Clinico-Pathologic Conference: Case 5

Abstract

A 46 year-old Korean man presented with a 2 month-history of a painful swelling on his left maxillary gingiva. Intraoral examination demonstrated a gingival swelling around the left lateral incisor and canine of the maxilla. The swelling was 4 cm in diameter, exhibiting redness and tenderness on palpation. The left central incisor and the lateral incisor were extruded with slight mobility. Panoramic and periapical radiographs revealed a periapical radiolucency extending from tooth #9 to 11, with radiopaque foci (Figs. 1, 2). CT view showed an expansile lesion thinning the cortex of the anterior maxilla (Fig. 3).