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Radiological features of glandular odontogenic cyst.
1Department of Oral & Maxillofacial Surgery, Rabin Medical Center, Petah Tikva, Sackler Faculty of Medicine, Tel Aviv University, Israel.
Dento Maxillo Facial Radiology
|May 31, 2003
Summary
Glandular odontogenic cyst (GOC) can exhibit aggressive behavior, causing expansion and perforation. Radiographic analysis of GOC cases highlights key features for diagnosis and management.
Area of Science:
- Oral and Maxillofacial Pathology
- Dental Radiology
- Head and Neck Imaging
Background:
- Glandular odontogenic cyst (GOC) is a rare developmental odontogenic cyst.
- Understanding its radiological presentation is crucial for early diagnosis.
Observation:
- This study presents five new cases of GOC and reviews 51 literature cases.
- Analysis focused on radiographic and CT features at presentation.
- Patient age ranged from 14-90 years, with a predilection for the mandible (80%).
Findings:
- Radiographically, GOC lesions were often well-defined (94.5%), appearing unilocular (52%) or multilocular (48%).
- Cortical plate perforation (50%) and root resorption (22%) were observed.
- Tooth displacement occurred in 24.4% of cases.
Implications:
- GOC demonstrates potentially aggressive behavior, including expansion and perforation.
- Recommended imaging includes multiple plane radiographs, with CT for large or complex lesions.
- Accurate radiological assessment aids in surgical planning and patient management.