Abstract
A rare case of unilocular radiolucency associated with the apices of the left maxillary central and lateral incisor and canine in a 32 years old female is presented. Histologically, the lesion showed foci of giant cell lesion in the wall of radicular cyst, there was no evidence of hyper parathyroidism. The clinic-pathological presentation is likely a histo-pathological curiosity and may be an example of “double” pathology/collision of apical inflammatory pathology and central giant cell lesion or reflect florid osteoclastic resorption.
Keyword: Unilocular radiolucency, hyper parathyroidism, “double” pathology.
References
- Varghese I, PrakashA :Giant cell lesions of oral cavity : Oral & Maxillofacial Pathology 2011; ISSN 0976- 1225
- Shrestha A, Marla V, Shrestha S, Neupane M. Giant cells and giant cell lesions of oral cavity - a review: CDJ 2014; 17(2); 192-204
- https/medical-dictionary. thefreedictionary.com/giant+cell.
- Branehog I, Ridell B, Swolin B, Weinfeld A (1975). "Megakaryocyte quantifications in relation to thrombokinetics in primary thrombocythaemia and allied diseases". J. Haematol. 15(5): 321–32. doi:10.1111/j.1600-0609.1975.tb01087.x. PMID 1060175.
- Krishnamurthy V, Haridas S, Garud M, et al. Radicular cyst masquerading as a multilocular radiolucency. Quintessence Int 2013;44:71–3 [PubMed]
- Joshi N, Sujan SG, Rachappa MM. An unusual case report of bilateral mandibular radicular cyst. Contemp Clin Dent 2011;2:59–62 [PMC free article] [PubMed]
- Schramm A, Rucker M, Sakkas N, et al. The use of cone beam CT in cranio maxilla facial surgery. Int Congress Series 2005;1281:1200–4
- Simon JHS. Incidence of periapical cysts in relation to the root canal. J Endod 1980;6:845–8 [PubMed]
- Nair PNR. Non-microbial etiology: periapical cysts sustain post-treatment apical periodontitis. Endod Top 2003; 6:96–113
- Jacob S. Rushton or hayline bodies in radicular cysts.A morphologic curiosity. Indian J Pathol Microbiol 2010;53:846–7 [PubMed]
- Swinson BD, Jerjes W, Thomas GJ. Squamous cell carcinoma arising in a residual odontogenic cyst: case report. J Oral Maxillofac Surg 2005;63:1231–3 [PubMed]
- Tandri SB. Management of infected radicular cyst by surgical decompression. J Cons Dent 2010;13:159–61 [PMC free article] [PubMed]
- Lagares DT, Segura-Egea JJ, Caballero AR. et al.Treatment of large maxillary cyst with marsupilization, decompression, surgical endodontic therapy and enucleation. J Can Dent Assoc 2011; 77:b87. [PubMed]
- Dominiak M, Lysiak-Drwal K, Gedrange T, et al. Efficacy of healing process of bone defects after apectomy: results after 6 & 12 months. J Physiol Pharmacol 2009;60(Suppl 8):51–5 [PubMed]
- Yoshikawa G, Murashima Y, Wadachi R, et al. Guided bone regeneration using membranes and calcium sulphate after apicectomy: a comparative histomorph-ometrical study. Int Endod J2002;35:255–63 [PubMed]
Corresponding Author
Dr Abhishek Banerjee
Assistant Professor, Oral and Maxillofacial Pathology, Awadh Dental College Hospital, Jamshedpur, India