[Oradlist] Fwd: New case

Matteson, Stephen R MATTESON at uthscsa.edu
Tue Aug 3 08:26:10 PDT 2010


I am thinking giant cell granuloma.
Steve Matteson
________________________________
From: oradlist-bounces at lists.ucla.edu [oradlist-bounces at lists.ucla.edu] On Behalf Of Ebtihal Alabdeen [ebtihalh at gmail.com]
Sent: Monday, August 02, 2010 8:15 AM
To: Oral Radiology Discussion Group
Subject: [Oradlist] Fwd: New case




Hi all
This one of my first cases that i wanted to share with you:

A 22 years old female came to the MF clinic with a hard swelling in the anterior region of the mandible ,the lesion appeared 2 years ago  and diagnosed by general pathologist
and excesional bisobsy was done, this time the aspiration revealed blood. The panoramic view shows a sclerotic multilocular (shown in the occlusal view) radiolucency extending from 45 to 35 displacing the anterior teeth, the last panoramic view 2010 shows a remaining root below the apex of 45 and 44 but i am not sure since no tooth is missing there.
the x-rays available are as follow 1. panoramic 2008 2.panoramic 2008 after surgery 3.panormaic 2010 recurrence 4. Occlusal 2010 recurrence
I have requested CT for her but in the meantime what do suggest as defferential diagnosis ? i suggest giant cell granuloma, odontogenic keratocyst, ameloblastic fibroma, however non of them was in the general pathologist diagnosis it was reported to be Adenomatoid odontogenic tumor. Do you suggest take another biobsy to oral pathologist?




--
Ebtihal H. Zain Alabdeen, BDS, Msc
Oral and Maxillofacial Radiology
Ministry of Health
Riyadh, Saudi Arabia




--
Ebtihal H. Zain Alabdeen, BDS, Msc
Oral and Maxillofacial Radiology
Ministry of Health
Riyadh, Saudi Arabia

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