case of the
COTM OCTOBER 2021
Case Credit- Dan Brierley, Olive Allsobrook, Paul Hankinson (Sheffield, UK), Adam Levene, Valmiki Sharma (Luton)
A 59 year old female presented to her dentist with an expansile lesion in the left body of the mandible with a one year history. She was referred to the local specialist oral and maxillofacial surgery unit. The patient complained of a foul taste in her mouth, progressive mobility of her lower left quadrant teeth and paraesthesia. A tender hard lump was palpable in the region as well. Imaging showed a multilocular mixed radio-opaque/radiolucent lesion in the left parasymphysis/body of mandible associated with an ectopic LL5. A CT scan showed thinning of the buccal and lingual cortices but no evidence of bone destruction.
The patient underwent a biopsy of the lesion for histopathological analysis.