Non-epithelialised non-odontogenic cysts Flashcards

1
Q

2 types of non-epithelialized primary bone cyst?

A

solitary bone cyst

aneurysmal bone cyst

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2
Q

common in jaws?

A

non common - more common in other bone

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3
Q

stafne’s idiopathic bone cavity?

A

not a cyst - mimics one on radiographs

uncommon

symptomless

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4
Q

where is stafne’s idiopathic bone cavity located?

A

between premolar region an dangle o the mandible

beneath the inferior dental canal

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5
Q

radiographic presentation of stafne’s idiopathic bone cavity?

A

round or oval well defined radiolucency

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6
Q

what is this?

A

stafne’s idiopathic bone cavity

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7
Q

stafne’s idiopathic bone cavity buccal or lingual?

A

lingual side of mandible

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8
Q

describe the shape of stafne’s idiopathic boen cavity on a radiograph?

A

saucer shapes depression of varying depth on the lingual side of the mandible

ectopic salivary gland

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9
Q

what is stafne’s idiopathic bone cavity continuous with?

A

submandibular salivary gland

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10
Q

staphne’s idiopathic cavity need tx?

A

no

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11
Q

synonyms of solitary bone cyst?

A

simple bone cyst

traumatic bone cyst

haemorrhagic bone cyst

unicameral bone cyst

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12
Q

who usually gets a solitary bone cyst?

A

children and adolescents

peak in second decade

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13
Q

Where does the solitary bone cyst appear?

A

premolar and molar regions of mandible

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14
Q

solitary bone cyst appear in maxilla?

A

rare

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15
Q

solitary bone cyst asymptomatic or symptomatic?

A

asymptomatic - usually fond on radiograph

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16
Q

Does solitary boen cyst cause bone expansion?

A

25% cases - rarely

17
Q

unilocular or multilocular - solitary cyst?

A

unilocular

18
Q

solitary cyst radiographic presentation?

A

radiolucent

variable size an outline

scalloping around and between roots (characteristic)

well defined margins

  • no bone resorption
19
Q

characteristic feature of solitary cyst?

A

scalloping around and between roots

20
Q

differential diagnosis for solitary cyst?

A

odontogenic keratocyst

keratocyst are usually multilocular and cause bone resorption

21
Q

How to diagnose solitary bone cyst?

A

surgical exploration

22
Q

diagnosis of solitary bone cyst?

A

walled cavity

no lining

empty cavity or blood coloured fluid - haemorrhagic bleeding aids healing

healing following exploration

spontaneous healing even without surgery

23
Q

solitary cyst have epithelial lining?

A

no

its just bone

24
Q

in solitary bine cysts what are the bony walls covered with?

A

covered with a layer of loose vascular connective tissue

25
Q

histopathological appearance of solitary bone cells?

A

bony walls covered with a layer of loose vascular connective tissue

extravasated blood cells

hemosiderin (remnants of blood cells - shows haemorrhage)

no epithelial lining

26
Q

Pathogenesis of solitary bone cyst?

A

relation to trauma

or

disorganisation of haemorrhage

27
Q

what is an Aneurysmal bone cyst?

A

blood filled spaces within the cavity

has no blood vessels

28
Q

2 types of aneurysmal bone cysts?

A

primary of secondary to other diseases of bone

29
Q

locatiuonlocation of aneurysmal bone cysts?

A

posterior mandible

30
Q

what age range get aneurysmal bone cysts?

A

children and young adults

31
Q

Describe the swelling of an aneurysmal bone cyst?

A

firm expanding swelling causing facial deformity

can sometimes see ballooning of the cortical bone in mandible

32
Q

is pan a symptom of aneurysmal bone cyst?

A

could be a symptom

33
Q

radiographic presentation of aneurysmal bone cyst?

A

unilocular or multilocular radiolucency

ballooned out appearance due to cortical expansion

34
Q

If the aneurysmal bone cyst is secondary - what are some associated bone disorders?

A

fibro-osseous lesions

central giant cell granuloma

35
Q

histopathology of aneurysmal bone cyst?

A

non-endothelial lined blood filled spaces

separated by cellular fibrous tissue

multinucleated osteoclast like giant cells

evidence of old and recent haemorrhage

36
Q

Pathogenesis of aneurysmal bone cysts?

A

unknown

can be associated with other bone diseases

37
Q

what are the blood filled spaces separated by in aneurysmal bone cysts?

A

cellular fibrous tissue