Botryoid Odontogenic Cyst with Extensive Clear Cells
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2018, Vol 19, Issue 4
Abstract
Botryoid odontogenic cysts (BOC) is an unusual multi cystic variant of the lateral periodontal cyst. We report a case of BOC in a 29-year-old male patient. Radiographic examination revealed a multi locular radiolucency from the mandibular right premolar area, involving almost the whole height of the mandible. Histologically the cystic lesion was lined by a thin 2-4 layered non- keratinised epithelium without rete ridges, with few plaque like thickenings and occasional mural bulges. The most characteristic feature was the extensive clear cells within the cyst lining, in epithelial plaques and among epithelial rests scattered within the fibrous connective-tissue wall. Botryoid odontogenic cysts (BOC) is a multicystic variant of the lateral periodontal cyst, a developmental cyst believed to arise from remnants of the dental lamina. Similar to the conventional lateral periodontal cyst, the BOC exhibits a predilection for the mandibular canine and first premolar region. Swelling has been reported in more than one-half of cases, although many patients are asymptomatic. Pain, drainage and paresthesia rarely have been reported [1]. The term “botryoid” means “grapelike,” and these lesions may appear multi locular radiographically, grossly and/or microscopically. Similar to the lateral periodontal cyst, the microscopic features of the BOC include a thin epithelial cyst lining composed of flattened squamous or cuboidal cells with focal plaque like thickenings. Rarely clear cells may be seen within the cyst lining or among epithelial rests scattered within the fibrous connective-tissue wall [2,3].
Authors and Affiliations
Benay Yildirim, Emre Baris
Keywords
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- EP ID EP622697
- DOI 10.26717/BJSTR.2019.19.003360
- Views 184
- Downloads 0
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