Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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Eosinophilic granuloma in the anterior mandible mimicking radicular cyst

  • Lee, Byung-Do (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Lee, Wan (Department of Oral and Maxillofacial Radiology and Wonkwang Dental Research Institute, College of Dentistry, Wonkwang University) ;
  • Lee, Jun (Department of Oral and Maxillofacial Surgery, Wonkwang Bone Regeneration Institute, College of Dentistry, Wonkwang University) ;
  • Son, Hyun-Jin (Department of Pathology, School of Medicine, Eulji University)
  • Received : 2013.01.28
  • Accepted : 2013.03.06
  • Published : 2013.06.30
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Abstract

Eosinophilic granuloma is a common expression of Langerhans cell histiocytosis and corresponds with typical bone lesions. The radiographic appearance of eosinophilic granuloma in the jaw is variable and not specific. It may resemble periodontitis, radicular cyst, or malignancies. The purpose of this report is to describe the characteristic radiographic features of eosinophilic granuloma of a 39-year-old male. The lesion in the anterior mandible was first diagnosed as radicular cyst because the radiographic findings were ovoid radiolucent lesion with well-defined border. However, careful interpretation revealed a non-corticated border and floating tooth appearance that were the characteristic radiographic features for the differential diagnosis. Early clinical signs of eosinophilic granuloma can occur in the jaw and a bony destructive lesion might be mistaken for periodontitis or an odontogenic cystic lesion; therefore, careful interpretation of radiographs should be emphasized.

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References

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