Gorlin cyst with atypical presentation: a case report

A partially edentulous 56-year-old woman presented an asymptomatic and slow growing swelling in the left posterior maxillary alveolar ridge. Examination of a panoramic X-ray showed a multilocular mixed radiolucent lesion exhibiting radiopaque structures and poorly defined borders. A hypothesis of odontogenic cyst X odontogenic tumor was formulated, and an excisional biopsy followed by curettage were performed. The histopathologic analysis revealed a connective tissue fibrous capsule lined by odontogenic epithelium characterized by columnar cells resembling ameloblasts and with the presence of ghost cells and areas showing deposits of calcifying dentinoid/enameloid-like material.
Source: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics - Category: ENT & OMF Authors: Source Type: research