a 45 years old female with gradually progressing swelling of lower jaw for last 2 years. radiographically a well defined radiolucent in mandible involving bilateral body and symphysis region. please diagnose and advice suitable managent.

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Pls proceed for a histopathological examination, probable d/d would be giant cell granuloma Ameloblastoma Hyperparathroidism Also ols check the levels of Growth hormone and IGF1 levels

We can think in terms of central giant cell granuloma...As radiograph is showing multilocular radiolucency which is crossing the midline and limited it's extent to anterior to molars along with root resorption which are typical characteristics of this CGCG.. differential diagnosis we can also consider ameloblastoma and hyperparathyroidism tumor ...under investigations alkaline phosphatase shud be done to exclude hyperparathyroidism tumor..all the best ...

on the basis of radiographic presentation n clinic picture...it is looking like a central giant cell granuloma..which is multilocular..crossing midline n root resorption..other dd may include okc, ameloblastoma....hostopathalogical investigation needed for final

multiocular cyst aspirate fluid for biopsy surgical removal cystand ext of affected teeth paper thin margin mandible remain so care should be taken and no prosthesis load upto 2 yrs.take opg after 2 yr and evaluation this area and decide.

FNAC wil confirm it....DD are CGCG, FD, Ameloblastoma...if bi cortical xpansion z der...den ameloblastoma..treatmnt wil b hemi manbibulectomy wid 2mm clear border n reconstruction wd free fibula graft...

Squamous cell carcinoma, advised biopsy.

sir hp revealed Odontogenic keratocyst.......
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very enthusiastic response from all of you......among d/d OKC, CGCG and Ameloblastoma are first choice. as far as Brown's tumour is concernd it is not very common......diagnostic test is Aspiration to rule out cyst and definitive diagnosis is Histopathology

Plz do histopath, could be giant cell granuloma, ameloblastoma, hyperparathyroidism, giant cell tumor, aneurismal bone cyst, telangiactic ogs

most common benign odontogenic tumour is ameloblastoma..as it is multicystic it must be solid variant of tumour... they spread preferentially through medullary bone and spare dense cortical plate... if cortex is breached soft tissue has also to be removed with 1 cm margin of safety clearance... most common age group is second and third decade... recurrence after removing the tumour is 10-20%.. use of carnoy's solution Wil decrease recurrence by 10%..,

dr Akhilesh my two pt operated by oral surgeon . He has taken risk to survive mandible and after 15 yrs there is no recurrent. one pt wearing rpd but other pt is not interested rpd and implant not possible. Thanks for pt presentation and your judgment.

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