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Clinicopathologic Conference
An exophytic growth over the alveolar ridge
A 55-year-old male patient came to the Oral Medicine Clinics of the Universidade Federal de Minas Gerais, Brazil, for diagnostic evaluation of an asymptomatic lesion. The patient claimed to be a smoker for 40 years and to drink alcoholic beverages regularly. Neither medical nor familial history was contributory.Long-standing ulcer in mandibular gingiva in a patient with polymyalgia rheumatica
A 63-year-old Caucasian male presented to East Carolina University School of Dental Medicine after being referred from an outside Ear, Nose, and Throat specialist due to long-standing irritation on the buccal aspect of the right lower gingiva. The patient reported that the lesion arose in September 2020 and that it started with inflammation and irritation after a zirconia crown was delivered in tooth #30 by a general dentist. Due to the unresolved inflammation that later developed into an ulcer, the patient was referred to an external periodontist who performed a biopsy diagnosed as “atypical lymphoid proliferation” by an external laboratory.A radiolucency in the posterior mandible
A 36-year-old female patient was referred to a private clinic presenting an asymptomatic, intraosseous lesion in the posterior right mandible. The lesion was found incidentally during a routine radiographic examination (Figure 1). The patient's past medical and dental histories were unremarkable, and she denied any use of medications or harmful habits. The intraoral examination did not reveal any significant alteration in the oral mucosa; no swelling relative to the intraosseous lesion (i.e., in the mandibular molar area) could be noted during local palpation.An extensive nodular lesion involving hard palate and nasal turbinate
A 38-year-old man was referred to our institute for the examination of asymptomatic swelling on the right posterolateral aspect of the hard palate. The patient noticed the swelling 2 months before when it increased to its present size and was perceived during tongue movement. The patient's medical, social, and dental history were nonsignificant. To the best of his knowledge, he was not allergic to any medication and did not undergo any prior surgery. He did not consume tobacco products or have a history of any parafunctional habit or trauma.A painless swelling of the left face
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.
