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Posterior mandibular glandular cyst: A rare case report
Nabil Kochaji1, Sulieman Alhessani1, Sami Ibrahim2
1Oral Histology & Pathology Department, Damascus University, Damascus, Syria.
International Journal of Surgery Case Reports
|April 14, 2023
Summary
Odontogenic glandular cyst (GOC) is a rare jaw cyst that is difficult to diagnose. Early histological examination and surgical resection are crucial for accurate diagnosis and treatment of this uncommon condition.
Area of Science:
- Oral and Maxillofacial Surgery
- Pathology
- Dentistry
Background:
- Odontogenic glandular cyst (GOC) is an uncommon jaw cyst with overlapping clinical and histopathological features with other odontogenic lesions.
- Diagnosis is challenging without histological examination, and it typically affects the anterior mandible asymptomatically.
- High recurrence rates necessitate surgical resection as the primary treatment modality.
Observation:
- A 33-year-old female presented with numbness and swelling, diagnosed with GOC.
- The patient had no significant medical history or genetic predispositions.
- Treatment involved surgical resection followed by plate-and-screw reconstruction.
Findings:
- Definitive diagnosis of GOC relies on histological examination due to diagnostic challenges with clinical and radiographic imaging alone.
- Surgical resection with safety margins is the recommended treatment for GOC.
- The rarity of GOC is highlighted by fewer than 200 documented cases globally.
Implications:
- Increased reporting of rare entities like GOC is essential for improving diagnostic accuracy and timeliness.
- Awareness of GOC's unique characteristics is vital for oral and maxillofacial surgeons.
- Further research may elucidate optimal management strategies for GOC to minimize recurrence.

