ABSTRACT
A 14-year-old boy was referred because of a slight swelling of the alveolar mucosa of the right central and lateral maxillary incisor. Radiographically, a well-circumscribed radiolucency was seen between the vital, but partially resorbed roots of the two incisors. Treatment consisted of careful enucleation, including removal of the two teeth. Histopathological examination showed a central giant-cell granuloma. Healing was uneventful. Additional examination for the presence of hyperparathyroidism was negative. During one year follow-up, no signs of recurrence have been noticed.
Subject(s)
Granuloma, Giant Cell/diagnosis , Maxillary Diseases/diagnosis , Root Resorption/diagnostic imaging , Adolescent , Granuloma, Giant Cell/diagnostic imaging , Granuloma, Giant Cell/surgery , Humans , Incisor , Male , Maxillary Diseases/diagnostic imaging , Maxillary Diseases/surgery , Radiography , Recurrence , Tooth Extraction , Treatment OutcomeABSTRACT
A 63-year-old woman was referred to a department of oral and maxillofacial surgery because of slowly increasing enlargement of the tongue. Histopathologic examination of a biopsy showed the presence of amyloid. Further physical and laboratory studies disclosed the presence of multiple myeloma (Kahler's disease). A few years before, the patient had been operated for metacarpol syndrome of both hands, most likely because of amyloid deposition. The patient underwent a stam cell transplantation. After one year follow-up the patient is still alive. There was no distinct regression of the macroglossia.
