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A painless swelling of the left face

Published:April 09, 2022DOI:https://doi.org/10.1016/j.oooo.2022.04.001
      A 69-year-old woman presented to her dental surgeon with a painless swelling of the left face, and no other signs or symptoms. Initial radiologic findings revealed a multiloculated radiolucent area within the left mandible (Figure 1). Further clinical investigations included a computed tomography (CT) scan of the cranium, sinuses, facial bones and cervical spine (Figure 2). A partially corticated oblong radiolucency was noted in the left posterior mandible measuring approximately 40 × 20 × 12 mm. The lesion extended anteriorly from the left mental foramen distally to the midramus area and superiorly from the crest to the inferior border of the mandible. Mild buccal and lingual expansion was also observed. The left inferior alveolar nerve canal was displaced buccally. There was no effect on the roots of the surrounding teeth. The imaging report described multiple discreet small opacities within the lesion, though these did not appear significant. No other abnormalities were noted.
      Fig 1
      Fig. 1Panoramic radiograph showing radiolucent area within the left mandible.
      Fig 2
      Fig. 2Cone-beam computed tomography scan revealed an oblong radiolucency in the left posterior mandible area extending from the left mental foramen to the mid-ramus, with mild buccal and lingual expansion and buccal displacement of the left inferior alveolar nerve canal.
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      References

        • Bin Woo S
        Central cemento-ossifying fibroma: primary odontogenic or osseous neoplasm?.
        J Oral Maxillofac Surg. 2015; 73: S87-S93
        • Chen W
        • DiFrancesco LM
        Chondroblastoma: an update.
        Arch Pathol Lab Med. 2017; 141: 867-871
        • Neville BW
        • Damm DD
        • Allen CM
        • Chi AC.
        Oral and Maxillofacial Pathology.
        4th ed. Elsevier, St. Louis, MO2015
        • Richardson J
        • Stanbouly D
        • Litman E
        • Lee KC
        • Philipone E.
        Central giant cell granuloma of the head & neck: a case report and systematic review [e-pub online ahead of print].
        J Stomatol Oral Maxillofac Surg. 2022; (accessed August 2021)https://doi.org/10.1016/j.jormas.2021.08.004
        • Almansoori AA
        • Kim HY
        • Kim B
        • Kim SM
        • Lee JH.
        Chondrosarcoma of the jaw: a retrospective series.
        Oral Surg Oral Med Oral Pathol Oral Radiol. 2019; 128: 106-111
        • Fomete B
        • Adeosun OO
        • Awelimobor DI
        • Olayemi L.
        Chondromyxoid fibroma of the mandible: case report and review of the literature.
        Ann Maxillofac Surg. 2014; 4: 78
        • Effiom OA
        • Ogundana OM
        • Akinshipo AO
        • Akintoye SO.
        Ameloblastoma: current etiopathological concepts and management.
        Oral Dis. 2018; 24: 307-316
        • Speight PM
        • Ledesma-Montes C
        • Wright JM.
        Calcifying odontogenic cyst.
        in: El-Naggar AK Chan JKC Grandis JR Takata T SP WHO Classification of Head and Neck Tumors. Lyon, France2017: 239-241 (2017)
        • Morais HG de F
        • da Silva WR
        • Andrade AC
        • de M
        • et al.
        Pindborg tumor associated with a supernumerary tooth: a case report.
        Autops Case Rep. 2022; 12e2021358
        • Jaffe HLH
        • Lichtenstein L.
        Chondromyxoid fibroma of bone; a distinctive benign tumor likely to be mistaken especially for chondrosarcoma.
        Arch Pathol. 1948; 45: 541-551
        • Wu CT
        • Inwards CY
        • O'Laughlin S
        • Rock MG
        • Beabout JW
        • Unni KK.
        Chondromyxoid fibroma of bone: a clinicopathologic review of 278 cases.
        Hum Pathol. 1998; 29: 438-446
        • Khatana S
        • Singh V
        • Gupta A.
        Unilocular anterior mandibular swelling.
        Int J Pediatr Otorhinolaryngol. 2013; 77: 964-971
        • Khosla RK
        • Nguyen C
        • Messner AH
        • Lorenz HP.
        Chondromyxoid fibroma of the mandible in an adolescent: case report and microsurgical reconstructive option.
        Cleft Palate Craniofac J. 2015; 52: 223-228
        • Ying Z
        • Zhihui Z
        • Xiaojuan S.
        Chondromyxoid fibroma of the mandible: a case report.
        Hua Xi Kou Qiang Yi Xue Za Zhi. 2016; 34 ([in Chinese]): 654-656
        • Hammad HM
        • Hammond HL
        • Kurago ZB
        • Frank JA.
        Chondromyxoid fibroma of the jaws: case report and review of the literature.
        Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 85: 293-300
        • Meredith DM
        • Fletcher CDM
        • Jo VY
        Chondromyxoid fibroma arising in craniofacial sites.
        Am J Surg Pathol. 2018; 42: 392-400
        • Semnic R
        • Džilvidžieva L
        • Petrović B.
        Imaging characteristics of the chondromyxoid fibroma of maxillary sinus.
        Arch Oncol. 2000; 8: 183-184
        • Davis GB
        • Tideman H.
        Chondromyxoid fibroma of the mandible: case report.
        Int J Oral Surg. 1978; 7: 23-26
        • Batsakis JG
        • Raymond AK
        Chondromyxoid fibroma.
        Ann Otol Rhinol Laryngol. 1989; 98: 571-572
        • Browne RM
        • Rivas PH.
        Chondromyxoid fibroma of the mandible: a case report.
        Br J Oral Surg. 1977; 15: 19-25
        • Lingen MW
        • Solt DB
        • Polverini PJ.
        Unusual presentation of a chondromyxoid fibroma of the mandible. Report of a case and review of the literature.
        Oral Surg Oral Med Oral Pathol. 1993; 75: 615-621
        • Muller S
        • Whitaker SB
        • Weathers DR.
        Chondromyxoid fibroma of the mandible. Diagnostic image cytometry findings and review of the literature.
        Oral Surg Oral Med Oral Pathol. 1992; 73: 465-468
        • Razek AAKA.
        Imaging appearance of bone tumors of the maxillofacial region.
        World J Radiol. 2011; 3: 125
        • Macan D
        • Ćabov T
        • Uglešić V
        • Manojlović S
        • Kaleb Š
        • Špiček J.
        Chondromyxoid fibroma of the mandible.
        Br J Oral Maxillofac Surg. 2003; 41: 261-263