ABSTRACT
The fibro-osseous lesions represent a large group of disorders that have many common characteristics including clinical, radiographic and microscopic features. Although most are of unknown aetiology, some are believed to be neoplastic and others are related to metabolic imbalances. It is not unusual to see these lesions presenting with a range of radiographic appearances, causing considerable diagnostic confusion owing to their similar histology. This case report presents a histologically benign cemento-osseous lesion that is radiographically consistent with a focal cemento-osseous dysplasia, along with a concomitant simple (traumatic) bone cyst within the right mandibular alveolus, with the initial presentation as a multilocular radiolucency. Pertinent literature is reviewed.
Subject(s)
Cementoma/diagnostic imaging , Jaw Cysts/diagnostic imaging , Mandibular Diseases/diagnostic imaging , Mandibular Neoplasms/diagnostic imaging , Adult , Cementoma/complications , Diagnosis, Differential , Female , Humans , Jaw Cysts/complications , Mandibular Diseases/complications , Mandibular Neoplasms/complications , RadiographySubject(s)
Lip Diseases/diagnosis , Nose Diseases/diagnosis , Biopsy, Needle , Diagnosis, Differential , Fatal Outcome , Female , Humans , Lip/pathology , Lip/surgery , Lip Diseases/pathology , Lip Diseases/surgery , Lip Neoplasms/diagnosis , Lip Neoplasms/pathology , Lip Neoplasms/surgery , Lymphoma, Large B-Cell, Diffuse/diagnosis , Lymphoma, Large B-Cell, Diffuse/pathology , Lymphoma, Large B-Cell, Diffuse/surgery , Middle Aged , Neoplasms, Multiple Primary/diagnosis , Nose/pathology , Nose/surgery , Nose Diseases/pathology , Nose Diseases/surgery , Nose Neoplasms/diagnosis , Nose Neoplasms/pathology , Nose Neoplasms/surgerySubject(s)
Fibroma, Ossifying/pathology , Gingival Neoplasms/pathology , Adult , Diagnosis, Differential , Female , Humans , Mandible/pathologySubject(s)
Erythema Multiforme/pathology , Mouth Diseases/pathology , Adolescent , Anti-Inflammatory Agents, Non-Steroidal/adverse effects , Diagnosis, Differential , Drug Hypersensitivity/pathology , Erythema Multiforme/chemically induced , Female , Gastrointestinal Agents/adverse effects , Humans , Mouth Diseases/chemically induced , Sulfasalazine/adverse effectsABSTRACT
Chronic ulcerative diseases of the oral mucosa are commonly seen in clinical practice. On clinical and histological appearance, the lesions may be hard to differentiate from each other. The establishment of definite diagnosis is essential because the patient may require different management and have widely varying prognosis. Immunofluorescence studies aid greatly in the process of determining the diagnosis of a number of chronic ulcerative diseases. This article reviews these chronic ulcerative diseases, describing their clinical, microscopic, and immunofluorescence characteristics. Methods of diagnosis and management of the diseases also are discussed.
