case of the

month

2021

COTM APRIL 2021

Case Credit- Daniel Brierley and Olive Allsobrook (Sheffield)

CLINICAL DETAILS

 

A 21 year old female patient presented with a history of discomfort involving the URQ. The UR4 and UR6 had undergone root canal treatment however, there was an ectopic UR5 with a surrounding dental follicle causing resorption of the UR4 and UR6 roots.  The patient was referred to tertiary care for orthograde root canal treatment in UR4 and UR6 prior to surgical removal of the UR5 and associated cystic tissue.

The patient underwent removal of the UR5 and associated tissue.

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COTM march 2021

Case Credit- Daniel Brierley and Olive Allsobrook (Sheffield)

CLINICAL DETAILS

 

A 69 year old male presented with a lump involving the lip. The lesion had a few months history with occasional discomfort but no significant symtpms. mucocoele and minor salivary gland. Examination showed a nodular lesion which was firm on palpation. The clinical differential diagnosis included fibro-epithelial polyp or an atypical mucocoele.

The patient underwent an incisional biopsy of the lesion.

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COTM JANUARY 2021

Case Credit- Dr Amber Kiyani & Professor Adnan Aslam (Islamabad, Pakistan)

CLINICAL DETAILS

A 20 year old male patient presented with a 2 month history of a nose bleed. Clinical examination showed a large, expansile lesion with a palpable mass in the left hard palate. There was evidence of ulceration with extension into the left nostril as well as the left buccal sulcus. A CT scan obliteration of the left maxillary sinus by a 5.3x6.3x5.4cm lesion with evidence of invasion into the hard palate and nose. Erosion of the pterygoid plates was also seen in addition to nsal septum deviation, expansion of the ethmoid sinus, involvement of nasolacrimal duct as well as overlying skin.

The initial histological impression on biopsy was that of a sarcoma. The patient underwent a left sided maxillectomy for removal of the lesion.

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COTM FEBRUARY 2021

Case Credit- Miss Manjinder Jandu and Elizabeth Offen (Rotherham)

CLINICAL DETAILS

 

A 64 year old male patient presented with an ulcer involving the tongue. The patient gave a 7 weeks history of the ulcer with progressive increase in size over that period. A course of anti-fungal treatment had failed to resolve the ulcer. Upon examination, a well defined ulcer with an approximately 12 mm diameter was seen involving  the left dosrum of tongue. The ulcer appeared flat with no evidence of raised or rolled borders. There was no history of trauma

The patient underwent an incisional biopsy of the lesion.

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