A diagnostic pitfall in anterior maxillary radiolucency: A case report
AbstractWell-defined radiolucencies in the anterior region of the upper jaw, are often considered as anatomic structures or pathologic lesions. The most common anatomic structure in this area is the shadow of incisive foramen and the most common lesion is nonodontogenic cyst known as incisivecanal cyst. However, other entities especially uncommon cysts and tumors should be considered as well. In this article, we present a case of odontogenic cyst known as glandular odontogenic cyst in the anterior maxilla with histopathologic findings reminiscent of a nasopalatine duct cyst. The diagnostic sequence and criteria for differential diagnosis are discussed. Also, the significance of thorough clinical and radiographic examinations are emphasized. Actually, we are going to focuson histopathological criteria known as Rushton body which is one of the important features for differentiate between nonodontogenic cyst like nasopalatine duct cyst and an odontogenic cyst, glandular odontogenic cyst.Key words: Odontogenic cycts, Jaw cysts, Nonodontogenic cyst, Maxilla.
Wood NK, Goaz PW. Textbook of Differential diagnosis of oral and maxillofacial lesions: Mosby St. Louis 5th Ed; 1997, p.238-279.
Luczak K, Nowak R, Rzeszutko M. Glandular odontogenic cyst of the mandible associated with impacted tooth-report of a case and review of literature.Dent Med Probl. 2007; 44:403-6.
Yih W-Y, Krump JL. Odontogenic keratocyst in the nasopalatine duct associated with mural cartilaginous metaplasia. J Oral Maxillofac Surg. 2005 Sep;63(9):1382-4.
Aparna M, Chakravarthy A, Acharya SR, RadhakrishnanR. A clinical report demonstrating the significance of distinguishing a nasopalatineduct cyst from a radicular cyst. BMJ case reports. 2014: PMID:24642171. PMCID:PMC3962913.
Hilfer PB, Bergeron BE, Ozgul ES, Wong DK. Misdiagnosis of a nasopalatine duct cyst: a case report.J Endod. 2013 Sep; 39(9):1185-8. doi: 10.1016/j.joen. 2013.04.033.
Lee C-mA, Damm DD, Neville BW, Allen C, BouquotJ. Oral and maxillofacial pathology: ElsevierHealth Sciences; 2009; Chap 1.
Padayachee A, Wyk C. Two cystic lesions with features of both the botryoid odontogenic cyst and the central mucoepidermoid tumour: sialo‐odontogeniccyst? Journal of Oral Pathology & Medicine.1987; 16(10):499-504.
Kaplan I, Anavi Y, Hirshberg A. Glandular odontoOral Dis. 2008 Oct; 14(7):575-81. doi: 10.1111/j.1601-0825. 2007.01428.x.
Prabhat M, Deshpande P, Gummadapu S, Babburi S, Chintamaneni RL, Sujanamulk B. Dual Lesions:A Diagnostic Dilemma. Case Rep Dent. 2013;2013:539234. doi: 10.1155/2013/539234.
Qin X-N, Li J-R, Chen X-M, Long X. The glandularodontogenic cyst: clinicopathologic featuresand treatment of 14 cases. J of oral and maxillofacisurg. 2005; 63(5):694-9.
Salehinejad J, Saghafi S, Ghazi N. Glandular OdontogenicCyst Associated with Impacted Tooth: ACase Report. J of Dental Materials and Techniques(JDMT). 2013; 2(3):99-103.
Sittitavornwong S, Koehler JR, Said-Al-Naief N. Glandular odontogenic cyst of the anterior maxilla:case report and review of the literature. J OralMaxillofac Surg. 2006; 64(4):740-5.
Babburi S, Rudraraju AR, Aparna V and Sowjanya P. Rushton Bodies: An Update. J Clin DiagnRes. 2015 Feb; 9(2): ZE01–ZE03.
Vasconcelos R, Aguiar M, Castro W, Araujo VC,Mesquita R. Retrospective analysis of 31 cases ofnasopalatine duct cyst. Oral Dis. 1999; 5(4):325-8.
A signature of author below certifies compliance with the following statements:
Copyright transfer; in signing this Agreement:
1. I hereby warrant that this article is an original work, has not been published before and is not being considered for publication elsewhere in its final form either in printed or electronic form;
2. I hereby warrant that you have obtained permission from the copyright holder to reproduce in the Article (in all media including print and electronic form) material not owned by you, and that you have acknowledged the source;
3. I hereby warrant that this article contains no violation of any existing copyright, moral rights or other third party right or any material of an obscene, indecent, defamatory or otherwise unlawful nature and that to the best of your knowledge this Article does not infringe the rights of others;
4. I hereby warrant that in the case of a multi-authored Article you have obtained, in writing, authorization to enter into this Agreement on their behalf and that all co-authors have read and agreed the terms of this agreement;
5. I warrant that any formula or dosage given is accurate and will not if properly followed injure any person;
6. I have made a significant scientific contribution to the study and I have read the complete manuscript and take responsibility for the content and completeness of the final surmised manuscript;
7. I will indemnify and keep indemnified the Editors, the Journal's Editor against all claims and expenses (including legal costs and expenses) arising from any breach of this warranty and the other warranties on your behalf in this Agreement.
Conflict of interest disclosure
All institutional or corporeal affixations of mine and all funding sources for the study are acknowledged. I certify that I have no commercial association that might represent a conflict of interest in connection with the submitted manuscript.