Imaging Science in Dentistry

Korean Academy of Oral and Maxillofacial Radiology (대한영상치의학회)
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An unusual presentation of osteoblastoma of the maxilla: A case report

  • Lim, Joonbum (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook) ;
  • Hinchy, Nicole (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook) ;
  • Odingo, Nora (Division of Oral and Maxillofacial Pathology, Department of Oral and Maxillofacial Surgery, School of Dental Medicine, State University of New York at Stony Brook) ;
  • Colosi, Dan (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook) ;
  • Mahdian, Mina (Division of Diagnostic Imaging, Department of Prosthodontics and Digital Technology, School of Dental Medicine, State University of New York at Stony Brook)
  • Received : 2021.02.26
  • Accepted : 2021.05.28
  • Published : 2021.12.31
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Abstract

This report presents a rare case of maxillary osteoblastoma in a 17-year-old female. The patient presented with dull pain and facial asymmetry inferior to the left zygoma. An intraoral examination found a painless swelling on the buccal gingival tissue in the left posterior maxilla. Panoramic radiographs and multidetector computed tomographic images revealed an ill-defined, non-corticated, mixed attenuating entity of osseous density located within the left posterior maxilla apical to the left maxillary molars. The entity exhibited a heterogeneous internal structure with a fine granular appearance, and the periphery showed a partial hypo-attenuating rim along the antero-medial aspect. Expansion of the left posterior maxilla accompanied with displacement of the left maxillary sinus floor was noted. External root resorption of the first and second molars was noted, as well as postero-superior displacement of the third molar. The histopathologic diagnosis of the biopsy was osteoblastoma. Complete excision of the tumor was performed.

Keywords

Acknowledgement

We thank Dr. Peter Balacky for providing us with the details on the treatment course and the photograph of the gross surgical specimen. We also thank Dr. Renee Reich for providing us with the photomicrographs of the incisional biopsy specimen.

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