Evaluation included routine laboratory tests, and radiographs of the chest and neck, all of which were normal. There was no history of trauma, fever, chills, or night sweats. One month later, with no improvement, and with continued mandibular enlargement, he was given two additional courses of antibiotics. CT image depicting a large, destructive radiolucent lesion in the mid-right mandible.
Tumor perforates the lingual cortical plate and extends into surrounding soft tissue.
The mass measured approximately 3 x 4 cm and was shown to perforate the lingual cortex, invading the soft tissues of the floor of the mouth. No calcifications were imaged. The extraosseous portion of the tumor appeared well-defined suggesting an intact periosteum. The radiographic differential diagnosis included odontogenic myxoma, desmoplastic fibroma, and myofibromatosis. Loma Linda University.