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  Vol. 131 No. 3, March 2005 TABLE OF CONTENTS
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  Clinical Problem Solving: Radiology
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Radiology Quiz Case 1—Diagnosis

Arch Otolaryngol Head Neck Surg. 2005;131:276-277.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Brown tumor of the mandible

The differential diagnosis of a lytic lesion in a young woman includes aneurysmal bone cyst, cherubism, giant cell tumor, eosinophilic granuloma, brown tumor, and primary bone tumor. Multiple lytic lesions raise the possibility of a metastatic lesion, multiple myeloma, or a multicentric giant cell tumor. The mandibular swelling in the present case was initially misdiagnosed as an epulis because of the grossly thickened mucosa in that area. It was suggested that the reason the patient’s tooth had loosened and fallen off could have been pathologic (eg, carious). This could have been an inciting factor for an epulis, which is a nonspecific term that is usually applied to a benign swelling of the gum. Because the patient had an expected delivery date 3 weeks later and the histopathologic findings were compatible with epulis, we deferred further radiologic investigations and treatment until after her baby was delivered. Two weeks after delivery, she . . . [Full Text of this Article]



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RELATED ARTICLE

Radiology Quiz Case 1
Pankaj Chaturvedi, Prathamesh S. Pai, Bhavin Shah, and Anil K. D’Cruz
Arch Otolaryngol Head Neck Surg. 2005;131(3):274.
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