Case Report
BibTex RIS Cite

Diagnosis and treatment of keratocystic odontogenic tumor mimicking a dentigerous cyst in panaromic radiography

Year 2017, , 28 - 31, 16.03.2017
https://doi.org/10.18663/tjcl.298239

Abstract

Keratocystic
odontogenic tumor (KCOT) is a cystic lesion of odontogenic origin, which is
classified as a developmental tumor derived from the dental lamina. KCOT may
occur in any part of both maxillaries, most commonly in the angle and the ramus
region of the mandible. 
It has an aggressive
behavior and high recurrence rate. Radiographically, lesions may appear as
round or ovoid in shape, often with a scalloped, multilocular appearance that
may involve an impacted tooth. In this case report, a unilocular radiolucent large
lesion with relatively well-circumscribed margins involving the left mandibular
impacted third molar was detected incidentally on panoramic radiographic
examination. Cone beam computed tomography (CBCT) was used for advanced
imaging. The radiographic appearance of the lesion resembled a dentigerous
cyst. Patient was consulted to Oral and Maxillofacial Surgery Department for
possible treatment options. Initially an intraoral surgical operation with
marsupialization was made under local anesthesia.
  After four months, the dimension of the
lesion was reduced, previous marsupialization followed by surgical enucleation.
The histopathological report revealed a parakeratinized epitel surrounding the
lesion that means a KCOT.

References

  • Singh M, Gupta KC. Surgical treatment of odontogenic keratocyst by enucleation. Contemp Clin Dent 2010; 1: 263-7.
  • Padaki P, Laverick S, Bounds G. Conservative management of a large keratocystic odontogenic tumour. J Surg Case Rep 2014; 2014. pii: rju091. doi: 10.1093/jscr/rju091.
  • Janardhan A, Prakash P, Prabhakar R. Odontogenic keratocyst associated with impacted maxillary third molar. Oral Surg 2013; 6: 50.
  • Chaudhary D, Bhargava M, Aggarwal S, Gill S. Keratocystic odontogenic tumor-A case report with review of literature. Indian J Stomatol 2012; 3: 66-9.
  • Deepankar M, Akansha M, Shalu R, Rohit M. Cone-beam computed tomographic illustration of an unusual position of keratocystic odontogenic tumor mimicking a dentigerous cyst: A case report. J Indian Acad Oral Med Radiol 2014; 26: 187.
  • K. Priya, P. Karthikeyan, V. Nirmal Coumare. Odontogenic keratocyst: A case series of five patients. Indian J Otolaryngol Head Neck Surg 2014; 66: 17–21.
  • de Lima JL, Dias-Ribeiro E, Honfi ES, de Araújo TN, de Góes KKH, do Socorro Aragão M. Odontogenic Keratocyst of mandible. Indian J Otolaryngol Head Neck Surg 2006; 58: 373-6.
  • Bland PS, Shiloah J, Rosebush MS. Odontogenic Keratocyst: A case report and review of an old lession with new classification. J Tenn Dent Assoc 2012; 92: 33-6.
  • Zhu L, Yang J, Zheng YW. Radiological and clinical features of peripheral keratocystic odontogenic tumor. Int J Clin Exp Med 2014; 7: 300-6.
  • Adisen MZ, Selmi Y, Misirlioglu M, Atil F. Evaluation of volumetric measurements on CBCT images using stafne bone cavities as an example. Med Oral Patol Oral Cir Bucal 2015; 20: e580-e6.
  • Mojsa I, Stypulkowska J, Kaczmarzyk T, Okon K, Zaleska M. Treatment of a patient with large keratocystic odontogenic tumour in the mandible: case report with literature review. Oral Surg 2012; 5: 1-6.
  • Chirapathomsakul D, Sastravaha P, Jansisyanont P. A review of odontogenic keratocyst and the behaviour of recurrences. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 5.

Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi

Year 2017, , 28 - 31, 16.03.2017
https://doi.org/10.18663/tjcl.298239

Abstract

Keratokistik odontojenik tümör (KKOT)
odontojenik kaynaklı, dental laminadan gelişen ve tümör olarak sınıflandırılan
kistik bir lezyondur. KKOT orofasiyal bölgede maxilla ve mandibulada, sıklıkla da
mandibulanın ramus ve angulus bölgelerinde görülür. Agresif davranış gösteren
ve nüksetme oranı yüksek benign bir neoplazmdır. Radyografik olarak lezyonlar
yuvarlak veya oval şekilli, bazen de tarak şeklinde multiloküler görüntü
sergiler ve gömülü bir diş ile ilişkili olabilir. Bu vaka raporunda, sol alt gömülü
üçüncü molar diş ile ilişkili, iyi sınırlı ve geniş uniloküler radyolüsent bir
lezyon rutin panoramik radyografik incelemede tesadüfen tespit edildi. İleri
görüntüleme amacıyla bölgeden konik ışınlı bilgisayarlı tomografi (KIBT)
görüntüleri alındı. Lezyonun radyografik özelliklerine göre dentigeröz kist ön
tanısı kondu. Hasta olası tedavi seçenekleri için Ağız Diş ve Çene Cerrahisi
Anabilim Dalı’na konsülte edildi. Tedavide ilk olarak lokal anestezi altında
marsupializasyon işlemi gerçekleştirildi. İlk operasyondan 4 ay sonra lezyon
boyutları küçüldüğünde, cerrahi olarak enükleasyon yapıldı. Histopatolojik incelemede
lezyonun parakeratinize epitel ile çevrili olmasından dolayı kesin teşhis
olarak KKOT olduğu rapor edildi. 

References

  • Singh M, Gupta KC. Surgical treatment of odontogenic keratocyst by enucleation. Contemp Clin Dent 2010; 1: 263-7.
  • Padaki P, Laverick S, Bounds G. Conservative management of a large keratocystic odontogenic tumour. J Surg Case Rep 2014; 2014. pii: rju091. doi: 10.1093/jscr/rju091.
  • Janardhan A, Prakash P, Prabhakar R. Odontogenic keratocyst associated with impacted maxillary third molar. Oral Surg 2013; 6: 50.
  • Chaudhary D, Bhargava M, Aggarwal S, Gill S. Keratocystic odontogenic tumor-A case report with review of literature. Indian J Stomatol 2012; 3: 66-9.
  • Deepankar M, Akansha M, Shalu R, Rohit M. Cone-beam computed tomographic illustration of an unusual position of keratocystic odontogenic tumor mimicking a dentigerous cyst: A case report. J Indian Acad Oral Med Radiol 2014; 26: 187.
  • K. Priya, P. Karthikeyan, V. Nirmal Coumare. Odontogenic keratocyst: A case series of five patients. Indian J Otolaryngol Head Neck Surg 2014; 66: 17–21.
  • de Lima JL, Dias-Ribeiro E, Honfi ES, de Araújo TN, de Góes KKH, do Socorro Aragão M. Odontogenic Keratocyst of mandible. Indian J Otolaryngol Head Neck Surg 2006; 58: 373-6.
  • Bland PS, Shiloah J, Rosebush MS. Odontogenic Keratocyst: A case report and review of an old lession with new classification. J Tenn Dent Assoc 2012; 92: 33-6.
  • Zhu L, Yang J, Zheng YW. Radiological and clinical features of peripheral keratocystic odontogenic tumor. Int J Clin Exp Med 2014; 7: 300-6.
  • Adisen MZ, Selmi Y, Misirlioglu M, Atil F. Evaluation of volumetric measurements on CBCT images using stafne bone cavities as an example. Med Oral Patol Oral Cir Bucal 2015; 20: e580-e6.
  • Mojsa I, Stypulkowska J, Kaczmarzyk T, Okon K, Zaleska M. Treatment of a patient with large keratocystic odontogenic tumour in the mandible: case report with literature review. Oral Surg 2012; 5: 1-6.
  • Chirapathomsakul D, Sastravaha P, Jansisyanont P. A review of odontogenic keratocyst and the behaviour of recurrences. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2006; 101: 5.
There are 12 citations in total.

Details

Subjects Health Care Administration
Journal Section Case Report
Authors

Alime Okkesim

Mehmet Zahit Adışen This is me

Melda Mısırlıoğlu This is me

Umut Tekin This is me

Publication Date March 16, 2017
Published in Issue Year 2017

Cite

APA Okkesim, A., Adışen, M. Z., Mısırlıoğlu, M., Tekin, U. (2017). Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi. Turkish Journal of Clinics and Laboratory, 8(1), 28-31. https://doi.org/10.18663/tjcl.298239
AMA Okkesim A, Adışen MZ, Mısırlıoğlu M, Tekin U. Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi. TJCL. March 2017;8(1):28-31. doi:10.18663/tjcl.298239
Chicago Okkesim, Alime, Mehmet Zahit Adışen, Melda Mısırlıoğlu, and Umut Tekin. “Panaromik Radyografide dentigeröz Kiste Benzeyen Keratokistik Odontojenik tümörün teşhis Ve Tedavisi”. Turkish Journal of Clinics and Laboratory 8, no. 1 (March 2017): 28-31. https://doi.org/10.18663/tjcl.298239.
EndNote Okkesim A, Adışen MZ, Mısırlıoğlu M, Tekin U (March 1, 2017) Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi. Turkish Journal of Clinics and Laboratory 8 1 28–31.
IEEE A. Okkesim, M. Z. Adışen, M. Mısırlıoğlu, and U. Tekin, “Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi”, TJCL, vol. 8, no. 1, pp. 28–31, 2017, doi: 10.18663/tjcl.298239.
ISNAD Okkesim, Alime et al. “Panaromik Radyografide dentigeröz Kiste Benzeyen Keratokistik Odontojenik tümörün teşhis Ve Tedavisi”. Turkish Journal of Clinics and Laboratory 8/1 (March 2017), 28-31. https://doi.org/10.18663/tjcl.298239.
JAMA Okkesim A, Adışen MZ, Mısırlıoğlu M, Tekin U. Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi. TJCL. 2017;8:28–31.
MLA Okkesim, Alime et al. “Panaromik Radyografide dentigeröz Kiste Benzeyen Keratokistik Odontojenik tümörün teşhis Ve Tedavisi”. Turkish Journal of Clinics and Laboratory, vol. 8, no. 1, 2017, pp. 28-31, doi:10.18663/tjcl.298239.
Vancouver Okkesim A, Adışen MZ, Mısırlıoğlu M, Tekin U. Panaromik radyografide dentigeröz kiste benzeyen keratokistik odontojenik tümörün teşhis ve tedavisi. TJCL. 2017;8(1):28-31.


e-ISSN: 2149-8296

The content of this site is intended for health care professionals. All the published articles are distributed under the terms of

Creative Commons Attribution Licence,

which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.