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Odontogenic Keratocyst with Diverse Variations: A Rare Case Report. | LitMetric

AI Article Synopsis

  • An odontogenic keratocyst (OKC) is a type of cyst that can undergo various changes and has a unique growth capability, leading to multiple histopathological variations, including unusual cell types.
  • A 34-year-old male patient experienced facial swelling and skin numbness, and after examination, he was diagnosed with a glandular odontogenic cyst exhibiting mixed features of OKC.
  • The patient underwent surgical removal of the cyst, and after one year of follow-up, there were no signs of recurrence, highlighting the importance of careful treatment and monitoring for such cysts.

Article Abstract

Rationale: An odontogenic keratocyst (OKC) is a developmental odontogenic cyst lined by squamous epithelium having intrinsic growth potential. Hence, metaplastic changes such as the formation of mucous cells, ciliated cells, and hyaline bodies with ortho/para keratinisation have been known to create unusual histopathological variations.

Patient Concerns: A 34-year-old male patient reported with swelling on the lower right side of the face and numbness on the overlying skin.

Diagnosis: Based upon the histopathological findings, a final diagnosis of glandular odontogenic cyst with OKC was confirmed presenting mixed features of basal layer palisading squamous epithelium with goblet cells and satellite cysts appeared to be entrapped in the connective tissue wall.

Treatment: Surgical enucleation of the cyst was done.

Outcomes: No recurrence was reported in 1 year of follow-up.

Take-away Lessons: Diverse variations appear within odontogenic cysts and tumours. The high recurrence rate and aggressive nature of the cyst, divulges appropriate treatment and long-term follow-up.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9527838PMC
http://dx.doi.org/10.4103/ams.ams_42_22DOI Listing

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