Revista Mexicana de Cirugía Bucal y Maxilofacial

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>Journals >Revista Mexicana de Cirugía Bucal y Maxilofacial >Year 2013, Issue 2

Dávila CU, Miranda VJE
Solitary bone plasmacytoma as a differential diagnosis in cases of chronic mandibular osteomyelitis. A clinical case report
Rev Mex Cir Bucal Maxilofac 2013; 9 (2)

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

Full text


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.

Key words: Solitary bone plasmocitoma.


  1. Fauci SA, Braunwald E, Kasper LD, Hauser LS, Jameson JL, Loscalzo J et al. Principios de medicina interna. 17a ed. México: McGraw Hill Interamericana; 2008: p. 703.

  2. Regezi J, Sciubba J. Patología bucal, correlaciones clinicopatológicas. 3a ed. México: McGraw Hill Interamericana; p. 416.

  3. Souza LN. Osteomielitis crónica supurativa en el maxilar superior. Avances en odontoestomatología. 2010; 26 (6): 295-300.

  4. Philip SJ, Lewis RE, Wysocki PG. Patología oral y maxilofacial contemporánea. 2a ed. España: Elsevier; 2005: p. 91.

  5. Al Qamachi LH, Aga H, McMahon J, Leanord A, Hammersley N. Microbiology of odontogenic infections in deep neck spaces: a retrospective study. Br J Oral Maxillofac Surg. 2010; 48 (37): 37-39.

  6. Topazian GR, Goldberg HM, Hupp RJ. Oral and maxilofacial infections. 4th Ed. W.B Saunders Company: p. 216.

  7. Allison M, Finley MD, Michael S, Besson MD. Actinomycosis osteomielitis of the mandible. American Journal of Emergency Medicine. 2010; 28:.

  8. Brad W, Neville DDS, Douglas D, Damm DDS. Oral & maxilofacial pathology. 2nd ed. 526-527.

  9. Edward Ellis, Michael FZ. Surgical approaches to the facial skeleton. 138-150.

  10. Navarro VC. Tratado de cirugía oral y maxilofacial. Tomo 1. 2a ed. p. 150.

  11. Flynn TR, Halpern LR. Antibiotic selection in head and neck infections. Oral Maxillofac Surg Clin North Am. 2003; 15: 17–38.

  12. Socransky SS, Haffajee AD. Dental biofilms: difficult therapeutic targets. Periodontology 2000. 2002; 28: 12-55.

>Journals >Revista Mexicana de Cirugía Bucal y Maxilofacial >Year 2013, Issue 2

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