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Clinico-pathologic conference: case 4.
Fabian Ocampo-Acosta1, Juliana Robledo, Beatriz Aldape-Barrios
1Universidad Autónoma de Baja California, Tijuana, Mexico. fabicho_o@hotmail.com
Head and Neck Pathology
|July 3, 2010
Summary
A 45-year-old male had an asymptomatic mandibular mass. Incisional biopsy revealed significant bleeding, suggesting a vascular lesion requiring further investigation.
Area of Science:
- Oral and Maxillofacial Surgery
- Radiology
- Pathology
Background:
- A 45-year-old male presented with a 3-month history of an asymptomatic right mandibular mass.
- The mass extended from the mandibular angle to the premolar region.
Observation:
- Panoramic radiography showed an ill-defined, unilocular radiolucency in the affected mandible.
- The patient had a history of molar extractions and antibiotic treatment.
Findings:
- An incisional biopsy was performed, which encountered considerable bleeding.
- The excessive bleeding during biopsy suggests a potentially vascular nature of the mandibular lesion.
Implications:
- The findings necessitate further diagnostic workup to determine the exact nature of the mandibular mass.
- Management strategies should consider the potential vascularity and the need for specialized surgical techniques.
- Early diagnosis and appropriate treatment are crucial for successful outcomes in managing mandibular pathologies.
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