Intraosseous Epidermoid Cyst of Jaw: A Case Report
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Abstract
Epidermoid cysts are benign, rare which can occur all throughout the body of an individual. Their occurrence in the oral cavity is rare and is difficult to distinguish from other intraoral cysts. A 27-year-old female patient presented with a swelling to the oral and maxillofacial surgery department for the removal of the cystic lesion. Based on the clinical and radiographic features the provisional diagnosis was given as odontogenic keratocyst. But the histopathological examination revealed a stratified squamous cystic epithelium with abundant keratin suggestive of an epidermoid cyst. This case report presents an uncommon finding in the oral cavity with a history of teeth extraction. Based on these findings even though epidermoid cyst is rare it should be included in the differential diagnosis of radiolucent lesions of the jaws. Keywords: Sebaceous cyst; Cytokeratin; Keratohyalin granules; Teratoma; Dermoid cyst.
1. William G Shafer, Maynard K Hine and Barnet M Levy, Textbook of Oral Pathology, 9th edition, Elsevier.
2. Brad W. Neville, Carl M. Allen, Douglas D. Damm, Angela C. Chi, Oral and Maxillofacial Pathology, 4th edition, Elsevier.
3. Mervyn Shear, Paul Speight, Cysts of the Oral and Maxillofacial Regions, 4th edition, Wiley Black well.
4. Ramakrishna Y, Sudhindra B, Munshi AK. Post-traumatic epidermoid inclusion cyst in the chin region. J Clin Pediatr Dent. 2009;33(3):251-252. doi:10.17796/jcpd.33.3.812225u343773155
5. Montebugnoli L, Tiberio C, Venturi M. A rare case of congenital epidermoid cyst of the hard palate. BMJ Case Rep. 2011;2011:bcr0720114485. Published 2011 Oct 20. doi:10.1136/bcr.07.2011.4485
6. Jayade BV, Upadya VH, Gopalkrishnan K, Shirganvi MS. Epidermal inclusion cyst of the mandible after extraction of a third molar: case report. Br J Oral Maxillofac Surg. 2012;50(5):e72-e74. doi:10.1016/j.bjoms.2011.09.017
7. Toptas O, Akkas I, Tek M, Ozan F, Boran C. Intraosseous epidermoid cyst associated with impacted mandibular wisdom teeth: an uncommon entity. J Clin Diagn Res. 2014;8(7):ZD31-ZD32. doi:10.7860/JCDR/2014/9413.4630
8. Ertem SY, Uckan S, Ozdemir H. An unusual presentation of an intraosseous epidermoid cyst of the anterior maxilla: a case report. J Med Case Rep. 2014;8:262. Published 2014 Jul 28. doi:10.1186/1752-1947-8-262
9. Loxha MP, Salihu S, Kryeziu K, et al. Epidermoid Cyst of Mandible Ramus: Case Report. Med Arch. 2016;70(3):238-240. doi:10.5455/medarh.2016.70.238-240
10. Padmapriya VM, Kavitha B, Sivapathasundram B, Nagaraj J. Comparison of cytokeratin expressions among orthokeratinized odontogenic cysts, epidermoid cysts and odontogenic keratocysts: An immunohistochemical study. J Oral Maxillofac Pathol. 2020;24(3):472-478. doi:10.4103/jomfp.JOMFP_243_19
11. Homma F, Karube T, Usuda S, Endo T, Asoda S, Kizu H. Epidermoid cyst arising in the mandibular ramus: A case report. Int J Case Rep Images 2021;12:101271Z01FH2021.
12. Blagova B, Malinova L, Ivanova V. Intraosseous Epidermoid Cyst: a Case Report. J Oral Maxillofac Res. 2022;13(4):e4. Published 2022 Dec 31. doi:10.5037/jomr.2022.13404
13. Dzhongova E, Mihaylova V, Dimitrov I, Georgieva V. A clinical case report of an epidermoid cyst of the mandible. J of IMAB. 2023 Jan-Mar;29(1):4770-4774. DOI: https://doi.org/10.5272/jimab.2023291.4770
14. Puranik SR, Puranik RS, Prakash S, Bimba M. Epidermoid cyst: Report of two cases. J Oral Maxillofac Pathol. 2016;20(3):546. doi:10.4103/0973-029X.190965
15. Koca H, Seckin T, Sipahi A, Kazanc A. Epidermoid cyst in the floor of the mouth: report of a case. Quintessence Int. 2007 Jun;38(6):473-7.
2. Brad W. Neville, Carl M. Allen, Douglas D. Damm, Angela C. Chi, Oral and Maxillofacial Pathology, 4th edition, Elsevier.
3. Mervyn Shear, Paul Speight, Cysts of the Oral and Maxillofacial Regions, 4th edition, Wiley Black well.
4. Ramakrishna Y, Sudhindra B, Munshi AK. Post-traumatic epidermoid inclusion cyst in the chin region. J Clin Pediatr Dent. 2009;33(3):251-252. doi:10.17796/jcpd.33.3.812225u343773155
5. Montebugnoli L, Tiberio C, Venturi M. A rare case of congenital epidermoid cyst of the hard palate. BMJ Case Rep. 2011;2011:bcr0720114485. Published 2011 Oct 20. doi:10.1136/bcr.07.2011.4485
6. Jayade BV, Upadya VH, Gopalkrishnan K, Shirganvi MS. Epidermal inclusion cyst of the mandible after extraction of a third molar: case report. Br J Oral Maxillofac Surg. 2012;50(5):e72-e74. doi:10.1016/j.bjoms.2011.09.017
7. Toptas O, Akkas I, Tek M, Ozan F, Boran C. Intraosseous epidermoid cyst associated with impacted mandibular wisdom teeth: an uncommon entity. J Clin Diagn Res. 2014;8(7):ZD31-ZD32. doi:10.7860/JCDR/2014/9413.4630
8. Ertem SY, Uckan S, Ozdemir H. An unusual presentation of an intraosseous epidermoid cyst of the anterior maxilla: a case report. J Med Case Rep. 2014;8:262. Published 2014 Jul 28. doi:10.1186/1752-1947-8-262
9. Loxha MP, Salihu S, Kryeziu K, et al. Epidermoid Cyst of Mandible Ramus: Case Report. Med Arch. 2016;70(3):238-240. doi:10.5455/medarh.2016.70.238-240
10. Padmapriya VM, Kavitha B, Sivapathasundram B, Nagaraj J. Comparison of cytokeratin expressions among orthokeratinized odontogenic cysts, epidermoid cysts and odontogenic keratocysts: An immunohistochemical study. J Oral Maxillofac Pathol. 2020;24(3):472-478. doi:10.4103/jomfp.JOMFP_243_19
11. Homma F, Karube T, Usuda S, Endo T, Asoda S, Kizu H. Epidermoid cyst arising in the mandibular ramus: A case report. Int J Case Rep Images 2021;12:101271Z01FH2021.
12. Blagova B, Malinova L, Ivanova V. Intraosseous Epidermoid Cyst: a Case Report. J Oral Maxillofac Res. 2022;13(4):e4. Published 2022 Dec 31. doi:10.5037/jomr.2022.13404
13. Dzhongova E, Mihaylova V, Dimitrov I, Georgieva V. A clinical case report of an epidermoid cyst of the mandible. J of IMAB. 2023 Jan-Mar;29(1):4770-4774. DOI: https://doi.org/10.5272/jimab.2023291.4770
14. Puranik SR, Puranik RS, Prakash S, Bimba M. Epidermoid cyst: Report of two cases. J Oral Maxillofac Pathol. 2016;20(3):546. doi:10.4103/0973-029X.190965
15. Koca H, Seckin T, Sipahi A, Kazanc A. Epidermoid cyst in the floor of the mouth: report of a case. Quintessence Int. 2007 Jun;38(6):473-7.
| Files | ||
| Issue | Vol 11, No 1 (Winter 2024) | |
| Section | Case Report(s) | |
| DOI | https://doi.org/10.18502/jcr.v11i1.16492 | |
| Keywords | ||
| Sebaceous cyst Cytokeratin Keratohyalin granules Teratoma Dermoid cyst | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Divya U, Sivakalyan U, Sreevalli U, Varshita B, Thirumalareddy M. Intraosseous Epidermoid Cyst of Jaw: A Case Report. J Craniomaxillofac Res. 2024;11(1):65-69.
