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Extraosseous Calcifying Odontogenic Cyst Initially Interpreted as a Parulis.
Karla Lizeth Santana-Arenas1, Israel Guardado-Luevanos2, Miguel Padilla-Rosas2
1Pathology Research and Diagnostic Center, Department of Microbiology and Pathology, University Center of Health Sciences, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico.
Case Reports in Dentistry
|January 22, 2024
Summary
Extraosseous calcifying odontogenic cysts (E/PCOC) are rare soft tissue lesions. This case highlights an unusual pediatric E/PCOC presentation and its successful management.
Area of Science:
- Oral pathology
- Odontogenic cysts
- Pediatric dentistry
Background:
- Extraosseous odontogenic cysts are rare and can mimic other soft tissue lesions.
- Diagnosis requires surgical excision and histopathological analysis.
- The extraosseous/peripheral variant of calcifying odontogenic cyst (E/PCOC) presents with varied clinical features.
Observation:
- A pediatric case of E/PCOC in an unusual location is presented.
- The lesion was initially suspected to be of endodontic origin due to a history of dental trauma.
- Clinical presentation varied in size and involvement of adjacent structures.
Findings:
- Histopathological analysis confirmed the diagnosis of E/PCOC.
- The unusual location and initial misdiagnosis underscore diagnostic challenges.
- Successful therapeutic management was achieved.
Implications:
- This case expands the understanding of E/PCOC clinical presentations.
- Highlights the importance of considering rare diagnoses in pediatric dental trauma.
- Contributes to the limited literature on E/PCOC, aiding future clinical recognition.
