Cytokeratin expression patterns for distinction of odontogenic keratocysts from dentigerous and radicular cysts

Background:  The clinical outcome of treatment of odontogenic cysts differs depending on separate entities. Particular clinical relevance must be attached to the distinction between odontogenic keratocysts, which have an evident tendency to recur, and other odontogenic cysts. The aim of this study w...

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Veröffentlicht in:Journal of oral pathology & medicine 2005-10, Vol.34 (9), p.558-564
Hauptverfasser: Stoll, Christian, Stollenwerk, Carolin, Riediger, Dieter, Mittermayer, Christian, Alfer, Joachim
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container_end_page 564
container_issue 9
container_start_page 558
container_title Journal of oral pathology & medicine
container_volume 34
creator Stoll, Christian
Stollenwerk, Carolin
Riediger, Dieter
Mittermayer, Christian
Alfer, Joachim
description Background:  The clinical outcome of treatment of odontogenic cysts differs depending on separate entities. Particular clinical relevance must be attached to the distinction between odontogenic keratocysts, which have an evident tendency to recur, and other odontogenic cysts. The aim of this study was to evaluate cytokeratin (CK) expression patterns as an additional tool for characterization of different cysts as the histomorphologic appearance often is not decisive. Methods:  Thirty cases of dentigerous and radicular cysts respectively as well as 15 cases of odontogenic keratocysts were considered. Expression of CK 5/6, 7, 10, 13, 17, 19 and 20 was determined in addition to Ki‐67 immunohistochemically. Results:  Expression of CK 17 was discernible in 93.3% of the odontogenic keratocysts, but only in 35.0% of dentigerous and radicular cysts under study (P 
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Particular clinical relevance must be attached to the distinction between odontogenic keratocysts, which have an evident tendency to recur, and other odontogenic cysts. The aim of this study was to evaluate cytokeratin (CK) expression patterns as an additional tool for characterization of different cysts as the histomorphologic appearance often is not decisive. Methods:  Thirty cases of dentigerous and radicular cysts respectively as well as 15 cases of odontogenic keratocysts were considered. Expression of CK 5/6, 7, 10, 13, 17, 19 and 20 was determined in addition to Ki‐67 immunohistochemically. Results:  Expression of CK 17 was discernible in 93.3% of the odontogenic keratocysts, but only in 35.0% of dentigerous and radicular cysts under study (P &lt; 0.001). CK 19 could be detected in 48.3% of dentigerous and radicular cysts, whereas odontogenic keratocysts were completely negative (P &lt; 0.002). Conclusion:  Immunohistochemical detection of CK 17 and 19 seems to be a valuable additional parameter distinguishing between odontogenic keratocysts and other odontogenic – especially dentigerous – cysts which clinically are likely the most significant differential diagnoses in this context.</description><identifier>ISSN: 0904-2512</identifier><identifier>EISSN: 1600-0714</identifier><identifier>DOI: 10.1111/j.1600-0714.2005.00352.x</identifier><identifier>PMID: 16138895</identifier><language>eng</language><publisher>Oxford, UK: Munksgaard International Publishers</publisher><subject>Adolescent ; Adult ; Aged ; Biological and medical sciences ; Biomarkers - analysis ; Child ; cytokeratin ; dentigerous cyst ; Dentigerous Cyst - classification ; Dentigerous Cyst - pathology ; Dentistry ; Diagnosis, Differential ; Facial bones, jaws, teeth, parodontium: diseases, semeiology ; Female ; Humans ; Immunohistochemistry ; Intermediate Filament Proteins - analysis ; Keratin-20 ; Keratin-7 ; Keratins - analysis ; keratocyst ; Male ; Medical sciences ; Middle Aged ; Non tumoral diseases ; odontogenic ; Odontogenic Cysts - classification ; Odontogenic Cysts - pathology ; Otorhinolaryngology. 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Particular clinical relevance must be attached to the distinction between odontogenic keratocysts, which have an evident tendency to recur, and other odontogenic cysts. The aim of this study was to evaluate cytokeratin (CK) expression patterns as an additional tool for characterization of different cysts as the histomorphologic appearance often is not decisive. Methods:  Thirty cases of dentigerous and radicular cysts respectively as well as 15 cases of odontogenic keratocysts were considered. Expression of CK 5/6, 7, 10, 13, 17, 19 and 20 was determined in addition to Ki‐67 immunohistochemically. Results:  Expression of CK 17 was discernible in 93.3% of the odontogenic keratocysts, but only in 35.0% of dentigerous and radicular cysts under study (P &lt; 0.001). CK 19 could be detected in 48.3% of dentigerous and radicular cysts, whereas odontogenic keratocysts were completely negative (P &lt; 0.002). Conclusion:  Immunohistochemical detection of CK 17 and 19 seems to be a valuable additional parameter distinguishing between odontogenic keratocysts and other odontogenic – especially dentigerous – cysts which clinically are likely the most significant differential diagnoses in this context.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Biomarkers - analysis</subject><subject>Child</subject><subject>cytokeratin</subject><subject>dentigerous cyst</subject><subject>Dentigerous Cyst - classification</subject><subject>Dentigerous Cyst - pathology</subject><subject>Dentistry</subject><subject>Diagnosis, Differential</subject><subject>Facial bones, jaws, teeth, parodontium: diseases, semeiology</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Intermediate Filament Proteins - analysis</subject><subject>Keratin-20</subject><subject>Keratin-7</subject><subject>Keratins - analysis</subject><subject>keratocyst</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Non tumoral diseases</subject><subject>odontogenic</subject><subject>Odontogenic Cysts - classification</subject><subject>Odontogenic Cysts - pathology</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>radicular cyst</subject><subject>Radicular Cyst - classification</subject><subject>Radicular Cyst - pathology</subject><issn>0904-2512</issn><issn>1600-0714</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkc1uEzEUhS1ERUPhFZA3sJvh2jO2ZyQ2KKIFFLUIKoHYWI5_KqeTcbAdNXl7PEnUbuuNLZ3v-FydixAmUJNyPq5qwgEqEKStKQCrARpG690LNHsUXqIZ9NBWlBF6jl6ntAIgomnJK3ROOGm6rmczFOb7HO5tVNmP2O420abkw4g3Kmcbx4RdiNj4VGSdJyE4HEwYc7izo9f4YA16n3JBY1hjY8fs72wM24TVaHBUxuvtoCI-QG_QmVNDsm9P9wW6vfxyO_9aLW6uvs0_LyrNGNDKOG0V55S3imjoac9cY0A4KxqjjOGCAiFUMArOUUOXDBwrolLC0eWSNhfow_HbTQz_tjZlufZJ22FQoy2TSd6xktPyAnZHUMeQUrRObqJfq7iXBOTUtVzJqVI5VSqnruWha7kr1nenjO1ybc2T8VRuAd6fAJW0GlxUo_bpiRMgGkH7wn06cg9-sPtnDyC_3_woj2KvjvayJbt7tKt4L3kJYPL39ZX8C9e_usWfn7Jv_gP-vayD</recordid><startdate>200510</startdate><enddate>200510</enddate><creator>Stoll, Christian</creator><creator>Stollenwerk, Carolin</creator><creator>Riediger, Dieter</creator><creator>Mittermayer, Christian</creator><creator>Alfer, Joachim</creator><general>Munksgaard International Publishers</general><general>Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200510</creationdate><title>Cytokeratin expression patterns for distinction of odontogenic keratocysts from dentigerous and radicular cysts</title><author>Stoll, Christian ; Stollenwerk, Carolin ; Riediger, Dieter ; Mittermayer, Christian ; Alfer, Joachim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5502-dfcea66264a1c09295f3d07fe73dadd67201127520ff2d2b50f5fe7aa7f2bb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Biomarkers - analysis</topic><topic>Child</topic><topic>cytokeratin</topic><topic>dentigerous cyst</topic><topic>Dentigerous Cyst - classification</topic><topic>Dentigerous Cyst - pathology</topic><topic>Dentistry</topic><topic>Diagnosis, Differential</topic><topic>Facial bones, jaws, teeth, parodontium: diseases, semeiology</topic><topic>Female</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Intermediate Filament Proteins - analysis</topic><topic>Keratin-20</topic><topic>Keratin-7</topic><topic>Keratins - analysis</topic><topic>keratocyst</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Non tumoral diseases</topic><topic>odontogenic</topic><topic>Odontogenic Cysts - classification</topic><topic>Odontogenic Cysts - pathology</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>radicular cyst</topic><topic>Radicular Cyst - classification</topic><topic>Radicular Cyst - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stoll, Christian</creatorcontrib><creatorcontrib>Stollenwerk, Carolin</creatorcontrib><creatorcontrib>Riediger, Dieter</creatorcontrib><creatorcontrib>Mittermayer, Christian</creatorcontrib><creatorcontrib>Alfer, Joachim</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of oral pathology &amp; medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stoll, Christian</au><au>Stollenwerk, Carolin</au><au>Riediger, Dieter</au><au>Mittermayer, Christian</au><au>Alfer, Joachim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cytokeratin expression patterns for distinction of odontogenic keratocysts from dentigerous and radicular cysts</atitle><jtitle>Journal of oral pathology &amp; medicine</jtitle><addtitle>J Oral Pathol Med</addtitle><date>2005-10</date><risdate>2005</risdate><volume>34</volume><issue>9</issue><spage>558</spage><epage>564</epage><pages>558-564</pages><issn>0904-2512</issn><eissn>1600-0714</eissn><abstract>Background:  The clinical outcome of treatment of odontogenic cysts differs depending on separate entities. Particular clinical relevance must be attached to the distinction between odontogenic keratocysts, which have an evident tendency to recur, and other odontogenic cysts. The aim of this study was to evaluate cytokeratin (CK) expression patterns as an additional tool for characterization of different cysts as the histomorphologic appearance often is not decisive. Methods:  Thirty cases of dentigerous and radicular cysts respectively as well as 15 cases of odontogenic keratocysts were considered. Expression of CK 5/6, 7, 10, 13, 17, 19 and 20 was determined in addition to Ki‐67 immunohistochemically. Results:  Expression of CK 17 was discernible in 93.3% of the odontogenic keratocysts, but only in 35.0% of dentigerous and radicular cysts under study (P &lt; 0.001). CK 19 could be detected in 48.3% of dentigerous and radicular cysts, whereas odontogenic keratocysts were completely negative (P &lt; 0.002). Conclusion:  Immunohistochemical detection of CK 17 and 19 seems to be a valuable additional parameter distinguishing between odontogenic keratocysts and other odontogenic – especially dentigerous – cysts which clinically are likely the most significant differential diagnoses in this context.</abstract><cop>Oxford, UK</cop><pub>Munksgaard International Publishers</pub><pmid>16138895</pmid><doi>10.1111/j.1600-0714.2005.00352.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects Adolescent
Adult
Aged
Biological and medical sciences
Biomarkers - analysis
Child
cytokeratin
dentigerous cyst
Dentigerous Cyst - classification
Dentigerous Cyst - pathology
Dentistry
Diagnosis, Differential
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Immunohistochemistry
Intermediate Filament Proteins - analysis
Keratin-20
Keratin-7
Keratins - analysis
keratocyst
Male
Medical sciences
Middle Aged
Non tumoral diseases
odontogenic
Odontogenic Cysts - classification
Odontogenic Cysts - pathology
Otorhinolaryngology. Stomatology
radicular cyst
Radicular Cyst - classification
Radicular Cyst - pathology
title Cytokeratin expression patterns for distinction of odontogenic keratocysts from dentigerous and radicular cysts
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