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Welcome to this month’s GD: General Discussion online case study, published exclusively through the AGD Web site.

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About this month’s online case study:

Title: Gingival cyst of the adult: A case report and immunohistochemical investigation


Author: Jean Nunes dos Santos, PhD, Clarissa Araujo Silva Gurgel, MSc, Eduardo Antonio Goncalves Ramos, PhD, Lilibeth Ferraz de Brito Penna Forte, DDS, MSc, Roberto Almeida de Azevedo, PhD, Lelia Batista de Souza, PhD
 

Abstract: A 42-year-old woman had a sessile swelling that involved the maxillary gingiva corresponding to the right canine and premolar area. Clinical examination showed a painless small nodule (10 mm in diameter) located between the right maxillary canine and premolar. The lesion was vesicular, sessile, and slightly compressible on palpation. Microscopic examination of the lesion (following an excisional biopsy) showed cystic spaces covered by an epithelium lining that consisted of cuboidal and squamoid cells intermingled with clear cells. These morphologic findings were consistent with gingival cyst of the adult. Immunohistochemical technique against cytokeratins revealed that the epithelial cells were positive for cytokeratins No. 7, 8, 13, 14, and 19. Two years after removal, no recurrence was reported.


Received: March 12, 2009
Accepted: June 8, 2009