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ISSN 2007-3178 (Print)
Asociación Mexicana de Cirugía Bucal y Maxilofacial, Colegio Mexicano de Cirugía Bucal y Maxilofacial, A.C.

2013, Number 2

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Rev Mex Cir Bucal Maxilofac 2013; 9 (2)

Solitary bone plasmacytoma as a differential diagnosis in cases of chronic mandibular osteomyelitis. A clinical case report

Dávila CU, Miranda VJE

Language: Spanish
References: 12
Page: 66-71
PDF size: 392.12 Kb.


ABSTRACT

The histological similarity of central myeloma of bone (plasmocitoma) and chronic osteomyelitis could give the clinician diagnostic difficulties with these lytic bone disease of long evolution. These different diseases may have identical tomographic images and histological representation, but a completed different treatment plan or even an opposite one. We present a clinical case of a multitreated patient with a lytic bone lesion of long evolution; the department of Cirugía Maxilofacial del Hospital Regional «Gral. Ignacio Zaragoza» ISSSTE. We start a diagnose protocol with a fine needle aspiration and incisional biopsy; standard tool. The initial results come as: central myeloma of bone (plasmocitoma). In the radiographic trace, immunohistochemistry test and gammagrafia, the initial diagnose was refuted and chronic osteomyelitis was set as final diagnose. Knowing these the patient started the following surgical protocol: Extensive bone decortication, dental extraction and double antibiotic therapy for three weeks.


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