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A 15-year-old male with no medical or surgical history was referred to the University
of Texas Health Science Center at Houston Department of Oral and Maxillofacial Surgery
from a community general dentist's office to evaluate an expansion and swelling of
the left mandible. The patient reported “a ball in [his] jaw,” which had slowly developed
over months, endorsing a subjective sensation of pressure in the mandibular left quadrant.
He denied any history of pain or altered sensation. On examination, the buccal cortical
bone expanded in the area of teeth #19 through #22. The teeth were non-mobile and
non-tender to percussion or palpation. A cone beam computed tomography was obtained
after showing a 30 × 30 × 27-mm unilocular radiolucency with scalloped borders and
resorption of tooth roots #20 and #21, and displacement of teeth #19 through #22 (Fig. 1A-1C).
Fig. 1(A) Initial panoramic imaging of lesion obtained at the first appointment. (B) Axial and coronal slices from the cone beam computed tomography obtained at the first
appointment. (C) Three-dimensional reconstruction from the cone beam computed tomography obtained
at the first appointment.
Outcome and prognostic factors in pediatric malignant peripheral nerve sheath tumors: an analysis of the European Pediatric Soft Tissue Sarcoma Group (EpSSG) NRSTS-2005 prospective study.