Odontogenic keratocyst: wolf in a sheep’s coat
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20253814Keywords:
Maxilla, Recurrence, Odontogenic keratocystsAbstract
Odontogenic keratocyst (OKC) is a benign yet locally aggressive odontogenic lesion with a high recurrence rate. Although more commonly found in the mandible, OKCs may rarely involve the maxilla, posing diagnostic and surgical challenges. We report the case of a 65-year-old female with a recurrent, painful swelling in the upper gingiva, radiologically presenting as a well-defined expansile lytic lesion in the maxilla. The cyst was surgically enucleated under general anesthesia, and histopathology confirmed the diagnosis of odontogenic keratocyst. The patient remained asymptomatic with no recurrence at five months follow-up. This case highlights the need for awareness of atypical presentations of OKC, the importance of histopathological confirmation, and the role of long-term follow-up to monitor for recurrence or malignant transformation.
Metrics
References
Hamied M, Al-Shaikhani S, Ali Z. Odontogenic keratocyst a literature review. Al-Kindy Coll Med J. 2021;17(2):52-61. DOI: https://doi.org/10.47723/kcmj.v17i2.266
Mohamed AA, Babiker AA, Khalfallah MS, Eltohami YI. Odontogenic Keratocysts: Presentation and Surgical Outcome in a Sample of Sudanese Patients. Int J Dentist. 2023;6164:1-6.
Vargas PA, da Cruz Perez DE, Mata GM, de Almeida OP, Jones AV, Gerhard R. Fine needle aspiration cytology as an additional tool in the diagnosis of odontogenic keratocyst. Cytopathol. 2007;18:361–6. DOI: https://doi.org/10.1111/j.1365-2303.2007.00444.x
Dioguardi M, Quarta C, Sovereto D. Factors and management techniques in odontogenic keratocysts: a systematic review. Europ J Med Res. 2024;29:287. DOI: https://doi.org/10.1186/s40001-024-01854-z
Chen P, Liu B, Wei B, Yu S. The clinicopathological features and treatments of odontogenic keratocysts. American J Canc Res. 2022;12:3479–85.
Mohamed AA, Babiker AA, Khalfallah MS, Eltohami YI. Odontogenic keratocysts: presentation and surgical outcome in a sample of sudanese patients. Int J Dentist. 2023;6164:1-6. DOI: https://doi.org/10.1155/2023/8763948
Jung HD, Lim JH, Kim HJ, Nam W, Cha IH. Appropriate follow-up period for odontogenic keratocyst: a retrospective study. Maxillofac Plast Reconstr Surg. 2021;43:23. DOI: https://doi.org/10.1186/s40902-021-00301-x
Roman CR, Faur CI, Boţan E, Ghiurca RS, Moldovan MA. Odontogenic Keratocyst: The Dos and Don’ts in a Clinical Case Scenario. American J Case Reports. 2022;2:936641. DOI: https://doi.org/10.12659/AJCR.936641
Brannon RB. The odontogenic keratocyst. A clinicopathologic study of 312 cases. Part I. Clinical features. Oral Surg Oral Med Oral Pathol. 1976;42:54–72. DOI: https://doi.org/10.1016/0030-4220(76)90031-1
Caminiti MF, El-Rabbany ME, Jeon J, Bradley G. 45-fluorouracil is associated with a decreased recurrence risk in odontogenic keratocyst Management: A Retrospective Cohort Study. J Oral Maxillofac Surg. 2021;79(4):814-21. DOI: https://doi.org/10.1016/j.joms.2020.07.215
Downloads
Published
How to Cite
Issue
Section
