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Rarely, some cystic lesions represent locally aggressive tumors that may cause destruction of surrounding bone if left untreated. This type of cyst are usually removed with a margin of healthy bone to prevent recurrence of new cysts. If a cyst expands to a very large size, the mandible may be weakened such that a pathologic fracture occurs.
The Stafne defect (also termed Stafne's idiopathic bone cavity, Stafne bone cavity, Stafne bone cyst (misnomer), lingual mandibular salivary gland depression, lingual mandibular cortical defect, latent bone cyst, or static bone cyst) is a depression of the mandible, most commonly located on the lingual surface (the side nearest the tongue).
An odontogenic keratocyst is a rare and benign but locally aggressive developmental cyst. It most often affects the posterior mandible and most commonly presents in the third decade of life. [1] Odontogenic keratocysts make up around 19% of jaw cysts. [2] Despite its more common appearance in the bone region, it can affect soft tissue. [3]
Radiographically, it is virtually impossible to differentiate granuloma from a cyst. [2] If the lesion is large it is more likely to be a cyst. Radiographically, both granulomas and cysts appear radiolucent. Many lesions of the mandible in particular appear cystlike in appearance.
The removed cyst must be evaluated by pathologist to confirm the diagnosis, and to rule out other neoplastic lesions with similar clinical or radiographic features (e.g., cystic or solid ameloblastoma, central mucoepidermoid carcinoma). [6]
Calcifying odontogenic cyst (COC) is a rare developmental lesion that comes from odontogenic epithelium. [2] It is also known as a calcifying cystic odontogenic tumor , which is a proliferation of odontogenic epithelium and scattered nest of ghost cells and calcifications that may form the lining of a cyst , or present as a solid mass.
A median mandibular cyst is a type of cyst that occurs in the midline of the mandible, thought to be created by proliferation and cystic degeneration of resting epithelial tissue that is left trapped within the substance of the bone during embryologic fusion of the two halves of the mandible, along the plane of fusion later termed the symphysis menti.
This odontogenic cyst is commonly described to be a slow and aggressive development. [13] The inclination of GOC to be large and multilocular is associated with a greater chance of remission. [10] [3] GOC is an infrequent manifestation with a 0.2% diagnosis in jaw lesion cases. [14]