Case Report

A diagnostic pitfall in anterior maxillary radiolucency: A case report


Well-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.

IssueVol 4, No 4 (Autumn 2017) QRcode
SectionCase Report(s)
Odontogenic cycts Jaw cysts Nonodontogenic cyst Maxilla.

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Rahrotaban S, Jolehar M, Derakhshan S. A diagnostic pitfall in anterior maxillary radiolucency: A case report. J Craniomaxillofac Res. 2017;4(4):452-456.