Glandular odontogenic cyst of the maxilla in a Nigerian: Case report and review of literature

Abstract

Background: Glandular odontogenic cyst is a rare locally aggressive developmental odontogenic cyst that recurs with conservative management. It has been observed to commonly occur in the mandible with unilocular radiographic presentation. Aim: To improve knowledge of glandular odontogenic cyst among pathologists and clinicians. Methods: A case report and review of literature. Results: We report the only case of recurrent maxillary glandular odontogenic cyst diagnosed in Lagos University Teaching Hospital over a period of 47 years. The progressively growing cyst occurred in a 33-year-old Nigerian male. The lesion recurred 10 months after initial surgical excision. A second surgical excision was performed, and the patient is being closely followed up. Conclusion: Glandular odontogenic cyst is a rare developmental odontogenic cyst that has been reported to have a high recurrent rate. Detailed histopathologic assessment is required to arrive at a definitive diagnosis due to its similarities to other lesions. Segmental or marginal resection with long-term follow-up is advised to prevent recurrence.