RESUMEN
BACKGROUND: A 10 year-old male was referred to our department for a delay in the eruption of his lower canine, premolars and molars on the right side. The panoramic radiograph showed a multilocular radiolucent lesion approximately 3.5 x 7.5 cm in diameter including the right canine, first and second premolar and second mandibular molar. The lesion was clinically diagnosed as dentigerous cyst. It was enucleated via curettage of the bone bed and diagnosed as ameloblastic fibroma at the histopathological examination. After twenty-one months, radiographs showed that the surgical defect had filled with new bone.
Asunto(s)
Neoplasias Mandibulares/diagnóstico , Tumores Odontogénicos/diagnóstico , Niño , Quiste Dentígero/diagnóstico , Diagnóstico Diferencial , Estudios de Seguimiento , Humanos , Masculino , Enfermedades Mandibulares/diagnóstico , Radiografía PanorámicaRESUMEN
Intraosseous lipoma is a benign tumor of the bone. It is mostly seen in the metaphyses of the long bones and calcaneus. There are few documented cases of intraosseous lipomas in the jaw. Clinically, the lesion is usually silent and radiologically it appears as a radiolucent area rarely including some radio-opacities. Diagnosis is based on clinical, radiological and histopathological features. Surgical removal of the lesion is the recommended treatment. The authors report a rare case of an intraosseous mandibular lipoma in a 45-year-old female, and review previously documented cases in the English literature. The histopathological and radiological features of the lesion are emphasized.