43-year-old man presented with dental problems

 

Images

Doctor's Information

Name : Marina,Pooneh
Family : Pourafkari,Dehghan
Affiliation :Radiology Department,Taleghani Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Mersad Mehrnahad,Afarin Sadeghian

 

Case Section

Head & Neck Imaging

 

Patient's Information

Gender : Male
Age : 43

 

Clinical Summary

43-year-old man presented with dental problems

 

Imaging Findings

The CT scan images of the mandible demonstrate a multicystic bone lesion extended between the mandibular angles.This expansile lesion exhibits irregular scalloping and bone erosion along with a large area of soap bubble(honeycomb) appearance.Dental root displcement with some degrees of resorption have been occured.These features resembles to the fibro-osseous lesions because of its mixed radiolucent and radiopaque appearance.

 

Differential Diagnosis

1.Fibrous dysplasia,2.Intraosseous hemangioma,3.Desmoplastic ameloblastoma,4.Juvenile ossifying fibroma

 

Final Diagnosis

Ameloblastoma(Desmoplastic?)

 

Discussion (Related Text)

Desmoplastic variant is an unusual type of ameloblastoma with special histologic and radiographic features. It is also more complicated to be treated because of its tendency for penetrating the surrounding bone. Recurrence of solid type ameloblastoma may take place in the first two years, but some recur after four to five or more years following initial surgery; therefore, patients need to be followed up longer.

 

References

Archives of Iranian Medicine, Volume 12, Number 3, May 2009

 

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