Presentation
Known case of neuroblastoma presented with painful right sided mandibular swelling.There is a history of left sided nephrectomy 3-year ago.
Patient Data
The whole body I 131- MIBG scan showed an intense round increased uptake of radiotracer in right lower mediastinum as well as abnormal moderate increased uptake of right hemiface.
There is a large hypervascular mass in the right mandible which is tender and hard on palpation.
CT scan shows a large lytic expansile,destructive lesion in the right side of mandible associated with soft tissue component and amorphus periosteal reaction and wide zone of transition.There is also opacification of both maxillary antrums.