NUMERO: #20250382

Título: ODONTOGENIC KERATOCYST MIMICKING THE PERIAPICAL CYST IN THE ANTERIOR MAXILLA

Nome do Apresentador: Isabella Souza MALTA

Categoria do Trabalho: Painel de caso clínico (PCC)

Área Temática: Estomatologia

Resumo: A 54-year-old male presented with swelling in the anterior vestibular region. Clinical examination revealed a sessile, normochromic nodule extending across the midline, associated with the apices of non-vital maxillary central incisors. Cone-beam computed tomography demonstrated a unilocular, hypodense lesion with disruption of lamina dura, apical root resorption, and communication with the nasopalatine duct. Initial management included endodontic treatment of the central incisors; however, the lesion persisted. Under the differential diagnosis of radicular cyst and nasopalatine duct cyst, an excisional biopsy and apicectomy were performed. Histopathological examination revealed a cystic capsule containing satellite cysts, lined by parakeratinized stratified squamous epithelium with a palisaded basal layer and surface corrugation. These features confirmed the diagnosis of an odontogenic keratocyst. The patient remains under regular follow-up, with no signs of recurrence to date. This case highlights the importance of integrating clinical, radiographic, and histopathological findings for accurate diagnosis and appropriate management of jaw lesions.

Autor 1:  Isabella Souza MALTA

E-mail 1:  [email protected]

Autor 2:   Yasmin Karoline Nicolau GOUVEIA

E-mail 2:  [email protected]

Autor 3 :  Sabrina MONTESANTI

E-mail 3:  [email protected]

Autor 4:  Maria Leticia de Almeida LANÇA

E-mail 4:  [email protected]

Autor 5:  Ana Lia ANBINDER

E-mail 5:  [email protected]

Autor 6:  Marcelo Marotta ARAUJO

E-mail 6:  [email protected]

Autor 7:  Estela KAMINAGAKURA

E-mail 7:  [email protected]