Botryoid odontogenic cyst

Botryoid odontogenic cyst
Specialty	Dentistry

Botryoid odontogenic cyst (BOC) is a type of developmental odontogenic cyst that is extremely rare.[1] It is thought to be a lateral periodontal cyst (LPC) variant with a higher risk of recurrence.[2] Weathers and Waldron coined the term BOC in 1973.[3] Adults over the age of 50 are the most affected.[4] BOC appears as a slow-growing lesion that is symptomatic in approximately 70% of cases.[5]

Signs and symptoms

BOC patients frequently complain of swelling, as well as pain and paraesthesia. BOCs are larger cysts that range in size from 4 mm to 45 mm and can be unilocular or multilocular.[1]

Diagnosis

The BOC has a thin epithelial cyst lining composed of flattened squamous or cuboidal cells with focal plaque-like thickenings under the microscope. Clear cells may be seen in the cyst lining or among the epithelial rests dispersed among the fibrous connective-tissue wall on rare occasions.[6]

In terms of appearance, BOC shares similarities with some odontogenic tumors such as ameloblastoma, odontogenic myxoma, adenomatoid odontogenic tumor, and others. Incisional biopsy can be used to perform preoperative differential diagnosis.[6]

See also

• Odontogenic tumor
• Lateral periodontal cyst

References

1. Arora, Piyush; Bishen, KundenduA; Gupta, Nishant; Jamdade, Anshuman; Kumar, GopaR (2012). "Botryoid odontogenic cyst developing from lateral periodontal cyst: A rare case and review on pathogenesis". Contemporary Clinical Dentistry. 3 (3). Medknow: 326–329. doi:10.4103/0976-237x.103629. ISSN 0976-237X. PMC 3532799. PMID 23293492.
2. Méndez, Pedro; Junquera, Luis; Gallego, Lorena; Baladrón, Jaime (December 1, 2007). "Botryoid odontogenic cyst: clinical and pathological analysis in relation to recurrence" (PDF). Medicina oral, patología oral y cirugía bucal. 12 (8). Spain: Valencia, España : Medicina Oral S.L.: E594 – E598. ISSN 1698-6946. PMID 18059246. Retrieved 17 November 2023.
3. Weathers, Dwight R.; Waldron, Charles A. (1973). "Unusual multilocular cysts of the jaws (botryoid odontogenic cysts)". Oral Surgery, Oral Medicine, Oral Pathology. 36 (2). Elsevier BV: 235–241. doi:10.1016/0030-4220(73)90244-2. ISSN 0030-4220. PMID 4515756.
4. Üçok, Ö.; Yaman, Z.; Günhan, Ö.; Üçok, C.; Doğan, N.; Baykul, T. (2005). "Botryoid odontogenic cyst: report of a case with extensive epithelial proliferation". International Journal of Oral and Maxillofacial Surgery. 34 (6). Elsevier BV: 693–695. doi:10.1016/j.ijom.2005.01.005. ISSN 0901-5027. PMID 16053898.
5. de Andrade Santos, Pedro Paulo; Freitas, Valéria Souza; de Almeida Freitas, Roseana; Pinto, Leão Pereira; de Souza, Lélia Batista (2011). "Botryoid odontogenic cyst: A clinicopathologic study of 10 cases". Annals of Diagnostic Pathology. 15 (4). Elsevier BV: 221–224. doi:10.1016/j.anndiagpath.2010.03.008. ISSN 1092-9134. PMID 20952285.
6. Yildirim, Benay; Baris, Emre (July 19, 2019). "Botryoid Odontogenic Cyst with Extensive Clear Cells". Biomedical Journal of Scientific & Technical Research. 19 (5). Biomedical Research Network+, LLC: 14589–14591. Retrieved November 18, 2023.

Further reading

• Neville, Brad W. (2016). "Cyst, Botryoid Odontogenic". Dental and Oral Pathology. Encyclopedia of Pathology. Cham: Springer International Publishing. pp. 78–80. doi:10.1007/978-3-319-28085-1_674. ISBN 978-3-319-28084-4. ISSN 2366-6269.
• Gurol, Muhtar; Burkes, E. Jeff; Jacoway, John (1995). "Botryoid Odontogenic Cyst: Analysis of 33 Cases". Journal of Periodontology. 66 (12). Wiley: 1069–1073. doi:10.1902/jop.1995.66.12.1069. ISSN 0022-3492. PMID 8683420.

External links