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

Autor: de Arruda JAA; Department of Oral Diagnosis and Pathology, School of Dentistry, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil., Leite VA; Oral and Maxillofacial Surgeon, Private Practice, Fernandópolis, Brazil., de Oliveira LB; Oral and Maxillofacial Surgeon, Private Practice, São José do Rio Preto, Brazil., Louredo BVR; Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, Brazil., Penafort PVM; Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, Brazil., Alves FA; Department of Stomatology, A.C. Camargo Cancer Center, São Paulo, Brazil., Vargas PA; Department of Oral Diagnosis, Piracicaba Dental School, Universidade Estadual de Campinas, Piracicaba, Brazil., Simonato LE; Dental School, Universidade Brasil, Fernandópolis, Brazil., Tomo S; Department of Pathology, School of Dentistry, Universidade de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Gerodontology [Gerodontology] 2024 Sep; Vol. 41 (3), pp. 436-440.
DOI: 10.1111/ger.12741
Abstrakt: Objectives: To document the case of a patient who underwent several endodontic treatments due to a glandular odontogenic cyst misdiagnosed as an inflammatory periapical lesion.
Background: Glandular odontogenic cysts behave more aggressively, while others have an indolent course. There is limited information on this cyst in the gerodontologic literature.
Materials and Methods: A 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.
Results: Histopathological analysis of a biopsy specimen was consistent with glandular odontogenic cyst. The patient underwent marginal mandibulectomy with preservation of the base of the mandible.
Conclusion: A strict diagnostic process is important to avoid unwanted consequences, particularly in the geriatric population.
(© 2024 Gerodontology Association and John Wiley & Sons Ltd.)
Databáze: MEDLINE
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