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Incidentally Detected Odontogenic Keratocyst With Inconclusive Histopathology: A Case Report Emphasizing
Ghaida AlJamal1, Wlla E Al-Hammad1, Saleh N Almohammed2
1Department of Oral Medicine and Oral Surgery, Faculty of Dentistry, Jordan University of Science and Technology, Irbid, 22110, Jordan, just.edu.jo.
Odontogenic keratocysts (OKCs) can be challenging to diagnose. This case shows how combining CBCT scans and clinical information is crucial for managing these aggressive cysts, especially when inflammation obscures pathology.
Area of Science:
- Dentistry
- Oral Pathology
- Radiology
Background:
- Odontogenic keratocysts (OKCs) are aggressive developmental cysts.
- Diagnosis and management of OKCs can be complicated.
- Inflammation can obscure definitive histopathological diagnosis.
Purpose of the Study:
- To highlight the diagnostic challenges of Odontogenic Keratocysts (OKCs).
- To emphasize the importance of clinicoradiologic correlation in suspected OKC cases.
- To underscore the need for systematic review of CBCT scans and multidisciplinary input.
Main Methods:
- A case study of a 61-year-old male patient.
- Utilized Cone Beam Computed Tomography (CBCT) for initial assessment.
- Surgical enucleation followed by histopathological examination.
- Recommended clinicoradiologic correlation and follow-up due to recurrence potential.
Main Results:
- CBCT revealed a pericoronal lesion suggestive of OKC.
- Histopathology was inconclusive due to inflammation.
- The lesion's recurrence potential necessitated follow-up.
Conclusions:
- Systematic review of full CBCT volumes is essential.
- Multidisciplinary correlation is vital when histopathology is inconclusive.
- Early detection and vigilant follow-up are key for managing aggressive odontogenic keratocysts.
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