
2212-4411
Volume :
133
Issue :
5
Database :
MEDLINE
Journal :
Oral surgery, oral medicine, oral pathology and oral radiology
Publication Type :
Academic Journal
Accession number :
35065903
Full Text :
https://doi.org/10.1016/j.oooo.2021.11.008