Forum for Clinical and Surgical Oral Pathology

Case BBOPF 04-3-4

This is the fourth in a series of five cases submitted by Dr. Jerry Bouquot. Please enter your comments in the form at the bottom of the page. This case was posted from March 26 to April 2, 2004. A summary of the responses will be available in BBOP.

Clinical History

49 year old female with an 18 month history of idiopathic left midface pain which began as mild and intermittent and now is constant and moderately severe. The pain is resistant to analgesics and the left tuberosity is very tender to palpation. All pain disappears with local anesthesia to the tuberosity area (positive diagnostic anesthesia test). Technetium 99m MDP radioisotope scintigraphy showed a moderate "hot spot" in the region.

Images

Radiography

Additional photo below shows tech99 scan:

Histology

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