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Clinicopathologic conference| Volume 115, ISSUE 2, P152-156, February 2013

A large painless swelling of the posterior mandible

Published:April 05, 2012DOI:https://doi.org/10.1016/j.oooo.2012.01.007
      A 60-year-old man presented with primary complaint of a large painless swelling of the left side of the mandible. On examination, an obvious swelling was present on the left side of the body of the mandible, extending anteriorly from the left mandibular first premolar to the angle of the mandible posteriorly; involving the lower border of the mandible, causing its expansion and thinning and also showing buccolingual cortical expansion. The patient's medical history was noncontributory, and physical examination revealed no other abnormality. The lesion was covered by normal-appearing mucosa. A panoramic radiograph revealed the presence of an ill-defined, multilocular radiolucent lesion in the body of mandible (Figure 1) .
      Figure thumbnail gr1
      Fig. 1Panoramic radiograph showing an ill-defined, multilocular radiolucency of the left side of mandible.
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      References

        • Reichart P.A.
        • Philipsen H.P.
        Odontogenic tumors and allied lesions.
        Quintessence Publishing, London2004
        • Simon E.N.
        • Merkx M.A.
        • Vuhahula E.
        • Ngassapa D.
        • Stoelinga P.J.
        A 4-year prospective study on epidemiology and clinicopathological presentation of odontogenic tumors in Tanzania.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005; 99: 598-602
        • Simon E.N.
        • Merkx M.A.
        • Vuhahula E.
        • Ngassapa D.
        • Stoelinga P.J.
        Odontogenic myxoma: a clinicopathological study of 33 cases.
        Int J Oral Maxillofac Surg. 2004; 33: 333-337
        • Noffke C.E.
        • Raubenheimer E.J.
        • Chabikuli N.J.
        • Bouckaert M.M.
        Odontogenic myxoma: review of the literature and report of 30 cases from South Africa.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007; 104: 101-109
        • Shear M.
        • Speight P.M.
        Cysts of oral and maxillofacial regions.
        4th ed. Blackwell Munksgaard, Oxford2007
        • Myoung H.
        • Hong S.P.
        • Hong S.D.
        • Lee J.I.
        • Lim C.Y.
        • Choung P.H.
        • et al.
        Odontogenic keratocyst: review of 256 cases for recurrence and clinicopathologic parameters.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2001; 91: 328-333
        • Hyun H.K.
        • Hong S.D.
        • Kim J.W.
        Recurrent keratocystic odontogenic tumor in the mandible: a case report and literature review.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009; 108: e7-e10
        • Kruse-Lösler B.
        • Diallo R.
        • Gaertner C.
        • Mischke K.L.
        • Joos U.
        • Kleinheinz J.
        Central giant cell granuloma of the jaws: a clinical, radiologic, and histopathologic study of 26 cases.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 101: 346-354
        • López-Arcas Calleja J.M.
        • Cebrián Carretero J.L.
        • Gonzaléz Martín J.
        • Burgueño N.
        Aneurysmal bone cyst of the mandible: case presentation and review of the literature.
        Med Oral Patol Oral Cir Bucal. 2007; 12: E401-E403
        • Mankin H.J.
        • Hornicek F.J.
        • Ortiz-Cruz E.
        • Villafuerte J.
        • Gebhardt M.C.
        Aneurysmal bone cyst: a review of 150 patients.
        J Clin Oncol. 2005; 23: 6756-6762
        • Greene M.W.
        • Nishioka G.J.
        • Triplett R.G.
        • Holt G.R.
        Arteriovenous malformation of the mandible: survey of previously unreported cases and case report.
        J Oral Maxillofac Surg. 1989; 47: 1322-1327
        • Mohammadi H.
        • Said-al-Naief N.A.
        • Heffez L.B.
        Arteriovenous malformation of the mandible: report of a case with a note on the differential diagnosis.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1997; 84: 286-289
        • D'Silva N.J.
        • Summerlin D.J.
        • Cordell K.G.
        • Abdelsayed R.A.
        • Tomich C.E.
        • Hanks C.T.
        • et al.
        Metastatic tumors in the jaws: a retrospective study of 114 cases.
        J Am Dent Assoc. 2006; 137: 1667-1672
        • D'Silva N.J.
        • Summerlin D.J.
        • Abdelsayed R.
        • Tomich C.E.
        • Hanks C.T.
        • Cordell K.C.
        • et al.
        Metastatic tumors to the jaws: retrospective study of 101 cases.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2004; 98: 205-206
        • Marotta S.
        • Micco P.D.
        Solitary plasmacytoma of the jaw.
        J Blood Med. 2010; 1: 33-36
        • Seoane J.
        • Aguirre-Urizar J.M.
        • Esparza-Gómez G.
        • Suárez-Cunqueiro M.
        • Campos-Trapero J.
        • Pomareda M.
        The spectrum of plasma cell neoplasia in oral pathology.
        Med Oral. 2003; 8: 269-280
        • Canger E.M.
        • Celenk P.
        • Alkan A.
        • Günhan O.
        Mandibular involvement of solitary plasmocytoma: a case report.
        Med Oral Patol Oral Cir Bucal. 2007; 12: E7-E9
        • Kanazawa H.
        • Shoji A.
        • Yokoe H.
        • Midorikawa S.
        • Takamiya Y.
        • Sato K.
        Solitary plasmacytoma of the mandible.
        J Craniomaxillofac Surg. 1993; 21: 202-206
        • Lane S.L.
        Plasmacytoma of the mandible.
        Oral Surg Oral Med Oral Pathol. 1952; 5: 434-442
        • Rao K.
        • Priya N.S.
        • Umadevi H.S.
        • Smitha T.
        • Reshma V.
        • Grace Shebha A.
        Solitary bone plasmacytoma of the maxilla—a rare case report.
        International Journal of Clinical Dental Science. 2011; 2: 34-40
        • Hughes M.
        • Soutar R.
        • Lucraft H.
        • Owen R.
        • Bird J.
        Guidelines on the diagnosis and management of solitary plasmacytoma of bone, extramedullary plasmacytoma and multiple solitary plasmacytomas; 2009 update.
        in: British Committee for Standards in Haematology, London2009: 14
        • Kusunoki T.
        • Ikeda K.
        • Murata K.
        • Nishida S.
        • Tsubaki M.
        Extramedullary plasmacytoma of the larynx: a case report from Japan.
        Ear Nose Throat J. 2007; 86: 763-764
        • Bayer-Garner I.B.
        • Prieto V.G.
        • Smoller B.R.
        Detection of clonality with kappa and lambda immunohistochemical analysis in cutaneous plasmacytomas.
        Arch Pathol Lab Med. 2004; 128: 645-648