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Glandular odontogenic cyst: A rare entity.

Monali Shah¹, Hemant Kale¹, Amena Ranginwala¹

¹Department of Oral Pathology and Microbiology, Ahmedabad Dental College and Hospital, Santej, Gujarat, India.

Journal of Oral and Maxillofacial Pathology : JOMFP

|June 25, 2014

Summary

Glandular odontogenic cyst (GOC) is a rare jaw cyst. This case highlights diagnostic challenges and its potential to cross the midline, emphasizing the need for careful histopathological evaluation.

Keywords:

Cilia glandular odontogenic cyst mucous cell sialo-odontogenic cyst

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Area of Science:

Oral and Maxillofacial Pathology
Developmental Odontogenic Cysts

Background:

Glandular odontogenic cyst (GOC) is an uncommon developmental odontogenic cyst, accounting for 0.012–1.3% of jaw cysts.
GOC is exceptionally rare, with only 111 cases reported in English literature.

Observation:

This report details a GOC case in a 40-year-old male, located in the left mandibular region.
The cyst extended across the midline, an unusual presentation for this type of lesion.

Findings:

GOC frequently occurs in the anterior mandible across a wide age range (mean 49.5 years) and shows a tendency for recurrence.
Differential diagnosis is challenging due to overlapping histopathological features with other odontogenic cysts and central low-grade mucoepidermoid carcinoma.

Implications:

Accurate histopathological diagnosis is crucial for appropriate management of GOC.
This case underscores the importance of considering GOC in the differential diagnosis of mandibular cystic lesions, especially those with atypical presentations.