[Oradlist] Fwd: New case

[Johan Aps]

Dear All, 

I agree with Stephen; giant cell granuloma. The site and the multilocular aspect, with no calcifications within the well defined "soap bubbles" and the expansion of the mandible...

Kind regards, 

Johan
___________________________________________________________________
Prof. Dr. Johan K.M. Aps 
(DDS, MSc Paed. Dent. & Special Care, MSc DMFR (King's College London, UK), PhD)
Head of Dental & Maxillofacial Radiology
Coordinator Postgraduate Teaching in Dentistry Ghent University (accreditation system Belgium)
Senior Clinical Consultant Ghent University Hospital, Dental School
UZG, P8, Dental School, De Pintelaan 185, 9000 Gent, Belgium
tel; + 32 9 332 5102
fax; +32 9 332 3851
secretary; +32 9 332 3857
  ----- Original Message ----- 
  From: Matteson, Stephen R 
  To: Oral Radiology Discussion Group 
  Sent: Tuesday, August 03, 2010 5:26 PM
  Subject: Re: [Oradlist] Fwd: New case


  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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