PMC5385973_01
Patient A.R., age 32. Panoramic radiograph. Osteolytic focus in body of mandible in the region of teeth 41 - 44. Lesion has osteosclerotic borders with an irregular, wave-like margin.
med-12-045-g001.jpg
PMC5385973_01_med-12-045-g001.jpg
j_med-2017-0008_fig_001
A pantomographic X-ray revealed a spherical translucency with a diameter of approximately 2 cm located below the root apices of teeth 42-44, enclosed by an osteosclerotic layer with irregular, wave-like margins (Fig.1).
Patient A.R., age 32. CBCT examination of mandible a. Reconstruction of image in horizontal plane. b. Reconstruction of image in vestibular-lingual cross-section.
med-12-045-g002.jpg
PMC5385973_01_med-12-045-g002.jpg
j_med-2017-0008_fig_002
The compact lamellae of the body of mandible were preserved on both the labial and lingual sides (Fig. 2a, b).
Patient A.R., age 32. Intraoperative photo. Visible opening made in body of mandible in region of teeth 42 - 43, providing access to tumour mass.
med-12-045-g003.jpg
PMC5385973_01_med-12-045-g003.jpg
j_med-2017-0008_fig_003
The opening in the vestibular surface of the body of mandible was widened to a diameter of 10 mm (Fig. 3), revealing yellowish tissue similar in appearance to adipose tissue, which had been enucleated (Fig. 4).
Structure of lipoma, consisting of mature yellow adipose; tissue with calcification. Hematoxylin-eosin staining. Magnification 300x
med-12-045-g005.jpg
PMC5385973_01_med-12-045-g005.jpg
j_med-2017-0008_fig_005
A microscopic image indicated the presence of a lipoma (Figs 5,6).