[Oradlist] Oradlist Digest, Vol 59, Issue 40

Thu Sep 25 17:05:48 PDT 2008

Hello,

How about fibrous dysplasia with secondary involvement of chronic osteomyelitis?  Dr. Nambiar, any history of odontogenic infection in the area?

KC Chan
Oral pathology resident
Long Island Jewish Medical Center, NY> From: oradlist-request at lists.ucla.edu> Subject: Oradlist Digest, Vol 59, Issue 40> To: oradlist at lists.ucla.edu> Date: Thu, 25 Sep 2008 16:22:36 -0700> > Send Oradlist mailing list submissions to> oradlist at lists.ucla.edu> > To subscribe or unsubscribe via the World Wide Web, visit> http://lists.ucla.edu/cgi-bin/mailman/listinfo/oradlist> or, via email, send a message with subject or body 'help' to> oradlist-request at lists.ucla.edu> > You can reach the person managing the list at> oradlist-owner at lists.ucla.edu> > When replying, please edit your Subject line so it is more specific> than "Re: Contents of Oradlist digest..."> > > Today's Topics:> > 1. Re: case for differential interpretation (Garnet Packota)> 2. Re: case for differential interpretation (Grace Petrikowski)> 3. Re: case for differential interpretation (David MacDonald)> > > ----------------------------------------------------------------------> > Message: 1> Date: Thu, 25 Sep 2008 13:56:58 -0600> From: Garnet Packota <Garnet.Packota at usask.ca>> Subject: Re: [Oradlist] case for differential interpretation> To: Oral Radiology Discussion Group <oradlist at lists.ucla.edu>> Message-ID: <48DBED0A.9000104 at usask.ca>> Content-Type: text/plain; charset=ISO-8859-1; format=flowed> > I think most of the changes are due to chronic osteomyelitis. There is > a huge sequestrum in the right mandible.> > David MacDonald wrote:> > Dear Nambiar.> >> > The Panoramic radiograph and CT images do not appear to be > > contemporaneous. The lesion affecting mandible, as displayed on CT, is > > bilateral. This is fibrous dysplasia. The maxilla is unaffected. 3D > > reconstruction you included shows the part of the skull base, which > > looks as little suspicious- check CT! Should review the patient for > > involvement of other bones etc. > > Kind regards,> >> > David> > *Dr David MacDonald* / // BDS, BSc(Hons.), LLB(Hons.), > > MSc, DDS(Edin.), DDRRCR, FDSRCPS, FRCD(C)./> > Associate Professor & Chairman of the Division of Oral & Maxillofacial > > Radiology, Faculty of Dentistry, UBC,> > 2199 Wesbrook Mall , Vancouver V6T 1Z3, BC, Canada,> > Tel: 604 822 9762 Fax: 604 822 8279> >> >> >> >> > On 25 Sep 2008, at 01:37, phrabha at um.edu.my <mailto:phrabha at um.edu.my> > > wrote:> >> >> Dear Colleagues,> >>> >> Attached herewith is a case of 12 year old child with a continuously > >> growing jaw. This case was referred to me for a opinion. I have > >> selected the appropriate images, including the CT images for your > >> perusal. Please assist so that I do not miss anything .> >>> >> Thanking you.> >>> >> Phrabha Nambiar> >>> >> Faculty of Dentistry> >>> >> University of Malaya, Malaysia> >>> >>> >> ------------------------------------------------------------------------------------> >> UNIVERSITY OF MALAYA - " Producing Leaders Since 1905 "> >> <BRIEF_HISTORY_OF_NURULSYAMIERA.doc><n.jpg><_DSC0010.jpg><o.jpg>_______________________________________________> >> Oradlist mailing list> >> Oradlist at lists.ucla.edu <mailto:Oradlist at lists.ucla.edu>> >> http://lists.ucla.edu/cgi-bin/mailman/listinfo/oradlist> >> > ------------------------------------------------------------------------> >> > _______________________________________________> > Oradlist mailing list> > Oradlist at lists.ucla.edu> > http://lists.ucla.edu/cgi-bin/mailman/listinfo/oradlist> > > > -- > Dr. Garnet V. Packota> Oral and Maxillofacial Radiologist> College of Dentistry> University of Saskatchewan> > Mailing address: Dental Clinic> University of Saskatchewan> 105 Wiggins Road> Saskatoon SK > S7N 5E4 CANADA> Telephone: (306)-966-5068 or 5073> Fax: (306)-966-1795> e-mail: garnet.packota at usask.ca> ********************************************************************> > > > > ------------------------------> > Message: 2> Date: Thu, 25 Sep 2008 17:13:36 -0400> From: "Grace Petrikowski" <gpetrikowski at bellnet.ca>> Subject: Re: [Oradlist] case for differential interpretation> To: "'Oral Radiology Discussion Group'" <oradlist at lists.ucla.edu>> Message-ID:> <20080925211249.JTNY10785.tomts35-srv.bellnexxia.net at toip39-bus.srvr.bell.ca>> > Content-Type: text/plain; charset="us-ascii"> > Long-standing osteomyelitis of the mandible. There is sequestrum formation> and periosteal new bone, and it is this new bone which accounts for the> mandibular enlargement. I noticed the CT scan was from 1995 - do you have> updated images? I suspect the entire mandible is involved by now. The fact> that the lesion crosses the midline rules out fibrous dysplasia, even though> the bone pattern appears granular in many regions. Osteomyelitis and> fibrous dysplasia can appear very similar radiographically (and> histologically) - my colleagues and I published a paper on this subject a> number of years ago:> > Petrikowski CG, Pharoah MJ, Lee L, Grace MGA: Radiographic differentiation> of osteogenic sarcoma, osteomyelitis, and fibrous dysplasia of the jaws.> Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1995;80:744-50.> > Sincerely,> > Grace Petrikowski> > > _________________________________________> C Grace Petrikowski DDS, MSc, FRCD(C)> Oral and Maxillofacial Radiologist> 2300 Yonge Street, Suite 2906> Toronto, ON Canada M4P 1E6> Phone: 416-488-0098> _____ > > From: oradlist-bounces at lists.ucla.edu> [mailto:oradlist-bounces at lists.ucla.edu] On Behalf Of phrabha at um.edu.my> Sent: Thursday, September 25, 2008 4:37 AM> To: oradlist at lists.ucla.edu> Subject: [Oradlist] case for differential interpretation> > Dear Colleagues,> Attached herewith is a case of 12 year old child with a continuously growing> jaw. This case was referred to me for a opinion. I have selected the> appropriate images, including the CT images for your perusal. Please assist> so that I do not miss anything .> Thanking you.> Phrabha Nambiar> Faculty of Dentistry> University of Malaya, Malaysia> > ----------------------------------------------------------------------------> --------> UNIVERSITY OF MALAYA - " Producing Leaders Since 1905 "> -------------- next part --------------> An HTML attachment was scrubbed...> URL: http://lists.ucla.edu/cgi-bin/mailman/private/oradlist/attachments/20080925/c45fe933/attachment-0001.htm > > ------------------------------> > Message: 3> Date: Thu, 25 Sep 2008 16:21:59 -0700> From: David MacDonald <dmacdon at interchange.ubc.ca>> Subject: Re: [Oradlist] case for differential interpretation> To: Oral Radiology Discussion Group <oradlist at lists.ucla.edu>> Message-ID: <8FE601D2-CC08-4539-8244-D03F1D10EE3C at interchange.ubc.ca>> Content-Type: text/plain; charset="us-ascii"> > Dear Phrabha,> > The first thing we need to do is to exclude serious disease, as is > clearly understood from your request.> While the majority of cases of monostotic FD do not cross the midline, > some do and to a substantial extent. In all cases of suspected FD (as > I have already suggested) check out the rest of the skeleton as it may > be part the polyostotic form. (The Albright-McCune Syndrome patients > are most frequently identified by child health and family doctors post > natally and in their infancy and therefore unlikely.) As you already > have a CT of the face and Jaws an important area to check is the skull > base as FD affecting this region if still active can threaten vision. > The polyostotic form is also associated with an increased likelihood > of sarcomatous change.> Any up-dated images and/or history would assist in assisting you > further.> > Hoping that this helps you!> > Kind regards,> > DavidDr David MacDonald BDS, BSc(Hons.), LLB(Hons.), MSc, > DDS(Edin.), DDRRCR, FDSRCPS, FRCD(C).> Associate Professor & Chairman of the Division of Oral & Maxillofacial > Radiology, Faculty of Dentistry, UBC,> 2199 Wesbrook Mall , Vancouver V6T 1Z3, BC, Canada,> Tel: 604 822 9762 Fax: 604 822 8279> > > > > On 25 Sep 2008, at 01:37, phrabha at um.edu.my wrote:> > > Dear Colleagues,> >> > Attached herewith is a case of 12 year old child with a continuously > > growing jaw. This case was referred to me for a opinion. I have > > selected the appropriate images, including the CT images for your > > perusal. Please assist so that I do not miss anything .> >> > Thanking you.> >> > Phrabha Nambiar> >> > Faculty of Dentistry> >> > University of Malaya, Malaysia> >> >> > ------------------------------------------------------------------------------------> > UNIVERSITY OF MALAYA - " Producing Leaders Since 1905 "> > < > > BRIEF_HISTORY_OF_NURULSYAMIERA > > .doc > > > > > < > > n > > .jpg > > ><_DSC0010.jpg><o.jpg>_______________________________________________> > Oradlist mailing list> > Oradlist at lists.ucla.edu> > http://lists.ucla.edu/cgi-bin/mailman/listinfo/oradlist> > -------------- next part --------------> An HTML attachment was scrubbed...> URL: http://lists.ucla.edu/cgi-bin/mailman/private/oradlist/attachments/20080925/9ea4cd52/attachment.htm > > ------------------------------> > _______________________________________________> Oradlist mailing list> Oradlist at lists.ucla.edu> http://lists.ucla.edu/cgi-bin/mailman/listinfo/oradlist> > > End of Oradlist Digest, Vol 59, Issue 40> ****************************************
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