Botryoid odontogenic cyst: a diagnostic chaos

Area of Science:

• Dentistry
• Oral Pathology
• Histopathology

Background:

• Botryoid Odontogenic Cyst (BOC) is a rare multilocular variant of the lateral periodontal cyst.
• Understanding BOC's distinct histological features is crucial for accurate diagnosis.

Observation:

• A case of BOC is presented in a 21-year-old male with a multilocular radiolucency on orthopantomogram.
• Histological examination revealed a non-keratinized epithelium with plaque-like thickenings and mural bulges.
• Epithelial follicles with specific cellular characteristics were noted in the excisional biopsy.

Findings:

• The histological features, including unusual epithelial follicles, were suggestive of BOC.
• CD56 and calretinin immunohistochemical staining provided further diagnostic characteristics.
• The study emphasizes the differential diagnosis and IHC profile of BOC.

Implications:

• This report contributes to the understanding of BOC's diverse histological presentations.
• Accurate diagnosis of BOC is essential for appropriate clinical management.
• Immunohistochemistry aids in differentiating BOC from other cystic lesions.