Glandular Odontogenic Cyst is a relatively rare cyst of odontogenic origin, which shows glandular or salivary features that are thought to indicate the pluripotentiality of odontogenic epithelium. It is seen in middle-aged adults, and commonly involves the anterior region of the jaws, especially the mandible. It shows non-specific clinico-radiographic findings which may resemble other lesions, but has characteristic histopathologic features which help in its diagnosis. This paper reports an unusual presentation of a glandular odontogenic cyst which was diagnosed in a 64-year old female in the posterior maxilla, along with a literature review of this cyst, especially the cases reported in India in the past.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325494PMC
http://dx.doi.org/10.11604/pamj.2016.25.116.10879DOI Listing

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Are hypoxia-related proteins associated with the invasiveness of glandular odontogenic cysts? A multicenter study.

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November 2024

Laboratory of Histopathology and Immunohistochemistry, School of Dentistry, Universidade Federal do Pará, Belém, Pará, Brazil. Electronic address:

Objective: The study aimed to investigate the expression of hypoxia markers associated with invadopodia in glandular odontogenic cysts and to explore an association between this expression with the aggressive biological behaviour of this odontogenic cyst.

Design: Immunohistochemistry was employed to assess the expression of hypoxia-inducible factor 1 alpha (HIF-1α), notch homologous protein of the neurogenic locus 1 (NOTCH-1), disintegrin and metalloproteinase-12 (ADAM-12), and heparin-binding epidermal growth factor (HB-EGF) in 17 samples of glandular odontogenic cysts, 10 samples of calcifying odontogenic cysts, and 10 samples of dental follicles.

Results: The glandular odontogenic cyst samples exhibited increased expression of HIF-1α, NOTCH-1, ADAM-12 and HBEGF proteins compared with calcifying odontogenic cyst and dental follicle samples.

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Article Synopsis
  • The case involves a 76-year-old male who received multiple endodontic treatments for a misdiagnosed glandular odontogenic cyst, which was initially mistaken for an inflammatory periapical lesion.
  • Glandular odontogenic cysts are known to be more aggressive compared to other types, and there's a lack of extensive research on this in older dental patients.
  • The correct diagnosis was confirmed through a biopsy, leading to successful surgery while ensuring the base of the mandible was preserved, emphasizing the need for careful diagnosis in elderly patients.
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