A 53-year- old male presented with a lesion of less than a year’s duration in the posterior mandible. His symptoms included pain, 3+ tooth mobility, 15-pound weight loss and swelling of the gingiva and jaw. The patient also complained of anesthesia of the left chin and lower lip. The patient had been aware of the symptoms with facial swelling of the left side for only a few months. The mobile teeth were extracted and the area was biopsied. The initial cone beam CT scan findings notably show a well-demarcated multilocular and expansile radiolucency perforating bone and pushing teeth apart.
Medical History: The patient’s past medical history was initially reported as “none known”; his last visit to a physician had been 15 years prior. On preoperative workup, he was found to have untreated hypertension and type 2 diabetes. He reported no surgical history. Family history is negative. He was…
