An atypical odontogenic myxoma

Area of Science:

• Oral pathology
• Odontogenic tumors
• Neoplasia

Background:

• Odontogenic myxoma is a rare, benign, yet locally invasive jaw tumor.
• It originates from the tooth germ's mesenchymal component.
• Variable clinical and radiographic features can mimic other jaw lesions.

Observation:

• A 50-year-old patient presented for periodontal treatment.
• Routine X-rays revealed a small radiolucency between the mandibular canine and first premolar.
• The lesion was asymptomatic with no clinical symptoms.

Findings:

• Histological examination after enucleation confirmed odontogenic myxoma.
• This case represents an atypical presentation due to small size and early detection.
• Radiographic features were variable, complicating initial diagnosis.

Implications:

• Early detection and management are crucial for benign but locally aggressive odontogenic myxoma.
• Variable radiographic appearance necessitates differential diagnosis with other jaw lesions.
• Understanding atypical presentations aids in timely and accurate diagnosis of odontogenic myxoma.