Premium
Periapical radiolucency mimicking an odontogenic cyst
Author(s) -
Nary Filho H.,
Matsumoto M. A.,
Fraga S. C.,
Gonçales E. S.,
Sérvulo F.
Publication year - 2004
Publication title -
international endodontic journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.988
H-Index - 119
eISSN - 1365-2591
pISSN - 0143-2885
DOI - 10.1111/j.0143-2885.2004.00801.x
Subject(s) - medicine , lesion , odontogenic , radiography , biopsy , radiodensity , giant cell , dentistry , radiology , pathology
Aim To present a clinical case of a giant cell lesion located in an unusual site, initially misdiagnosed and treated as an odontogenic cyst. Summary Periapical radiolucencies often suggest the presence of odontogenic pathosis, usually inflammatory granulomas or cysts. The high frequency of such lesions tends to lead clinicians to arrive at a diagnosis without completing a comprehensive assessment of the patient or carrying out the full range of available diagnostic tests. A case report of a giant cell lesion, which was misdiagnosed and treated initially as an odontogenic lesion because of its unusual location, is presented. Key learning points• Clinical signs and radiographic appearance are usually sufficient to reach a diagnosis of periapical pathosis. • When traditional treatment does not lead to success, a biopsy should be considered to ascertain the diagnosis and allow the correct treatment to be provided. • Histological examination of soft tissue removed during endodontic surgery is essential.