AN UNUSUAL LARGE CENTRAL (INTRAOSSEOUS) CALCIFYING EPITHELIAL ODONTOGENIC TUMOUR (PINDBORG TUMOUR) EVALUATED BY 64-SLICE MDCT AND DIGITAL RADIOGRAPH WITH HISTOPATHOLOGICAL CORRELATION- A CASE REPORT WITH LITERATURE REVIEW
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 43
Abstract
A 35-year-old female presented with firm, mandibular swelling localised in right hemi-mandible involving body and reaching up to symphysis menti. Clinically, patient was reported to the Dental Department complaining of an asymptomatic slow-growing swelling, which gradually increased to the present size within a period of 2 years’ duration in the lower right hemi-mandibular region. The onset was spontaneous and there was no history of trauma or functional impairment. Extraoral examination and palpation revealed few cervical lymph nodes of normal size and consistency. On intraoral examination the painless, firm, swelling of (6 x 7 x 8 cm) mass was located in the right hemimandibular body covered by a normal oral mucosa. (Fig. 1) Digital left oblique radiograph (Figure A) showed a large expansile lesion with central crown involvement with dense calcification (white arrow) in right mandible involving body and reaching upto symphysis menti; while MDCT axial (Figure B), sagittal (Figure C) and 3D (Figure D) showing buccal and lingual cortical breech (Yellow arrow) and central crown of molar with dense calcified materials with subtle flakes appearance (red arrow) and 3rd molar tooth root erosion (Blue arrow) (Figure 2).
Authors and Affiliations
Dipu Singh, Arvind Srivastava, Ramchandra Shukla, Amit Nandan Dhar Dwivedi, Dharmendra K. R Bairwa
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