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Clinicopathologic Conference
Mandibular radiolucency in a 59-year-old woman
A 59-year-old woman presented to an oral surgeon with referral from her treating prosthodontist for evaluation of a newly discovered radiolucent lesion of her anterior mandible. The patient's medical history was significant for thyroid cancer treated with thyroidectomy without radiation therapy 15 years before presentation, non-Hodgkin B-cell lymphoma of the spleen diagnosed 3 years prior and treated with chemotherapy, as well as onset of widespread subcutaneous soft tissue lesions of her lower trunk consistent with lymphomatous involvement 6 months before presentation.Painful palatal lesion in a 90-year-old female
A 90-year-old female presented to a local oral and maxillofacial surgeon for evaluation of a painful lesion involving her left palatal mucosa. The patient first reported discomfort involving the left side of her mouth approximately 2 days before her presentation. Her medical history was significant for dementia, so it was unclear if this acute presentation was accurate or if the lesion had been present for longer than the reported time. The patient's home health aide did state that she noticed an appreciable decrease in the patient's ability to eat and drink over the past 24 hours before her appointment.
