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Jaw Swelling

Jaw Swelling

  • 57-year-old patient presented with longstanding history of swelling on left side of face and difficulty opening mouth.
  • Figure 1. Shows expansile lytic space-occupying lesion involving mandible body and ramus on left with thinning of cortex with solid and cystic areas. Solid regions show heterogenous enhancement.
  • Figure 2. Shows expansile lytic space-occupying lesion involving mandible body and ramus on left with thinning of cortex with solid and cystic areas. Solid regions show heterogenous enhancement.
  • Figure 3. Shows expansile lytic space-occupying lesion involving mandible body and ramus on left with thinning of cortex with solid and cystic areas. Solid regions show heterogenous enhancement.
  • Figure 4. Shows expansile lytic space-occupying lesion involving mandible body and ramus on left with thinning of cortex with solid and cystic areas. Solid regions show heterogenous enhancement.
  • Figure 5. Shows expansile lytic space-occupying lesion involving mandible body and ramus on left with thinning of cortex with solid and cystic areas. Solid regions show heterogenous enhancement.
  • Figure 6. Shows expansile lytic space-occupying lesion involving mandible body and ramus on left with thinning of cortex with solid and cystic areas. Solid regions show heterogenous enhancement.
  • Diagnosis: Ameloblastoma
  • CT showed expansive solid and cystic space-occupying lesion involving mandible body and ramus on left with thinning of cortex.
  • Ameloblastoma is a group of oral tumors that are mostly benign but can be locally aggressive.
  • Radiologically, tumor can be monocystic or multilocular with bone expansion, however in maxilla they grow along bone.

Case History: 57-year-old patient presented with longstanding history of swelling on left side of face and difficulty opening mouth.

Comments

great

mlindeli @

Brown tumour

Naved @

No mention of pain so unlikely linked to upper branch of trigeminal nerve.
No mention of salivary problems so unlikely a blocked salivary gland. Investigate possibility of tumour or severe infection of upper mandible and immediate surrounds.

JOHN @

No mention of pain so unlikely linked to upper branch of trigeminal nerve.
No mention of salivary problems so unlikely a blocked salivary gland. Investigate possibility of tumour or severe infection of upper mandible and immediate surrounds.

JOHN @

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