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Lee YP, Hwang MJ, Jin YT, Chiang CP. Glandular odontogenic cyst mimicking a dentigerous cyst. J Dent Sci 2024; 19:1210-1212. [PMID: 38618094 PMCID: PMC11010798 DOI: 10.1016/j.jds.2024.02.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2024] [Indexed: 04/16/2024] Open
Affiliation(s)
- Yi-Pang Lee
- Department of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
| | - Ming-Jay Hwang
- Department of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Ying-Tai Jin
- Department of Pathology, Taiwan Adventist Hospital, Taipei, Taiwan
- Department of Pathology, National Cheng Kung University Hospital, Tainan, Taiwan
| | - Chun-Pin Chiang
- Department of Dentistry, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Hualien, Taiwan
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
- Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan
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Keerthika R, Devi A, Kamboj M, Sivakumar N, Vijayakumar G, Narwal A, Girdhar A. Diagnostic Reliability of CRTC1/3::MAML2 Gene Fusion Transcripts in Discriminating Histologically Similar Intraosseous Mucoepidermoid Carcinoma from Glandular Odontogenic Cyst: A Systematic Review and Meta-analysis. Head Neck Pathol 2023; 17:233-245. [PMID: 36357765 PMCID: PMC10063707 DOI: 10.1007/s12105-022-01494-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2022] [Accepted: 09/09/2022] [Indexed: 11/12/2022]
Abstract
BACKGROUND Intraosseous mucoepidermoid carcinoma (IMEC) and Glandular odontogenic cyst (GOC) are those two pathological entities causing diagnostic dilemma due to the histopathological similarity. An accurate distinction between the two entities is difficult as both presents with a common radiological and histological similarities. The aim of our systematic review was to establish the diagnostic reliability of CRTC1/3::MAML2 gene fusion for the distinction between IMEC and GOC. METHODS A complete electronic literature search was made in MEDLINE by PubMed, Google Scholar, and EMBASE databases. Articles with keywords using molecular genetic findings of CRTC1/3::MAML2 gene fusion transcripts, IMEC and GOC were assessed and included for the systematic review. RESULTS Twelve subgroups having both qualitative and quantitative analysis revealed CRTC1/3::MAML2 sensitivity of 100% and specificity of 70.59% in differentiating GOC and IMEC. Fixed-effects model confirmed translocation-negative cases to have a decreased risk of association with IMEC (combined odds ratio 8.770, 95% confidence interval - 2.45 to 31.45, p < 0.002). CONCLUSIONS The current evidence supports that in all cases with positive gene fusion transcript of the CRTC1/3::MAML2 was specific for IMEC and was significantly differentiating it from GOC. Whereas cases of IMEC with negative gene fusion transcript pose diagnostic difficulty in differentiating from a GOC which is negative for CRTC1/3::MAML2 expression.
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Affiliation(s)
- R. Keerthika
- Department of Oral Maxillofacial Pathology and Microbiology, Post Graduate Institute of Dental Sciences (PGIDS), Rohtak, Haryana 124001 India
| | - Anju Devi
- Department of Oral Maxillofacial Pathology and Microbiology, Post Graduate Institute of Dental Sciences (PGIDS), Rohtak, Haryana 124001 India
| | - Mala Kamboj
- Department of Oral Maxillofacial Pathology and Microbiology, Post Graduate Institute of Dental Sciences (PGIDS), Rohtak, Haryana 124001 India
| | - N. Sivakumar
- Department of Oral and Maxillofacial Pathology & Microbiology, King George’s Medical University, Lucknow, Uttar Pradesh 226003 India
| | - Gopikrishnan Vijayakumar
- Department of Oral Maxillofacial Pathology and Microbiology, Post Graduate Institute of Dental Sciences (PGIDS), Rohtak, Haryana 124001 India
| | - Anjali Narwal
- Department of Oral Maxillofacial Pathology and Microbiology, Post Graduate Institute of Dental Sciences (PGIDS), Rohtak, Haryana 124001 India
| | - Akhil Girdhar
- Department of Oral Maxillofacial Pathology and Microbiology, Post Graduate Institute of Dental Sciences (PGIDS), Rohtak, Haryana 124001 India
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Plackal JJ, Sylesh RN, Mammootty Safiya NA, Wasan B, Ramaiah A, Kuntamukkula VKS. Gardner's Cyst Enswathing the Maxillary Antrum: Report of A Rare Case and Review of Literature. J Int Soc Prev Community Dent 2019; 9:652-658. [PMID: 32039087 PMCID: PMC6905317 DOI: 10.4103/jispcd.jispcd_210_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2019] [Accepted: 08/02/2019] [Indexed: 12/05/2022] Open
Abstract
Glandular odontogenic cyst (GOC) was named so by Gardner and the credit of discovery can be attributed to the work of Padayachee and Van Wyk (1987). The incidence of GOC is said to be between 0.012% and 1.3%. Even so, a little over 100 cases are reported in English literature. Mandible is more commonly affected than maxilla (20%) with almost 80% cases reported, with an anterior predilection. Even though GOC affecting maxilla is discussed in the literature, to the best of our ability, we could find that, in India, less than five cases affecting the maxillary sinus is ever reported, with none explaining about such a huge cyst that has encompassed the whole of the ipsilateral maxillary sinus. The aim to publish this case report was to understand the rarity in pathology, which GOC encompasses. Such rare cases if reported need to be published for the knowledge, prompt diagnosis, and appropriate treatment planning. Any pathology in the head and neck region should be seen with an eagle’s eye for appropriate management to increase patients’ quality of life.
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Affiliation(s)
- Jacob J Plackal
- Department of Oral and Maxillofacial Surgery, KVG Dental College and Hospital, Sullia, Karnataka, India
| | - R Nithin Sylesh
- Consultant Oral and Maxillofacial Surgeon, RNS Dental Clinic, Coimbatore, Tamil Nadu, India
| | | | - Bharti Wasan
- Department of Oral and Maxillofacial Surgery, Guru Nanak Dev Dental College and Research Institute, Sunam, Punjab, India
| | - Arun Ramaiah
- Consultant Oral and Maxillofacial Surgeon, Cleft and Craniofacial Centre, St. Thomas Hospital, Chengannur, Kerala, India
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Yang CF, Tseng CH, Chen YK, Chen CM. Primary intraosseous carcinoma of the mandible. J Dent Sci 2019; 15:236-238. [PMID: 32595910 PMCID: PMC7305429 DOI: 10.1016/j.jds.2019.08.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Revised: 08/13/2019] [Indexed: 11/05/2022] Open
Affiliation(s)
- Chia-Fu Yang
- Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Taiwan
| | - Chih-Huang Tseng
- Department of Oral Pathology, Kaohsiung Medical University Hospital, Taiwan
| | - Yuk-Kwan Chen
- Department of Oral Pathology, Kaohsiung Medical University Hospital, Taiwan.,Department of Oral Pathology, College of Dental Medicine, Kaohsiung Medical University, Taiwan
| | - Chun-Ming Chen
- Department of Oral and Maxillofacial Surgery, Kaohsiung Medical University Hospital, Taiwan.,Department of Oral and Maxillofacial Surgery, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung Medical University Hospital, Taiwan
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Chen MH, Kao CT, Yu-Fong Chang J, Wang YP, Wu YH, Chiang CP. Stafne bone defect of the molar region of the mandible. J Dent Sci 2019; 14:378-382. [PMID: 31890125 PMCID: PMC6921125 DOI: 10.1016/j.jds.2019.05.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2019] [Indexed: 01/06/2023] Open
Abstract
Background/purpose The classic Stafne bone defect (SBD) is a rare small well-demarcated radiolucent lesion in the molar region of the mandible near the mandibular angle. This study reported a series of 5 SBD cases. Materials and methods This study reviewed 4000 consecutive panoramic radiographs from February 2017 to May 2017 and found 5 classic SBD cases. The clinical and radiographic findings of these 5 SBD cases were reported. Results We found 5 SBD cases presenting as small, well-defined, and radiolucent lesions at the typical first molar to third molar region of the mandible near the mandibular angle and below the mandibular canal. The mean age of the 5 patients at the time of diagnosis was 53.4 years (range, 45-69 years). All the 5 SBD cases occurred in male patients, 3 were on the right side and 2 were on the left side of the mandible. The mean greatest dimension of the 5 SBDs was 1.5 cm (range, 1.2-1.9 cm). All the 5 SBD cases were found incidentally on the panoramic radiographs and two of them were confirmed by cone-beam computed tomography. No surgical intervention was performed for these 5 SBD cases. Conclusion The classic SBDs occur most frequently in male patients in the age group between 40 years and 60 years. For the SBDs at the typical site of the molar region of the mandible near the mandibular angle and below the mandibular canal, these lesions can be monitored by panoramic radiography once per one or two years.
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Affiliation(s)
- Mu-Hsiung Chen
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Chin-Ting Kao
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan
| | - Julia Yu-Fong Chang
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.,Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan.,Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan
| | - Yi-Ping Wang
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.,Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan.,Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan
| | - Yu-Hsueh Wu
- Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan.,Department of Dentistry, Far Eastern Memorial Hospital, New Taipei City, Taiwan
| | - Chun-Pin Chiang
- Department of Dentistry, National Taiwan University Hospital, College of Medicine, National Taiwan University, Taipei, Taiwan.,Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University, Taipei, Taiwan.,Graduate Institute of Oral Biology, School of Dentistry, National Taiwan University, Taipei, Taiwan.,Department of Dentistry, Far Eastern Memorial Hospital, New Taipei City, Taiwan
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