Eosinophilic granuloma in the anterior mandible mimicking radicular cyst

Lee, Byung‐Do; Lee, Wan; Lee, Jun; Son, Hyun-Jin

doi:10.5624/isd.2013.43.2.117

Cited by 13 publications

(14 citation statements)

References 20 publications

(25 reference statements)

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“…Spontaneous regression has only been reported in the case of one oral lesion.2 If the lesion does not regress, treatment usually consists of surgical excision [2]. If surgery is not feasible, radiation therapy or chemotherapy have been used [12][13][14][15][16][17][18][19][20]. Although rare, systemic xanthogranuloma is associated with significant morbidity and occasional deaths.11 If possible, surgical excision is usually curative for systemic xanthogranuloma as well [20].…”

Section: Discussionmentioning

confidence: 99%

“…Eosinophilic granuloma of bone is part of the spectrum of Langerhans cell histiocytosis without visceral involvement [8]. Langerhans cell histiocytosis can appear similar radiographically to a periapical cyst, among other lesions [13]. While possessing a variable radiographic appearance, the "teeth floating in the air" appearance is one of the characteristics of this lesion.…”

Section: Differential Diagnosismentioning

confidence: 99%

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A Nonhealing Periapical Radiolucency

Vargo

Bilodeau

Jaradat

et al. 2016

JDHODT

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Background: This case discusses a radiolucent lesion in the anterior mandible, which initially was thought to be due to endodontic failure. However, the final diagnosis was xanthogranuloma. Case description:We have reported a case of xanthogranuloma in the mandible found at the apices of two endodontically treated teeth. When present in the oral cavity, it can appear similar to several more common entities. While the radiolucent periapical lesion was thought to be the result of non-healing root canal therapy, the excisional biopsy yielded the diagnosis of xanthogranuloma. Removal of the lesion has resulted in excellent healing, as the surgeon expected. Practical implications:This case demonstrates the importance of biopsy in definitive diagnosis of oral lesions and lesions found at the apices of previously endodontically treated teeth.

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Section: Discussionmentioning

confidence: 99%

Section: Differential Diagnosismentioning

confidence: 99%

A Nonhealing Periapical Radiolucency

Vargo

Bilodeau

Jaradat

et al. 2016

JDHODT

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“…Eosinophilic (monostotic or polystotic) granuloma (EG) is the mildest form of the disease of Langerhans' cell Histiocytosis [1]. It is a bone lesion that may present in a solitary or multiple forms.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of eosinophilic granuloma of the jaw: a case report

Dantas

Souza

Gabrielli

2019

RGO, Rev. Gaúch. Odontol.

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The eosinophilic granuloma is the most common form of the Langherans’ cell histiocytosis. In the majority of cases it is represented by a unilocular osteolytic lesion which can occur in adults and children. It is an intraosseous destructive lesion characterized by the presence of vast numbers of eosinophils and histiocytes. It can be localized or multifocal. The tumor is more prevalent in the first two decades of life and tends to affect mandibular body and angle. Most frequent signs and symptoms are pain, swelling, ulceration, gingival necrosis, alveolar bone destruction with mobility and loss of teeth. Therapeutic interventions for this pathology are surgical curettage, local radiotherapy and chemotherapy. This article presents the case of a 9-year old patient who came in for treatment with facial swelling, pain, tooth mobility and intraoral ulcer in the vestibular sulcus of the right mandibular angle region. Imaging and incisional biopsy were obtained. After the histopathological examination confirmed the diagnosis of eosinophilic granuloma, the lesion was removed by curettage and a reconstruction titanium plate was inserted to avoid a pathological fracture. After 14 years of follow-up no recurrence was found and mandibular growth was not impaired. A discussion about this type of tumor is presented, based on the current literature.

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“…EG is the most benign disorder of this triad and it involves localized lesions predominantly of the long bones (3,4). It accounts for 60% -70% of all cases of LCH and can be seen as solitary or multifocal lesions (1,4). Multifocal lesions have a more severe and even fatal course (5).…”

Section: Introductionmentioning

confidence: 99%

Importance of Considering Rare Disorder as Eosinophilic Granuloma in Differential Diagnosis of the Common Oral Disease

et al. 2016

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Introduction: Eosinophilic Granuloma (EG) is one of the subsets of langerhans cell histiocytosis Oral presentation may comprise multiple alveolar lesions accompanied by bleeding, gingival inflammation and teeth mobility ,which may encourage patients to seek a dentist. Case Presentation: In this report, a case of an 18 year old male patient with multifocal lesions of EG in both jaws is presented. Conclusions: Although LCH remains an enigma for clinicians to date because of its ambiguous presentations, but timelydiagnosis could be critical for prognosis. And dentists could have an important role in diagnosis of rare disorders like EG.

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Eosinophilic granuloma in the anterior mandible mimicking radicular cyst

Cited by 13 publications

References 20 publications

A Nonhealing Periapical Radiolucency

A Nonhealing Periapical Radiolucency

Diagnosis and management of eosinophilic granuloma of the jaw: a case report

Importance of Considering Rare Disorder as Eosinophilic Granuloma in Differential Diagnosis of the Common Oral Disease

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