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J. appl. oral sci ; 19(3): 269-273, May-June 2011. ilus
Article in English | LILACS | ID: lil-588134

ABSTRACT

OBJECTIVE: To evaluate the applicability of the cell block technique as a complementary method for presumptive diagnosis in the analysis of cyst-like aspirates from jaw lesions prior to histopathological diagnosis. MATERIAL AND METHODS: The sample was made up of 17 cyst-like jaw lesions. After puncture, the aspirates were centrifuged, fixed in formalin, embedded in paraffin and processed. All lesions were biopsied and submitted to histopathological examination. RESULTS: In 9 cases, the cytopathological analysis using the cell block method showed a predominant presence of erythrocytes, inflammatory cells and few epithelial cells. In the other 8 cases, the cell block technique demonstrated the presence of parakeratin, whose histopathological analysis confirmed the occurrence of keratocystic odontogenic tumors (KOTs). CONCLUSIONS: According to the studied cases, the cell block method was proven to be a simple, fast and low-cost technique to effectively differentiate KOTs from other lesions with similar clinical and radiographic features. The cell block technique comprises cellular preparations useful to determine a clinical diagnosis and help to develop a therapeutic plan for those lesions.


Subject(s)
Humans , Odontogenic Cysts/diagnosis , Odontogenic Tumors/diagnosis , Biopsy, Fine-Needle , Cytodiagnosis/methods , Odontogenic Cysts/pathology , Paraffin Embedding , Radiography, Panoramic , Reproducibility of Results
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