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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2011, Cilt 25, Sayı 2, Sayfa(lar) 097-101
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Surgical Treatment of A Rare Mandibular Glandular Odontogenic Cyst with 6-Year Follow Up: A Case Report
Yavuz Tolga KORKMAZ1, Turgay Peyami HOCAOĞLU2, Emre BARIŞ3, Erkan ERKMEN1
1Gazi Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş Çene Cerrahisi Anabilim Dalı, Ankara, TÜRKİYE
2Cumhuriyet Üniversitesi, Diş Hekimliği Fakültesi, Ağız Diş Çene Cerrahisi Anabilim Dalı, Sivas, TÜRKİYE
3Gazi Üniversitesi, Diş Hekimliği Fakültesi, Oral Patoloji Anabilim Dalı, Ankara, TÜRKİYE
Keywords: Glanduler odontojenik kist, cerrahi tedavi, mandibula, altı yıllık takip

Glandular odontogenic cysts (GOC) of the jaws are relatively rare cystic lesion, which poses a diagnostic challenge as well as a challenge in treatment. GOC can involve either jaws, but the anterior region of the mandible is the most affected area. It affects distinct age groups, with an average patient age of 50 years. Treatment by enucleation or curettage carries the highest risk for recurrence, especially in large and multilocular lesions. Peripheral osteoectomy or marginal resection can eliminate the recurrence risk.

We report a case of GOC in the left mandible in a 52-year-old man. The lesion was located in the mandibular left molar region spreading through the canine to mandibular ramus. Neither intaoral nor extraoral sweling as well as lymphadenopathy have been noted. Clinical and radiographic features were evaluated and curretage was performed.

The surgical specimen was investigated histopathologically and immunohistochemically. After histopathological analysis, the lesion was diagnosed as GOC. At follow up after 6 years, there were no signs of recurrence.

GOC is a rare and aggressive lesion with a high recurrence rate. Careful clinical and radiological evaluation must be carried out. Long term follow data of patients with GOC is required.

Clinical relevance

Complete surgical removal of the lesion with curettage along with long term follow-up can be recommended for treatment of GOC.


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