JOURNAL OF CANCER RESEARCH AND ONCOBIOLOGY (ISSN:2517-7370)

A 10-year-old male patient visited the department of oral medicine and radiology with a chief complaint of pain and swelling on right side of the face. A patient gave the history of swelling on right side of lower 1/3rd of face since 7-8 years with dull, intermittent pain which aggravates on taking food for 1 month. The patient had undergone radiographic investigations and biopsy on the right side of face 15 days back. On extra oral examination, swelling on right side of lower1/3rd of face extending anteroposteriorly from a straight line drawn from inner canthus of the eye, posteriorly 1 cm beyond outer canthus of the eye. Supero-inferiorly from a straight line drawn from commissure of the lip to 1 cm beyond the inferior border of mandible. Swelling is approximately 4x4 cm in size. The overlying skin has increase pigmentation with sinus opening, tender on palpation, bony hard. Right sub mandibular lymph node palpable, mobile and tender. On intra-oral examination, obliteration of vestibule from 44 to 47. The provisional diagnosis of chronic suppurative osteomyelitis. OPG reveals dense, homogeneous radio-opaque mass on right side of the body with surrounding radiolucent halo extending from 44 to 47. Supero-inferiorly from the superior border of the mandible to the inferior border of the mandible to the inferior border of the mandible with multiple tooth-like structures at the inferior border of the mandible. There is thinning of the inferior cortex of mandible with a divergence of 43, 44, and 47. CECT reveals a well define lobulated mass with few hypodense areas, measures approximately 37x36x29 mm. the mass is causing significant bi-cortical expansion of mandible. Radiographic diagnosis- odontomas. Excisional biopsy was performed and a histopathologic diagnosis was COMPOUND COMPOSITE ODONTOME.