Central primary xanthoma of the mandible
Central primary xanthoma of the mandible作者机构：Oral Pathology University of Ribeirao Preto (UNAERP) Ribeirao Preto Sao Paulo Brazil Oral Pathology School of Dentistry of Piracicaba State University of Campinas (UNICAMP) Piracicaba Sao Paulo Brazil
出 版 物：《中国口腔颌面外科杂志》 (China Journal of Oral and Maxillofacial Surgery)
年 卷 期：2008年第6卷第B5期
页 面：209-209页
学科分类：1003[医学-口腔医学] 1002[医学-临床医学] 100302[医学-口腔临床医学] 100214[医学-肿瘤学] 10[医学]
摘 要：Purpose: The aim of this report is to describe a rare case of central primary xanthoma of the mandible. Methods: A 25-year-old man was referred to Oral Surgery Clinic, University of Ribeirao Preto, Sao Paulo, Brazil, for evaluation of a left mandibular lesion detected in a routine radiographic exam performed during orthodontic treatment. History medical was not contribuitory and the patient denied pain or previous local trauma, including surgical procedures. At extraoral exam, the face presented symmetric, without alterations. On intraoral examination, the patient showed oral mucosa with normal color and texture, without lesions or swelling. Indeed, it was possible to note that the patient was under orthodontic treatment. Radiographicaly, there was a diffuse, unilocular and radiolucent lesion, with irregular margins, located adjacent to surface from the distal root of the left inferior molar third, measuring approximately 2.0 cm of extension. Although the lesion presented a diffuse and irregular margins, a simple bone cyst or paradental cyst were considered as main hypotheses of diagnosis. For confirmation of the diagnosis, under local anesthesia the patient was submitted to surgical exploration and curettage of the lesion. During the surgical procedure, it was possible to observe that there was not continuity between the lesion and the oral cavity. Additionally, after to access the local of the lesion, it was noted a bone cavity filled by a yellowish, soft and amorphous substance, being this material fully curetted and removed. Results: Microscopically, there was the presence of several cells with a foamy and granular cytoplasm and central,
维普期刊数据库