A 43-year-old female was referred for the evaluation of a slowly growing swelling in the right anterior mandible. A periapical radiograph shows a well-demarcated radiolucency with a hint of scalloping and multilocular appearance between teeth #s 26 & 27. The patient noticed the swelling 2-3 months ago. She noticed a small change in her bite with the movement of the lateral incisor. No symptoms otherwise – no pain, drainage, anesthesia or paresthesia. Past History The past medical history is significant for malignant melanoma and hypothyroidism.

Malignant melanoma was treated with surgical excision a few years ago. The patient is a nonsmoker. She reports allergies to latex and amoxicillin. Clinical and radiological findings   The clinical examination revealed a soft non-tender buccal swelling in the right anterior mandibular alveolar bone between teeth #s 26 and 27. No other lesions were…