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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 328:1478-1483 May 20, 1993 Number 20
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Case 20-1993— A 23-Year-Old Woman with a Rapidly Enlarging Intraoral Mass after a Tooth Extraction
R. Bruce Donoff, and Andrew E. Rosenberg

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Presentation of Case

A 23-year-old woman was admitted to the hospital because of a rapidly enlarging mass in a tooth-extraction socket and an osteolytic mandibular lesion.

The patient had been in excellent health until one month earlier, when a left mandibular third molar tooth was extracted because of pericoronitis, without complications. During the next three weeks the socket failed to heal, and examination showed an exuberant mass within it. A course of penicillin V potassium was ineffective. Radiographs of the teeth and mandible (Figure 1) revealed a multilocular, expansile osteolytic lesion in the left portion of the mandible; the roots of . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. R. Bruce Donoff's Diagnosis

Pathological Discussion

Anatomical Diagnosis

References



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