TREATMENT OF MULTIPLE JAW KERATOCYSTIC ODONTOGENIC TUMOR IN CHILDREN'S JAW BONE : A CASE REPORT

Kim, Ji-Young; Kim, Young-Jin; Kim, Hyun-Jung; Nam, Soon-Hyeun

Journal of the Korean Academy of Pediatric Dentistry 2009;36(3):489-497.
Published online August 31, 2009.

TREATMENT OF MULTIPLE JAW KERATOCYSTIC ODONTOGENIC TUMOR IN CHILDREN'S JAW BONE : A CASE REPORT

Ji-Young Kim, Young-Jin Kim, Hyun-Jung Kim, Soon-Hyeun Nam

Pediatric dentistry, School of Dentistry, Kyungpook National University

소아에서 발생한 악골의 다발성 각화낭성 치성종양의 치험례

김지영, 김영진, 김현정, 남순현

경북대학교 치과대학 소아치과학교실

Correspondence: Soon-Hyeun Nam, Tel: 053-600-7201, Email: shnam@knu.ac.kr

Received: 2 June 2009 • Accepted: 7 August 2009

Abstract

Occurrence of multiple cysts in jaw bone is rare compared to solitary cysts. numerous cysts occurring in jaw bone which not accompany any syndromes are defined as multiple jaw cysts, and most of these cases in children are keratocystic odontogenic tumor (KCOT) Multiple KCOT occurring in children are often associated with basal cell nevus syndrome(BCNS), so if multiple cysts are found on the radiograph, we suspect this syndrome and pursue clinical and pathological tests. In this case, a pediatric patient, reporting with multiple cysts in the jaw was suspected of BCNS, but hasn't shown any other symptoms of this syndrome up to date, and has kept repeating surgical operation and recurrence of the tumor. Although no symptoms besides multiple jaw cysts is present, it is often reported that other symptoms appear late in the patient's age. Therefore, in cases where multiple odontogenic tumors are found in children, continuous radiographic and clinical follow-ups in order to check the progress of the syndrome is considered important.

Key Words: Keratocystic odontogenic tumor, Basal cell nevus syndrome, Multiple cysts, Recurrence