Concluded Case

Radiolucent Lesion of the mandible.

46 yr old female patient, otherwise systemically healthy. Chief Complaints Patient complaint of pus discharge from mouth for the past 1.5 months. History Patient took a medical doctor opinion, few drugs (names not known) got relieved from the pus , sometimes has a feeling of stretch in the same region. No fresh complaints as of now. Patient was referred to have an opinion from a dental surgeon. Relevant history. Patient was operated for dentigerous cyst 25 yrs back, where in teeth were also extracted. Investigations I only have the Opg. Physical evaluation of the case hasn't been done. Diagnosis Differentials Recurrent dentigerous cyst, Odontogenic Keratocyst, Ameloblastoma, Osteomyelitis. Management Kindly give your valuable suggestions.

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Concluded answer

Blood tests, biopsy and CT have been advised, further management would be planned accordingly.

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DD: -keratocyste - amelobastoma

Appears to be an ameloblastoma Or an OKC... Get an FNAC done followed by a CT with Contrast and routine blood investogations

Thank you doctor
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Looks like an OKC... Has the pus been studied? Was it cheesy in consistency? And any smear or tests done?

No actually have not seen the patient, only tele consult.. so the pus hasn't been studied..and no tests done.
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Blood tests, biopsy and CT have been advised, further management would be planned accordingly.

Case of Ameloblastoma. Advice 1 .CBC 2.Blood sugar F/R/PP. 3 .FNAC

Thank you doctor
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Keratocystic odontogenic tumour

It looks like Ameloblastoma

Diagnosis- ameloblastoma