Skip to main content

Advertisement

Log in

Orthokeratinized Odontogenic Cyst of the Mandible with Heterotopic Cartilage

  • Case Reports
  • Published:
Head and Neck Pathology Aims and scope Submit manuscript

Abstract

Cartilaginous metaplasia is a rare but well-documented phenomenon occurring in the wall of odontogenic keratocyst. The mural cartilage not associated with odontogenic keratocyst has been reported only once in a maxillary teratoid cyst of congenital origin to our knowledge. A case presented is a 38-year-old man with intraosseous keratinizing epidermoid cyst in the mandible, the wall of which contained a nodule of mature hyaline cartilage. The present lesion likely represents a previously undescribed, histologic hybrid consisting of orthokeratinized odontogenic cyst and cartilaginous heterotopia.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

References

  1. Shear M, Speight P. Cysts of the oral and maxillofacial regions. 4th ed. Oxford: Blackwell Munksgaard; 2007. p. 108–18.

  2. Ide F, Horie N, Shimoyama T, Saito I, Tanaka A, Kusama K. Infrequent clinicopathologic features of keratocystic odontogenic tumor: a 29-year multi-institutional retrospective review. Oral Surg. 2009 (in press).

  3. Arwill T, Kahnberg KE. Odontogenic keratocyst associated with an intramandibular chondroma. J Oral Surg. 1977;35:64–7.

    PubMed  CAS  Google Scholar 

  4. Kratochvill FJ, Brannon RB. Cartilage in the walls of odontogenic keratocysts. J Oral Pathol Med. 1993;22:282–5. doi:10.1111/j.1600-0714.1993.tb01072.x.

    Article  Google Scholar 

  5. Mosqueda-Taylor A, de la Piedra-Garza JM, Troncozo-Vazquez F. Odontogenic keratocyst with chondroid fibrous wall A case report. Int J Oral Maxillofac Surg. 1998;27:58–60. doi:10.1016/S0901-5027(98)80098-2.

    Article  PubMed  CAS  Google Scholar 

  6. Fornatora ML, Reich RF, Chotkowski G, Freedman PD. Odontogenic keratocyst with mural cartilaginous metaplasia: a case report and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001;92:430–4. doi:10.1067/moe.2001.117804.

    Article  PubMed  CAS  Google Scholar 

  7. Yih WY, Krump JL. Odontogenic keratocyst in the nasopalatine duct associated with mural cartilaginous metaplasia. J Oral Maxillofac Surg. 2005;63:1382–4. doi:10.1016/j.joms.2005.05.305.

    Article  PubMed  Google Scholar 

  8. Pieritz U, Schubert GE. Zystisches Teratom im Oberkiefer. Dtsch Z Mund Kiefer Gesichtschir. 1984;8:260–3.

    PubMed  CAS  Google Scholar 

  9. Wright JM. The odontogenic keratocyst: orthokeratinized variant. Oral Surg Oral Med Oral Pathol. 1981;51:609–18. doi:10.1016/S0030-4220(81)80011-4.

    Article  PubMed  CAS  Google Scholar 

  10. Siar CH, Ng KH. Orthokeratinised odontogenic keratocysts in Malaysians. Br J Oral Maxillofac Surg. 1988;26:215–20. doi:10.1016/0266-4356(88)90165-9.

    Article  PubMed  CAS  Google Scholar 

  11. Vuhahula E, Nikai H, Ijuhin N, et al. Jaw cysts with orthokeratinization: analysis of 12 cases. J Oral Pathol Med. 1993;22:35–40. doi:10.1111/j.1600-0714.1993.tb00117.x.

    Article  PubMed  CAS  Google Scholar 

  12. Li TJ, Kitano M, Chen XM, et al. Orthokeratinized odontogenic cyst: a clinicopathological and immunocytochemical study of 15 cases. Histopathology. 1998;32:242–51. doi:10.1046/j.1365-2559.1998.00380.x.

    Article  PubMed  CAS  Google Scholar 

  13. Noffke CEE. Implantation-type epidermoid cyst of the mandible. Dentomaxillofac Radiol. 1999;28:383–5. doi:10.1038/sj.dmfr.4600477.

    Article  PubMed  CAS  Google Scholar 

  14. Francis TC, Archard HO. Nasopalatine duct cyst with epidermoid features: report of case. J Oral Surg. 1967;25:265–8.

    Google Scholar 

  15. Bonder L, Woldenberg Y, Sion-Vardy N. Dermoid cyst of the maxilla. Int J Oral Maxillofac Surg. 2005;34:453–5. doi:10.1016/j.ijom.2004.10.012.

    Article  Google Scholar 

  16. Chi AC, Neville BW, McDonald TA, Trayham RT, Byram J, Peacock EH. Jaw cysts with sebaceous differentiation: report of 5 cases and a review of the literature. J Oral Maxillofac Surg. 2007;65:2568–74. doi:10.1016/j.joms.2006.09.014.

    Article  PubMed  Google Scholar 

  17. Browne RM. The odontogenic keratocyst. Histological features and their correlation with clinical behavior. Br Dent J. 1971;131:249–59. doi:10.1038/sj.bdj.4802732.

    Article  PubMed  CAS  Google Scholar 

  18. Brannon RB. The odontogenic keratocyst. A clinicopathologic study of 312 cases. Part II. Histologic features. Oral Surg Oral Med Oral Pathol. 1977;43:233–55. doi:10.1016/0030-4220(77)90161-X.

    Article  PubMed  CAS  Google Scholar 

  19. Jordan RCK. Histology and ultrastructural features of the odontogenic keratocyst. Oral Maxillofac Surg Clin North Am. 2003;15:325–33. doi:10.1016/S1042-3699(03)00034-7.

    Article  PubMed  Google Scholar 

  20. Ide F, Horie N, Shimoyama T. Subpontic cartilaginous hyperplasia of the mandible. Oral Dis. 2003;9:224–5. doi:10.1034/j.1601-0825.2003.02854.x.

    Article  PubMed  CAS  Google Scholar 

  21. Everett FG, Bruckner RJ. Cartilage in the periodontal ligament space. J Periodontol. 1970;41:165–9.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Fumio Ide.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ide, F., Saito, I., Horie, N. et al. Orthokeratinized Odontogenic Cyst of the Mandible with Heterotopic Cartilage. Head and Neck Pathol 3, 150–152 (2009). https://doi.org/10.1007/s12105-009-0116-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12105-009-0116-3

Keywords

Navigation