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Glandular Odontogenic Cyst

Glandular Odontogenic Cyst
Etiology • A developmental odontogenic cyst • A unique jaw cyst with microscopic evidence of glandular differentiation
Clinical Presentation • Slow growing; may be expansile • Located chiefly in the anterior mandible • May present a lateral periodontal relationship
Radiographic Findings • Usually a multilocular cystic radiolucency • Sharply defined with hyperostotic margins • May be extensive, locally invasive; may perforate cortical bone
Diagnosis • Radiographic qualities • Incisional biopsy results show cystic epithelium with mucous
cells and pseudoduct formation

Differential Diagnosis • Giant cell lesion • Ameloblastoma • Odontogenic keratocyst • Lateral periodontal cyst
Treatment • Excision, peripheral ostectomy • En bloc excision • Primary reconstruction
Prognosis • Recurrence may be associated with conservative management.