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Odontogenic Keratocyst with Diverse Variations: A Rare Case Report
Aishwarya Umesh Lohokare1, Shams Ul Nisa1, Amit Mhapuskar1
1Department of Oral Medicine and Radiology, Bharati Vidyapeeth (Deemed to be University) Dental College and Hospital, Pune, Maharashtra, India.
Annals of Maxillofacial Surgery
|October 6, 2022
Summary
This case report details a rare mixed odontogenic cyst diagnosis. Surgical removal led to successful outcomes with no recurrence after one year.
Area of Science:
- Oral pathology
- Odontogenic cysts
- Histopathology
Background:
- Odontogenic keratocyst (OKC) exhibits intrinsic growth potential and can display metaplastic changes.
- Unusual histopathological variations in OKC include mucous cells, ciliated cells, and hyaline bodies.
Observation:
- A 34-year-old male presented with facial swelling and skin numbness.
- Clinical symptoms indicated a lesion in the lower right mandible.
Findings:
- Histopathological examination confirmed a diagnosis of glandular odontogenic cyst with OKC features.
- The cyst showed basal layer palisading squamous epithelium with goblet cells and entrapped satellite cysts.
Implications:
- This case highlights the diverse presentations of odontogenic cysts.
- Effective treatment and long-term follow-up are crucial due to the aggressive nature and recurrence potential of these lesions.
