Cystic Lesions of the Jaws - A Clinicopathological Study of 322 Cases and Review of the Literature
Identifieur interne : 002214 ( Pmc/Checkpoint ); précédent : 002213; suivant : 002215Cystic Lesions of the Jaws - A Clinicopathological Study of 322 Cases and Review of the Literature
Auteurs : Esther Manor [Israël] ; Leonid Kachko [Israël] ; Max B. Puterman [Israël] ; George Szabo [Hongrie] ; Lipa Bodner [Israël]Source :
- International Journal of Medical Sciences [ 1449-1907 ] ; 2011.
Abstract
Three hundred and twenty-two patients (192 male and 130 female) with cystic lesions of the jaw were successfully diagnosed and treated. One hundred and fifty-five (48%) were radicular cysts, 80 (25%) were dentigerous cysts, 23 (7%) were odontogenic keratocyst (=keratocystic odontogenic tumor), 19 (6%) were eruption cysts, 16 (5%) were traumatic bone cysts, and 29 (9%) were non-odontogenic cysts.
There were 95 in the pediatric age group (1 month to 16 years) and 227 in the adult age group (17 years and older). Male to female ratio was 1 in the pediatric age group and 1.7 in the adult age group. The treatment modalities were: marsupialization, enucleation, enucleation with bone grafting, or resection. The distribution and characteristics of jaw cysts in children are different from those in adults. In children there is a relatively high rate of developmental cysts, whereas in adults the inflammatory cysts are more common. Following enucleation of a cystic jaw lesion, the entire surgical specimen and not only a biopsy specimen, should be examined histopathologically to prevent any possibility of an intramural squamous cell carcinoma that may be overlooked. The differences in prevalence of each type of jaw cyst during a lifetime may point toward a multifactorial polygenic pattern rather than a monogenic pattern.
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PubMed: 22211085
PubMed Central: 3222086
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Cystic Lesions of the Jaws - A Clinicopathological Study of 322 Cases and Review of the Literature</title><author><name sortKey="Manor, Esther" sort="Manor, Esther" uniqKey="Manor E" first="Esther" last="Manor">Esther Manor</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Institute of Human Genetics, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>1. Institute of Human Genetics, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author><author><name sortKey="Kachko, Leonid" sort="Kachko, Leonid" uniqKey="Kachko L" first="Leonid" last="Kachko">Leonid Kachko</name><affiliation wicri:level="1"><nlm:aff id="A2">2. Department of Pathology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>2. Department of Pathology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author><author><name sortKey="Puterman, Max B" sort="Puterman, Max B" uniqKey="Puterman M" first="Max B." last="Puterman">Max B. Puterman</name><affiliation wicri:level="1"><nlm:aff id="A3">3. Department of Laryngology Head and Neck Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>3. Department of Laryngology Head and Neck Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author><author><name sortKey="Szabo, George" sort="Szabo, George" uniqKey="Szabo G" first="George" last="Szabo">George Szabo</name><affiliation wicri:level="3"><nlm:aff id="A4">4. Department of Oral and Maxillofacial Surgery and Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary</nlm:aff><country xml:lang="fr">Hongrie</country><wicri:regionArea>4. Department of Oral and Maxillofacial Surgery and Dentistry, Faculty of Dentistry, Semmelweis University, Budapest</wicri:regionArea><placeName><settlement type="city">Budapest</settlement><region nuts="2">Hongrie centrale</region></placeName></affiliation></author><author><name sortKey="Bodner, Lipa" sort="Bodner, Lipa" uniqKey="Bodner L" first="Lipa" last="Bodner">Lipa Bodner</name><affiliation wicri:level="1"><nlm:aff id="A5">5. Department of Oral and Maxillofacial Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>5. Department of Oral and Maxillofacial Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">22211085</idno><idno type="pmc">3222086</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222086</idno><idno type="RBID">PMC:3222086</idno><date when="2011">2011</date><idno type="wicri:Area/Pmc/Corpus">002E39</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002E39</idno><idno type="wicri:Area/Pmc/Curation">002E39</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">002E39</idno><idno type="wicri:Area/Pmc/Checkpoint">002214</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002214</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Cystic Lesions of the Jaws - A Clinicopathological Study of 322 Cases and Review of the Literature</title><author><name sortKey="Manor, Esther" sort="Manor, Esther" uniqKey="Manor E" first="Esther" last="Manor">Esther Manor</name><affiliation wicri:level="1"><nlm:aff id="A1">1. Institute of Human Genetics, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>1. Institute of Human Genetics, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author><author><name sortKey="Kachko, Leonid" sort="Kachko, Leonid" uniqKey="Kachko L" first="Leonid" last="Kachko">Leonid Kachko</name><affiliation wicri:level="1"><nlm:aff id="A2">2. Department of Pathology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>2. Department of Pathology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author><author><name sortKey="Puterman, Max B" sort="Puterman, Max B" uniqKey="Puterman M" first="Max B." last="Puterman">Max B. Puterman</name><affiliation wicri:level="1"><nlm:aff id="A3">3. Department of Laryngology Head and Neck Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>3. Department of Laryngology Head and Neck Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author><author><name sortKey="Szabo, George" sort="Szabo, George" uniqKey="Szabo G" first="George" last="Szabo">George Szabo</name><affiliation wicri:level="3"><nlm:aff id="A4">4. Department of Oral and Maxillofacial Surgery and Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary</nlm:aff><country xml:lang="fr">Hongrie</country><wicri:regionArea>4. Department of Oral and Maxillofacial Surgery and Dentistry, Faculty of Dentistry, Semmelweis University, Budapest</wicri:regionArea><placeName><settlement type="city">Budapest</settlement><region nuts="2">Hongrie centrale</region></placeName></affiliation></author><author><name sortKey="Bodner, Lipa" sort="Bodner, Lipa" uniqKey="Bodner L" first="Lipa" last="Bodner">Lipa Bodner</name><affiliation wicri:level="1"><nlm:aff id="A5">5. Department of Oral and Maxillofacial Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</nlm:aff><country xml:lang="fr">Israël</country><wicri:regionArea>5. Department of Oral and Maxillofacial Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101</wicri:regionArea><wicri:noRegion>Beer-Sheva 84101</wicri:noRegion></affiliation></author></analytic><series><title level="j">International Journal of Medical Sciences</title><idno type="eISSN">1449-1907</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Three hundred and twenty-two patients (192 male and 130 female) with cystic lesions of the jaw were successfully diagnosed and treated. One hundred and fifty-five (48%) were radicular cysts, 80 (25%) were dentigerous cysts, 23 (7%) were odontogenic keratocyst (=keratocystic odontogenic tumor), 19 (6%) were eruption cysts, 16 (5%) were traumatic bone cysts, and 29 (9%) were non-odontogenic cysts.</p><p>There were 95 in the pediatric age group (1 month to 16 years) and 227 in the adult age group (17 years and older). Male to female ratio was 1 in the pediatric age group and 1.7 in the adult age group. The treatment modalities were: marsupialization, enucleation, enucleation with bone grafting, or resection. The distribution and characteristics of jaw cysts in children are different from those in adults. In children there is a relatively high rate of developmental cysts, whereas in adults the inflammatory cysts are more common. Following enucleation of a cystic jaw lesion, the entire surgical specimen and not only a biopsy specimen, should be examined histopathologically to prevent any possibility of an intramural squamous cell carcinoma that may be overlooked. The differences in prevalence of each type of jaw cyst during a lifetime may point toward a multifactorial polygenic pattern rather than a monogenic pattern.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Killy, Hc" uniqKey="Killy H">HC Killy</name></author><author><name sortKey="Kay, Lw" uniqKey="Kay L">LW Kay</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shear, M" uniqKey="Shear M">M Shear</name></author><author><name sortKey="Speight, Pm" uniqKey="Speight P">PM Speight</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barnes, L" uniqKey="Barnes L">L Barnes</name></author><author><name sortKey="Eveson, Jw" uniqKey="Eveson J">JW Eveson</name></author><author><name sortKey="Reichart, P" uniqKey="Reichart P">P Reichart</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bodner, L" uniqKey="Bodner L">L 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Int J Med Sci</journal-id><journal-id journal-id-type="publisher-id">ijms</journal-id><journal-title-group><journal-title>International Journal of Medical Sciences</journal-title></journal-title-group><issn pub-type="epub">1449-1907</issn><publisher><publisher-name>Ivyspring International Publisher</publisher-name><publisher-loc>Sydney</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">22211085</article-id><article-id pub-id-type="pmc">3222086</article-id><article-id pub-id-type="publisher-id">ijmsv09p0020</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Paper</subject></subj-group></article-categories><title-group><article-title>Cystic Lesions of the Jaws - A Clinicopathological Study of 322 Cases and Review of the Literature</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Manor</surname><given-names>Esther</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Kachko</surname><given-names>Leonid</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Puterman</surname><given-names>Max B.</given-names></name><xref ref-type="aff" rid="A3">3</xref></contrib><contrib contrib-type="author"><name><surname>Szabo</surname><given-names>George</given-names></name><xref ref-type="aff" rid="A4">4</xref></contrib><contrib contrib-type="author"><name><surname>Bodner</surname><given-names>Lipa</given-names></name><xref ref-type="aff" rid="A5">5</xref><xref ref-type="corresp" rid="FNA_envelop">✉</xref></contrib></contrib-group><aff id="A1">1. Institute of Human Genetics, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</aff><aff id="A2">2. Department of Pathology, Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</aff><aff id="A3">3. Department of Laryngology Head and Neck Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</aff><aff id="A4">4. Department of Oral and Maxillofacial Surgery and Dentistry, Faculty of Dentistry, Semmelweis University, Budapest, Hungary</aff><aff id="A5">5. Department of Oral and Maxillofacial Surgery , Soroka University Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 84101, Israel</aff><author-notes><corresp id="FNA_envelop">✉ Corresponding author: Lipa Bodner, DMD, Professor of Oral and Maxillofacial Surgery, Chair, Department of Oral and Maxillofacial Surgery, Soroka University Medical Center, Ben-Gurion University of the Negev, P.O. Box 151, Beer-Sheva 84101, Israel. Tel: +972-8-6400505; Fax: +972-8-640-3651; E-mail: <email>lbodner@bgu.ac.il</email></corresp><fn fn-type="conflict"><p>Conflict of Interest: The authors have declared that no conflict of interest exists.</p></fn></author-notes><pub-date pub-type="collection"><year>2012</year></pub-date><pub-date pub-type="epub"><day>9</day><month>11</month><year>2011</year></pub-date><volume>9</volume><issue>1</issue><fpage>20</fpage><lpage>26</lpage><history><date date-type="received"><day>17</day><month>8</month><year>2011</year></date><date date-type="accepted"><day>4</day><month>10</month><year>2011</year></date></history><permissions><copyright-statement>© Ivyspring International Publisher. This is an open-access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Reproduction is permitted for personal, noncommercial use, provided that the article is in whole, unmodified, and properly cited.</copyright-statement><copyright-year>2012</copyright-year></permissions><abstract><p>Three hundred and twenty-two patients (192 male and 130 female) with cystic lesions of the jaw were successfully diagnosed and treated. One hundred and fifty-five (48%) were radicular cysts, 80 (25%) were dentigerous cysts, 23 (7%) were odontogenic keratocyst (=keratocystic odontogenic tumor), 19 (6%) were eruption cysts, 16 (5%) were traumatic bone cysts, and 29 (9%) were non-odontogenic cysts.</p><p>There were 95 in the pediatric age group (1 month to 16 years) and 227 in the adult age group (17 years and older). Male to female ratio was 1 in the pediatric age group and 1.7 in the adult age group. The treatment modalities were: marsupialization, enucleation, enucleation with bone grafting, or resection. The distribution and characteristics of jaw cysts in children are different from those in adults. In children there is a relatively high rate of developmental cysts, whereas in adults the inflammatory cysts are more common. Following enucleation of a cystic jaw lesion, the entire surgical specimen and not only a biopsy specimen, should be examined histopathologically to prevent any possibility of an intramural squamous cell carcinoma that may be overlooked. The differences in prevalence of each type of jaw cyst during a lifetime may point toward a multifactorial polygenic pattern rather than a monogenic pattern.</p></abstract><kwd-group><kwd>cyst</kwd><kwd>jaw bone</kwd><kwd>children</kwd><kwd>adults</kwd><kwd>genetics</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" position="float"><label>Figure 1</label><caption><p>Dentigerous cyst affecting the left mandible of a 15-year-old boy treated by marsupiallization. At presentation, there was an acute infection in the area. A) Pre-operative radiographs: 1) Panoramic radiograph demonstrating a tooth within a large radiolucent area in the left mandible; 2) Axial CT scan demonstrating expansion of the body of the left mandible with very thin buccal and lingual cortices. A tooth is within the lumen; 3) Coronal CT of the mandible demonstrates an expansion of the ascending ramus of the left mandible with very thin cortical borders. A tooth is within the lumen. B. Postoperative radiographs: 1) Panoramic radiograph shortly post-marsupialization, extraction of tooth 37 that was adjacent the cyst as well as tooth 38 that was within the cyst; 2) Panoramic radiograph one year post-treatment. The radiodensity of the cystic area is similar to normal bone, indicating complete bone regeneration.</p></caption><graphic xlink:href="ijmsv09p0020g01"></graphic><graphic xlink:href="ijmsv09p0020g02"></graphic><graphic xlink:href="ijmsv09p0020g03"></graphic><graphic xlink:href="ijmsv09p0020g04"></graphic></fig><table-wrap id="T1" position="float"><label>Table 1</label><caption><p>Types of cysts, ages of patients, and cyst diameters in pediatric age group (N=95).</p></caption><table frame="hsides" rules="groups"><thead valign="top"><tr><th rowspan="1" colspan="1"></th><th rowspan="1" colspan="1">Number (%)</th><th rowspan="1" colspan="1">Mean age (years)</th><th rowspan="1" colspan="1">Mean diameter (cm)</th></tr></thead><tbody valign="top"><tr><td rowspan="1" colspan="1">Dentigerous cyst</td><td rowspan="1" colspan="1">42 (44%)</td><td rowspan="1" colspan="1">11</td><td rowspan="1" colspan="1">2.1</td></tr><tr><td rowspan="1" colspan="1">Eruption cyst</td><td rowspan="1" colspan="1">20 (21%)</td><td rowspan="1" colspan="1">4.3</td><td rowspan="1" colspan="1"></td></tr><tr><td rowspan="1" colspan="1">Traumatic bone cyst</td><td rowspan="1" colspan="1">17 (18%)</td><td rowspan="1" colspan="1">14</td><td rowspan="1" colspan="1">1.7</td></tr><tr><td rowspan="1" colspan="1">Radicular cyst</td><td rowspan="1" colspan="1">16 (17%)</td><td rowspan="1" colspan="1">8</td><td rowspan="1" colspan="1">1.4</td></tr></tbody></table></table-wrap><table-wrap id="T2" position="float"><label>Table 2</label><caption><p>Types of cysts, ages of patients, and cyst diameters in adult age group (N=227).</p></caption><table frame="hsides" rules="groups"><thead valign="top"><tr><th rowspan="1" colspan="1"></th><th rowspan="1" colspan="1">Number (%)</th><th rowspan="1" colspan="1">Mean age (years)</th><th rowspan="1" colspan="1">Mean diameter (cm)</th></tr></thead><tbody valign="top"><tr><td rowspan="1" colspan="1">Radicular cyst</td><td rowspan="1" colspan="1">144 (63%)</td><td rowspan="1" colspan="1">42</td><td rowspan="1" colspan="1">3.0</td></tr><tr><td rowspan="1" colspan="1">Dentigerous cyst</td><td rowspan="1" colspan="1">40 (18%)</td><td rowspan="1" colspan="1">50</td><td rowspan="1" colspan="1">3.2</td></tr><tr><td rowspan="1" colspan="1">Odontogenic keratocystic tumor (=Keratocyst,<break></break>Primordial cyst)</td><td rowspan="1" colspan="1">23 (10%)</td><td rowspan="1" colspan="1">46</td><td rowspan="1" colspan="1">2.7</td></tr><tr><td rowspan="1" colspan="1">Non odontogenic cyst</td><td rowspan="1" colspan="1">20 ( 9%)</td><td rowspan="1" colspan="1"></td><td rowspan="1" colspan="1"></td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>Hongrie</li><li>Israël</li></country><region><li>Hongrie centrale</li></region><settlement><li>Budapest</li></settlement></list><tree><country name="Israël"><noRegion><name sortKey="Manor, Esther" sort="Manor, Esther" uniqKey="Manor E" first="Esther" last="Manor">Esther Manor</name></noRegion><name sortKey="Bodner, Lipa" sort="Bodner, Lipa" uniqKey="Bodner L" first="Lipa" last="Bodner">Lipa Bodner</name><name sortKey="Kachko, Leonid" sort="Kachko, Leonid" uniqKey="Kachko L" first="Leonid" last="Kachko">Leonid Kachko</name><name sortKey="Puterman, Max B" sort="Puterman, Max B" uniqKey="Puterman M" first="Max B." last="Puterman">Max B. Puterman</name></country><country name="Hongrie"><region name="Hongrie centrale"><name sortKey="Szabo, George" sort="Szabo, George" uniqKey="Szabo G" first="George" last="Szabo">George Szabo</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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