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Case Reports in Dentistry
Volume 2013, Article ID 539234, 5 pages
http://dx.doi.org/10.1155/2013/539234
Case Report

Dual Lesions: A Diagnostic Dilemma

1Department of Oral Medicine and Radiology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, India
2Department of Oral Pathology, Dr. Sudha and Nageswara Rao Siddhartha Institute of Dental Sciences, Chinnaoutpalli, Krishna District, Gannavaram, Andhra Pradesh 521286, India

Received 3 June 2013; Accepted 3 July 2013

Academic Editors: R. S. Brown and G. Spagnuolo

Copyright © 2013 M. P. V. Prabhat et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Glandular odontogenic cyst (GOC) is a rare aggressive developmental cyst of the jaw. It most commonly occurs in middle-aged people with mandible anterior region being the most affected site. This lesion can present as a unilocular or multilocular radiolucency and has high recurrence rate. The histopathologic features of the GOC are complex and often coincide with the features of dentigerous cyst, radicular cyst, and low-grade central mucoepidermoid carcinoma (CMEC). At times, the microscopic features are so similar to central low-grade mucoepidermoid carcinoma that it becomes highly impossible to distinguish the two entities even with various advanced investigations. The reported case represents one such diagnostic dilemma occurring in the maxilla which is a rare site, and the lesion/s appeared as two distinct entities, that is, GOC and CMEC on either aspects of the same side of maxilla clinically, yet showing continuity on advanced imaging and demonstrating histopathological perplexity.