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CASE REPORT
Year : 2021  |  Volume : 7  |  Issue : 2  |  Page : 139-142

Bilateral focal osteoporotic marrow defect associated with adenomatoid odontogenic tumor of mandible


1 Department of Oral and Maxillofacial Pathology, Dr B.R. Ambedkar Institute of Dental Sciences and Hospital, Patna, Bihar, India
2 Department of Conservative Dentistry and Endodontics, Patna Dental College and Hospital, Patna, Bihar, India
3 Department of Oral and Maxillofacial Pathology, Sree Balaji Dental College and Hospital, Chennai, Tamil Nadu, India
4 Department of Dental, Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India
5 Department of Oral Pathology, Dr B.R. Ambedkar Institute of Dental Sciences and Hospital, Patna, Bihar, India

Correspondence Address:
Shashi Ranjan
Department of Oral and Maxillofacial Pathology, Dr B.R. Ambedkar Institute of Dental Sciences and Hospital, Patna, Bihar
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jigims.jigims_2_20

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A case previously treated by surgical enucleation for adenomatoid odontogenic tumor involving from right parasymphysis to left parasymphysis region of mandible in a young female patient 3 years back reported with pain over left posterior region of mandible in a private dental clinic. Clinical examination revealed no dental pathosis in involved area. Panoramic radiograph revealed irregular multilocular radiolucency with foci of radiopacity with sclerotic borders involving periapical region of canine to second molar teeth till lower border of left side mandible. Incidentally, similar radioluceny was seen over the right posterior side of mandible periapically. Previously enucleated midline lesion revealed normal healed area without any sign of recurrence. As the lesion seemed to be bilateral, radiographical differential diagnosis was difficult, and lesions included were florid cementosseous dysplasia, multiple odontogenic keratocyst of basal cell nevus syndrome, ameloblastoma, and metastatic tumor to jaw. Histopathologically, the left posterior lesion was diagnosed as focal osteoporotic marrow defect, and right side lesion was considered as same. We are reporting a case of bilateral focal osteoporotic marrow defect along with previously enucleated adenomatoid odontogenic tumor, and purpose of this case report to correlate a relationship between the two different lesions whether focal osteoporotic marrow defect arise in response to adenomatoid odontogenic tumor or is incidental finding.


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