ODONTOGENIC MYXOMA: A SUNBURST RADIOGRAPHIC APPEARANCE MIMICKING A MALIGNANT LESION
| Autor: | Andréa dos Anjos Pontual, Jurema Freire Lisboa de Castro, Elaine Judite de Amorim Carvalho, Danyel Elias da Cruz Perez, José Erivaldo Da Silva Mendes, Flávia Maria de Moraes Ramos-Perez, Stefanny Torres Dos Santos |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Panoramic radiograph business.industry Radiography medicine.disease Odontogenic myxoma Pathology and Forensic Medicine Benign tumor Lesion Sunburst medicine Atypia Radiology Nuclear Medicine and imaging Dentistry (miscellaneous) Surgery Radiology Oral Surgery medicine.symptom Differential diagnosis business |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology. 129:e87 |
| ISSN: | 2212-4403 |
| DOI: | 10.1016/j.oooo.2019.06.357 |
| Popis: | Odontogenic myxoma (OM) is a benign tumor derived from the odontogenic ectomesenchyme. This report describes a case of OM mimicking a malignant lesion. A 21-year-old female patient was referred for diagnosis of a swelling with 5 months of duration. Panoramic radiograph revealed a multilocular, mixed lesion, which involved the left mandibular body and ramus. On cone beam computed tomography, the lesion caused thinning and rupture of the buccal and lingual cortical bone. Root resorption and sunburst appearance were also observed. Malignant neoplasms were the main hypotheses of diagnosis. Under local anesthesia, an incisional biopsy was performed. Microscopically, there was a loose myxoid tissue, with scarce spindle cells without atypia. The diagnosis of OM was established. The patient was submitted to surgical resection, confirming the diagnosis of OM. Recurrence was not observed after 12 months. Although rare, OM should be considered in the differential diagnosis of lesions with sunburst radiographic appearance. |
| Databáze: | OpenAIRE |
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