Glandular odontogenic cyst misdiagnosed and treated as a periapical inflammatory lesion for 6 years in an older adult-Reference-Cited by-同舟云学术

Glandular odontogenic cyst misdiagnosed and treated as a periapical inflammatory lesion for 6 years in an older adult

Published:2024-08-27 Issue:3 Volume:41 Page:436-440
ISSN:0734-0664
Container-title:Gerodontology
language:en
Short-container-title:Gerodontology

Author:

de Arruda José Alcides Almeida¹^ORCID,Leite Vitor Augusto²,de Oliveira Leandro Benetti³,Louredo Brendo Vinicius Rodrigues⁴^ORCID,Penafort Paulo Victor Mendes⁴^ORCID,Alves Fábio Abreu⁵^ORCID,Vargas Pablo Agustin⁴^ORCID,Simonato Luciana Estevam⁶^ORCID,Tomo Saygo⁷^ORCID

Affiliation:

1. Department of Oral Diagnosis and Pathology, School of Dentistry Universidade Federal do Rio de Janeiro Rio de Janeiro Brazil

2. Oral and Maxillofacial Surgeon, Private Practice Fernandópolis Brazil

3. Oral and Maxillofacial Surgeon, Private Practice São José do Rio Preto Brazil

4. Department of Oral Diagnosis, Piracicaba Dental School Universidade Estadual de Campinas Piracicaba Brazil

5. Department of Stomatology A.C. Camargo Cancer Center São Paulo Brazil

6. Dental School Universidade Brasil Fernandópolis Brazil

7. Department of Pathology, School of Dentistry Universidade de São Paulo São Paulo Brazil

Abstract

ObjectivesTo document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion.BackgroundGlandular odontogenic cysts behave more aggressively, while others have an indolent course. There is limited information on this cyst in the gerodontologic literature.Materials and MethodsA 76‐year‐old male patient presented with an asymptomatic expansive lesion in the anterior mandible resistant to several endodontic treatments. Cone‐beam computed tomography revealed a multilocular osteolytic lesion measuring 6.0 × 4.0 cm, with cortical bone perforation.ResultsHistopathological analysis of a biopsy specimen was consistent with glandular odontogenic cyst. The patient underwent marginal mandibulectomy with preservation of the base of the mandible.ConclusionA strict diagnostic process is important to avoid unwanted consequences, particularly in the geriatric population.

Publisher

Wiley

Link

https://onlinelibrary.wiley.com/doi/pdf/10.1111/ger.12741

Reference10 articles.

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2. A Retrospective Brazilian Multicenter Study of Biopsies at the Periapical Area: Identification of Cases of Nonendodontic Periapical Lesions

3. Glandular odontogenic cyst: An updated analysis of 169 cases reported in the literature

4. Central mucoepidermoid carcinoma: An up-to-date analysis of 147 cases and review of prognostic factors