Head & Neck Case Review 2020-07

Head & Neck Case Review

July, 2020


A 19-year-old male presented for initial dental examination upon entering the armed forces. His medical history was non-contributory, and he was asymptomatic. Panoramic radiographic examination (below) revealed a radiolucency of the anterior mandible. The lesion was vaguely multilocular with a corticated and smooth border and crossed the midline. Mild clinical expansion was noted. An incisional biopsy was performed, and the findings are represented in the photomicrographs below.



Q1. This lesion is most often found in which area of the jaws?

  • A. Anterior mandible
  • B. Posterior mandible
  • C. Anterior maxilla
  • D. Posterior maxilla

Q2. The radiographic features in this case are suggestive of malignancy.

  • A. True
  • B. False

Q3.  This tumor does not have a known association with Carney complex.

  • A. True
  • B. False



Anne C. McLean-Holden, DMD1; Brenda L. Nelson, DDS, MS2

1University of Texas Southwestern Medical Center, Dallas, Texas, USA

2Naval Medical Center San Diego, San Diego, California, USA