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Clinicopathologic Conference
Asymptomatic intrabony radiolucency of the anterior mandible
A 33-year-old Hispanic female was referred to a large-scale, urban oral and maxillofacial surgery facility for evaluation of a mandibular radiolucency. The patient's medical history included allergy to penicillin and a diagnosis of mild depression. Her current medications included clindamycin and for third molar pericoronitis and sertraline for depression. She denied recent nausea, vomiting, fevers, or chills but reported occasional alcohol and marijuana use. Her surgical history was noncontributory, and she denied any current symptoms.Rapidly expanding mixed lesion of the maxilla in a 17-month-old boy
A 17-month old male child was presented to an urban children's hospital with a left midfacial mass that had been growing rapidly over the course of the past 30 days. The patient's mother reported loss of appetite, irritability, intermittent fevers, congestion, and clear nasal discharge concurrent with his malar enlargement. She denied signs of other neurologic abnormalities or a family history of similar presentations. The patient also did not have any known allergies or past respiratory difficulties.Median maxillary alveolar osteolytic lesion in a 50-year-old female
A 50-year-old Middle Eastern female was referred for evaluation of an asymptomatic median maxillary alveolar lesion. She denied the presence of symptoms, including pain, bleeding, swelling, or altered sensation associated with the area, but admitted “looseness” of her anterior teeth that had not been noted before the presentation of the lesion. The patient also denied a history of surgery or trauma to the area and use of alcohol, tobacco, or recreational drugs. Apart from the current symptoms, the patient's past medical history was significant for hypothyroidism and osteoarthritis.Osteolytic expansile lesion of the mandible in a 60-year-old male
A 60-year-old Middle Eastern male was referred for evaluation of severe right mandibular pain accompanied by right mandibular nerve anesthesia (complete numbness). Two weeks before his presentation, the patient had experienced a “pop” in his right mandible while eating and sought care because of a sudden, locally radiating intense pain. The pain reportedly was exacerbated by mastication and caused difficulty sleeping if lying on the right side of the face.
