Mandibular osteoma

Case contributed by Dr Varun Babu

Presentation

60 year old lady came for evaluation of a midline neck swelling. Clinical examination revealed a possible thyroid mass arising from isthmus Fine needle aspiration of the mass revealed suspicious nuclear grooving and hence she was advised surgical removal of thyroid. She also complained of a swelling over her left cheek since the last ten years. The swelling was insidious in onset, non tender, slow growing. On palpation the lesion was deep to skin and muscle and was hard, fixed to bone. A CT head and neck was advised as a screening prior to surgery and to further evaluate the bony lesion.

Patient Data

Age: 60
Gender: Female
CT

Non enhanced CT head

There is a uniformly dense, lobulated osseous lesion arising from the angle of the left mandible.  

CT plain study revealed a well defined lobulated homogeneously dense sclerotic bony lesion arising from the outer table of ramus of left mandible. The lesion shows a narrow zone of transition, no periosteal reaction and no soft tissue component.

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Case information

rID: 17055
Case created: 13th Mar 2012
Last edited: 2nd Oct 2015
Inclusion in quiz mode: Included

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