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Eosinophilic granuloma in the anterior mandible mimicking radicular cyst

Imaging Science in Dentistry 2013³â 43±Ç 2È£ p.117 ~ 122
À̺´µµ, ÀÌ¿Ï, ÀÌÁØ, ¼ÕÇöÁø,
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À̺´µµ ( Lee Byung-Do ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Radiology
ÀÌ¿Ï ( Lee Wan ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Radiology
ÀÌÁØ ( Lee Jun ) - Wonkwang University College of Dentistry Department of Oral and Maxillofacial Surgery
¼ÕÇöÁø ( Son Hyun-Jin ) - Eulji University School of Medicine Department of Pathology

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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Eosinophilic Granuloma; Histiocytosis; Langerhans-Cell; Mandible; Radicular Cyst

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