Abstract
A 28-year-old male patient presented a hypodense tomographic image, extending from the retromolar region to the mandibular notch, with expansion and resorption of the buccal and lingual bone plates, and an unerupted 3rd molar . An incisional biopsy was performed and revealed a cystic capsule comprised of connective tissue, lined by parakeratinized stratified squamous epithelium with a columnar basal layer arranged in palisade, allowing for the diagnosis of a keratocyst. The lesion was decompressed for 8 months, followed by enucleation. The anatomopathological examination revealed a cystic capsule lined by predominantly orthokeratinized stratified squamous epithelium, with scant areas of parakeratin, and a columnar basal layer arranged in palisade, confirming the diagnosis. The patient showed no signs of recurrence after 30 months of follow-up. A 28-year-old male patient presented a hypodense tomographic image, extending from the retromolar region to the mandibular notch, with expansion and resorption of the buccal and lingual bone plates, and an unerupted 3rd molar . An incisional biopsy was performed and revealed a cystic capsule comprised of connective tissue, lined by parakeratinized stratified squamous epithelium with a columnar basal layer arranged in palisade, allowing for the diagnosis of a keratocyst. The lesion was decompressed for 8 months, followed by enucleation. The anatomopathological examination revealed a cystic capsule lined by predominantly orthokeratinized stratified squamous epithelium, with scant areas of parakeratin, and a columnar basal layer arranged in palisade, confirming the diagnosis. The patient showed no signs of recurrence after 30 months of follow-up.
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