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

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.

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.

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.

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

• Cysts of the oral and maxillofacial region