title: Uncommon dermoid cyst presented in the mandible possibly originating from embryonic epithelial remnants.
abstract: A case of an intraosseous dermoid cyst that had developed in the mandible of a 29-year-old-male is reported. The patient was admitted to our dental clinic complaining of pain in the right molar area of the mandible. The patient had no particular history of the present illness. A radiographic examination revealed diffuse bone absorption in the right molar area. A biopsy showed the lesion to be an intraosseous dermoid cyst which was surgically enucleated. Microscopic examination of the excised tissue showed it to be well circumscribed with fibrous tissues, and the cystic space lined by keratinized epithelium. In addition, sweat glands and hair follicle-like skin appendages were identified in the cystic wall, where a daughter cyst was also found. We suggested that this uncommon cyst had developed in the mandible, as a result of embryonic epithelium migration. The patient remained in good health during the three year follow-up.
authors.affiliation: The Department of Pathology, Nihon University School of Dentistry, Tokyo, Japan. komiyama@dent.nihon-u.ac.jp
authors.forename: Kazuo
authors.initials: K
authors.lastname: Komiyama
authors.forename: Yukako
authors.initials: Y
authors.lastname: Miki
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Oda
authors.forename: Tshihito
authors.initials: T
authors.lastname: Tachibana
authors.forename: Masahiro
authors.initials: M
authors.lastname: Okaue
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Tanaka
authors.forename: Itaru
authors.initials: I
authors.lastname: Moro
mesh_terms: D000328:Adult; D003884:Dermoid Cyst / Q000473:pathology*; D004848:Epithelium / Q000196:embryology / Q000473:pathology; D006801:Humans; D008297:Male; D008339:Mandibular Neoplasms / Q000473:pathology*