Dual Lesions: A Diagnostic Dilemma

Glandular odontogenic cyst (GOC) is a rare aggressive developmental cyst of the jaw. It most commonly occurs in middle-aged people with mandible anterior region being the most affected site. This lesion can present as a unilocular or multilocular radiolucency and has high recurrence rate. The histop...

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Main Authors: M. P. V. Prabhat, Prasannasrinivas Deshpande, Sarat Gummadapu, Suresh Babburi, Raja Lakshmi Chintamaneni, Bhavana Sujanamulk
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Dentistry
Online Access:http://dx.doi.org/10.1155/2013/539234
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author M. P. V. Prabhat
Prasannasrinivas Deshpande
Sarat Gummadapu
Suresh Babburi
Raja Lakshmi Chintamaneni
Bhavana Sujanamulk
author_facet M. P. V. Prabhat
Prasannasrinivas Deshpande
Sarat Gummadapu
Suresh Babburi
Raja Lakshmi Chintamaneni
Bhavana Sujanamulk
author_sort M. P. V. Prabhat
collection DOAJ
description Glandular odontogenic cyst (GOC) is a rare aggressive developmental cyst of the jaw. It most commonly occurs in middle-aged people with mandible anterior region being the most affected site. This lesion can present as a unilocular or multilocular radiolucency and has high recurrence rate. The histopathologic features of the GOC are complex and often coincide with the features of dentigerous cyst, radicular cyst, and low-grade central mucoepidermoid carcinoma (CMEC). At times, the microscopic features are so similar to central low-grade mucoepidermoid carcinoma that it becomes highly impossible to distinguish the two entities even with various advanced investigations. The reported case represents one such diagnostic dilemma occurring in the maxilla which is a rare site, and the lesion/s appeared as two distinct entities, that is, GOC and CMEC on either aspects of the same side of maxilla clinically, yet showing continuity on advanced imaging and demonstrating histopathological perplexity.
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publishDate 2013-01-01
publisher Wiley
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series Case Reports in Dentistry
spelling doaj-art-b5fa938e0fbb42c8ac62897a1968834f2025-02-03T05:52:47ZengWileyCase Reports in Dentistry2090-64472090-64552013-01-01201310.1155/2013/539234539234Dual Lesions: A Diagnostic DilemmaM. P. V. Prabhat0Prasannasrinivas Deshpande1Sarat Gummadapu2Suresh Babburi3Raja Lakshmi Chintamaneni4Bhavana Sujanamulk5Department of Oral Medicine and Radiology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, IndiaDepartment of Oral Medicine and Radiology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, IndiaDepartment of Oral Medicine and Radiology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, IndiaDepartment of Oral Pathology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, IndiaDepartment of Oral Medicine and Radiology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, IndiaDepartment of Oral Medicine and Radiology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, IndiaGlandular odontogenic cyst (GOC) is a rare aggressive developmental cyst of the jaw. It most commonly occurs in middle-aged people with mandible anterior region being the most affected site. This lesion can present as a unilocular or multilocular radiolucency and has high recurrence rate. The histopathologic features of the GOC are complex and often coincide with the features of dentigerous cyst, radicular cyst, and low-grade central mucoepidermoid carcinoma (CMEC). At times, the microscopic features are so similar to central low-grade mucoepidermoid carcinoma that it becomes highly impossible to distinguish the two entities even with various advanced investigations. The reported case represents one such diagnostic dilemma occurring in the maxilla which is a rare site, and the lesion/s appeared as two distinct entities, that is, GOC and CMEC on either aspects of the same side of maxilla clinically, yet showing continuity on advanced imaging and demonstrating histopathological perplexity.http://dx.doi.org/10.1155/2013/539234
spellingShingle M. P. V. Prabhat
Prasannasrinivas Deshpande
Sarat Gummadapu
Suresh Babburi
Raja Lakshmi Chintamaneni
Bhavana Sujanamulk
Dual Lesions: A Diagnostic Dilemma
Case Reports in Dentistry
title Dual Lesions: A Diagnostic Dilemma
title_full Dual Lesions: A Diagnostic Dilemma
title_fullStr Dual Lesions: A Diagnostic Dilemma
title_full_unstemmed Dual Lesions: A Diagnostic Dilemma
title_short Dual Lesions: A Diagnostic Dilemma
title_sort dual lesions a diagnostic dilemma
url http://dx.doi.org/10.1155/2013/539234
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