A rare case of bilateral mandibular simple bone cyst and the importance of differential diagnosis
Keywords:Bone cyst, Mandible, Curettage, Oral surgery
Objective: To present a rare case of a mandibular bilateral simple bone cyst (SBC) with different radiological features and argue about the importance of the differential diagnosis.
Case description: A 16-year-old boy was referred by his dentist to evaluate two radiolucent mandibular lesions. The diagnostic hypotheses were ameloblastoma or keratocystic odontogenic tumor to the left side and odontogenic cyst on the right side due radiologic features. In the left side, needle aspiration and biopsy, were performed. During surgical approach there was an empty space in the surgical cavity compatible with SBC. At this moment the diagnostic was made and the cavity was submitted to rigorous curettage. The right side was assessed after 4 months. To our surprise, it was found an empty cavity, as the left side. Six months later the first biopsy the panoramic radiograph showed completely bone neoformation on both sides. The patient is in radiographic follow-up for three years, without relapse.
Conclusions: Bilateral SBC is a rare condition that can show different radiographic features. The diagnostic is defined at the surgery time. The radiographic features helps in diagnosis, however, should not be decisive. Surgical exploration should be done soon after radiographic diagnoses.
Harnet JC, Lombardi T, Klewansky P, Rieger J, Tempe MH, Clavert JM. Solitary bone cyst of the jaws: a review of the etiopathogenic hypotheses. J Oral Maxillofac Surg. 2008;66:2345-8. https://doi.org/10.1016/j. joms.2007.08.035
Mupparapu M, Milles M, Singer SR, Rinaggio J. Rare, simultaneous, multiple, and recurrent mandibular bone cysts. Quintessence Int. 2008;39:331-6.
Cortell-Ballester I, Figueiredo R, Berini-Aytés L, Gay-Escoda C. Traumatic bone cyst: A retrospective study of 21 cases. Med Oral Patol Oral Cir Bucal. 2009;14:e239-43.
Xanthinaki AA, Choupis KI, Tosios K, Pagkalos VA, Papanikolaou SI. Traumatic bone cyst of the mandible of possible iatrogenic origin: a case report and brief review of the literature. Head and Face Medicine. 2006;12;2:40.
Kuhmichel A, Bouloux GF. Multifocal Traumatic Bone Cysts: Case Report and Current Thoughts on Etiology. J Oral Maxillofac Surg 2010;68:208- 2.
Suei Y, Taguchi A, Kurabayashi T, Kobayashi F, Nojiri M, Tanimoto K. Simple bone cyst: investigation on the presence of gas in the cavity using computed tomography – review of 52 cases. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998;86:592-4. https://doi.org/10.1016/ S1079-2104(98)90352-3
Magliocca KR, Edwards SP, Helman JI. Traumatic bone cyst of the condylar region: report of 2 cases. J Oral Maxillofac Surg. 2007;65:1247-50. https://doi.org/10.1016/j.joms.2005.08.026
Cohen J. Simple bone cysts. Studies of cyst fluid in six cases with a theory of pathogenesis. J Bone Joint Surg Am. 1960;42:609-16. https://doi.org/10.2106/00004623-196042040-00005
Suei Y, Taguchi A, Tanimoto K. Simple bone cyst of the jaws: evaluation of treatment outcome by review of 132 cases. J Oral Maxillofac Surg. 2007;65:918-23. https://doi.org/10.1016/j.joms.2006.06.297
De Souza Noronha VR, Sette-Dias AC, Abdo EN, Gomez RS, de Mesquita RA. Asynchronous idiopathic bone cavity: a case report. J Craniomaxillofac Surg. 2012;40:e328-30. https://doi.org/10.1016/j.jcms.2012.02.001
The submission of originals to Odonto Ciência implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite Odonto Ciência as the site of original publication.
CREATIVE COMMONS LICENSE
As this journal is open access, the articles are allowed free use in scientific and educational applications, with citation of the source.
According to the type of Creative Commons License (CC-BY 4.0) adopted by Odonto Ciência, the user must respect the requirements below.
You are free to:
Share — copy and redistribute the material in any medium or format.
Adapt — remix, transform, and build upon the material for any purpose, even commercially.
However, only under the following terms:
Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests Odonto Ciência endorses you or your use.
No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation.
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
For more details on the Creative Commons license, please follow the link in the footer of this website.