Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnoses
Cementoblastoma, a rare odontogenic benign tumor characterized by calcified cementum-like deposits produced by cementoblasts fused with the tooth root, represents a minute proportion of all odontogenic tumors, with a prevalence ranging from less than 1% to 6.2%. We present a case of a 19-year-old fe...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-05-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S193004332400116X |
| _version_ | 1827321731314876416 |
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| author | Dwi Noviyanti, MD Atta Kuntara, MD Eka Marwansyah Oli'i, MD Hasrayati Agustina, MD |
| author_facet | Dwi Noviyanti, MD Atta Kuntara, MD Eka Marwansyah Oli'i, MD Hasrayati Agustina, MD |
| author_sort | Dwi Noviyanti, MD |
| collection | DOAJ |
| description | Cementoblastoma, a rare odontogenic benign tumor characterized by calcified cementum-like deposits produced by cementoblasts fused with the tooth root, represents a minute proportion of all odontogenic tumors, with a prevalence ranging from less than 1% to 6.2%. We present a case of a 19-year-old female experiencing pain, progressive swelling, and facial asymmetry in the left lower region over the 1 year ago. Physical examination revealed diffuse swelling in the left mandibular area, demonstrating tenderness and bony hardness on palpation. Radiographic findings displayed a giant, well-defined, relatively round, radiopaque mass, partially delineated by a thin radiolucent halo, and adhered to the roots of the teeth. Computed Tomography imaging revealed an osteoblastic hyperdense mass with extensive buccal and lingual extension. Sagittal images illustrated the mass's continuity with the root apex of the first molar, accompanied by a well-defined hypodense border. A biopsy confirmed the diagnosis of cementoblastoma, leading to the patient undergoing a left hemimandibulectomy. Given the various periapical radiopaque lesions that serve as potential differential diagnoses for cementoblastoma, the ability of the radiologist to distinguish their imaging characteristics plays a crucial role in determining an accurate diagnosis. |
| first_indexed | 2024-04-25T01:12:14Z |
| format | Article |
| id | doaj.art-1a843f22d68a4b1b8215769b645cad52 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-25T01:12:14Z |
| publishDate | 2024-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-1a843f22d68a4b1b8215769b645cad522024-03-10T05:11:57ZengElsevierRadiology Case Reports1930-04332024-05-0119520852092Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnosesDwi Noviyanti, MD0Atta Kuntara, MD1Eka Marwansyah Oli'i, MD2Hasrayati Agustina, MD3Department of Radiology, Faculty of Medicine, University of Padjadjaran, Bandung City, West Java 40161, Indonesia; Corresponding author.Department of Radiology, Faculty of Medicine, University of Padjadjaran, Bandung City, West Java 40161, IndonesiaDepartment Oral and Maxillofacial Surgery, Faculty of Medicine, University of Padjadjaran, Bandung City, West Java 40161, IndonesiaDepartment of Pathological Anatomy, Faculty of Medicine, University of Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung City, West Java 40161, IndonesiaCementoblastoma, a rare odontogenic benign tumor characterized by calcified cementum-like deposits produced by cementoblasts fused with the tooth root, represents a minute proportion of all odontogenic tumors, with a prevalence ranging from less than 1% to 6.2%. We present a case of a 19-year-old female experiencing pain, progressive swelling, and facial asymmetry in the left lower region over the 1 year ago. Physical examination revealed diffuse swelling in the left mandibular area, demonstrating tenderness and bony hardness on palpation. Radiographic findings displayed a giant, well-defined, relatively round, radiopaque mass, partially delineated by a thin radiolucent halo, and adhered to the roots of the teeth. Computed Tomography imaging revealed an osteoblastic hyperdense mass with extensive buccal and lingual extension. Sagittal images illustrated the mass's continuity with the root apex of the first molar, accompanied by a well-defined hypodense border. A biopsy confirmed the diagnosis of cementoblastoma, leading to the patient undergoing a left hemimandibulectomy. Given the various periapical radiopaque lesions that serve as potential differential diagnoses for cementoblastoma, the ability of the radiologist to distinguish their imaging characteristics plays a crucial role in determining an accurate diagnosis.http://www.sciencedirect.com/science/article/pii/S193004332400116XOdontogenic tumorsCementoblastomaMandiblePeriapical radiopaque lesions |
| spellingShingle | Dwi Noviyanti, MD Atta Kuntara, MD Eka Marwansyah Oli'i, MD Hasrayati Agustina, MD Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnoses Radiology Case Reports Odontogenic tumors Cementoblastoma Mandible Periapical radiopaque lesions |
| title | Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnoses |
| title_full | Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnoses |
| title_fullStr | Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnoses |
| title_full_unstemmed | Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnoses |
| title_short | Giant cementoblastoma involving multiple teeth: A rare case report and review of differential diagnoses |
| title_sort | giant cementoblastoma involving multiple teeth a rare case report and review of differential diagnoses |
| topic | Odontogenic tumors Cementoblastoma Mandible Periapical radiopaque lesions |
| url | http://www.sciencedirect.com/science/article/pii/S193004332400116X |
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