AN INTERESTING CASE OF AN ODONTOGENIC KERATOCYST OF THE LOWER JAW MIMICKING CARCINOMA

Abstract

The aim of this paper is to present an uncommon aspect of odontogenic keratocyst mimicking carcinoma. This case report concerns a 56 years old man with pain, swelling and an extraoral fistula of the skin of the chin of the lower jaw. The patient is admitted for emergency treatment. An orthopantomography was done and the result showed a cyst, which covers almost the entire lower jaw. At first the patient was treated with a combination of two antibiotics. After seven days, when the inflammatory process was under control, the lower jaw formation was removed under general anesthesia. Introduction: The keratocyst is the second most frequent odontogenic cyst and is one of the most aggressive ones owing to its high recurrence rate and its tendency to invade the adjacent tissues. Keratocysts are benign lesions that can be very aggressive so it’s very important to act early and diagnose them promptly.
Purpose: Presenting an interesting and uncommon case of an odontogenic keratocyst of the lower jaw mimicking carcinoma. Case report: The patient is admitted for emergency treatment. The orthopantomography showed a cyst, which covers almost the entire lower jaw. The traditional method for the treatment of most odontogenic keratocyst is surgical enucleation. In the first stage were performed an intraoral incision, an expansion of the extraoral skin fistula and placement of rubber drains. The patient was treated with a combination of two antibiotics.
When the inflammatory process was under control the lower jaw formation was removed under general anesthesia. The excision of the extraoral fistula was performed and it was closed plastically.
Conclusions: This case highlights the importance of accurate diagnosis of odontogenic keratocyst, considering its potentially aggressive and infiltrative behavior, and is essential for proper patient therapy and follow-up