Pleomorfik Adenom ile Benzerlik Gösteren Büyük Radiküler Kist: Olgu Sunumu

Yıl 2024, Cilt: 6 Sayı: 3, 354 - 360, 30.12.2024

Rabia Tül Adeviye Çankaya , Burcu Baş

https://doi.org/10.51122/neudentj.2025.135

Öz

Bu olgu sunumunda sağ maksiller birinci molar dişten kaynaklanan, damakta şişlik oluşturan, nazal kaviteye genişlediği ve baskı yaptığı için nefes alma zorluğuna sebep olan radiküler kistin ayırıcı tanısı ve tedavisi anlatıldı.
On yedi yaşındaki kadın hasta kliniğimize damakta şişlik ve nefes alma zorluğu ile başvurdu. Ağız içi muayenede sert damağın sağ tarafında tabana yayılan karakterde lezyon izlendi. Radyografik muayenede sağ maksiller birinci molar dişin köklerini içine alan, uniloküler radyolusent lezyon görüldü. Klinik görüntüsünün minör tükürük bezi tümörlerinin karakteristiğine uyması nedeniyle ayırıcı tanıda pleomorfik adenom göz önüne alındı. Aspirasyon biyopsisinde lezyon içerisinden kist sıvısı aspire edildi. Ön tanı odontojenik kist olarak kondu. Kistin boyutlarının geniş olması sebebiyle, çevre anatomik yapıları koruma amaçlı tedaviye cerrahi marsüpyalizasyon ve insizyonel biyopsi ile başlandı. Biyopsi sonucu benign inflame kist olarak geldi. Marsüpyalizasyon tedavisi sonucu 6. ayda kitle total eksize edildi. 1,5 yıllık takip sonucunda nüks gözlenmedi.

Anahtar Kelimeler

marsüpyalizasyon, pleomorfic adenom, radiküler kist

A Large Radicular Cyst Mimicking Pleomorfic Adenoma: A Case Report

Öz

This case report aimed to explain the diagnosis and treatment of a radicular cyst that is located on the palate, expands towards the nasal cavity, and causes breathing difficulty in the patient because it puts pressure on the nasal cavity.
A 17-year-old female patient presented to our clinic with palatal swelling and difficulty breathing. Intraoral examination revealed a lesion on the right side of the hard palate that spread to the base. Radiographic examination revealed a unilocular radiolucent lesion with loss of border definition involving the roots of the right maxillary first molar. Since the clinical appearance was characteristic of minor salivary gland tumors, the differential diagnosis included pleomorphic adenoma. In aspiration biopsy, cyst fluid was aspirated from the lesion and the preliminary diagnosis was revealed as an odontogenic cyst. Due to the large size of the cyst, treatment was started with surgical marsupialization and incisional biopsy to protect the surrounding anatomical structures. The biopsy result was a benign inflamed cyst. The lesion was excised completely in the 6th month. Any recurrence was observed at a 1.5-year follow-up.

Anahtar Kelimeler

marsupialization, pleomorphic adenoma, radicular cyst

Kaynakça

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