CBCT - serious pathosis - Courtesy ROOTS
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From: Fred Barnett
Sent: Friday, December 18, 2009 11:20 PM
Subject: [roots] cbct---serious pathosis
There is serious destruction *AND* these volumes need to be read by a radiologist! - Fred
That patient needs a biopsy and a good hysto pathologist to define the diagnosis. Radiologist would hardly be
of any significant help. Picture looks like chronic diffuse sclerosing osteomyelitis, but may well be
another kind of lesion, too ( osteoblastoma, osteogenic sarcoma, eosinophylic granuloma ). May be metas in the jaw, too.
Any neoplasma / cancer in any other parts of the body ?
Advisable to be reffered to an OMFS - Valeri Stefanov
Valerie, Good differential diagnosis. She was sent by an OMFS. Medico-legally, it can be helpful to have scans
read by a radiologist. - Fred
Hi Fred, Did you take radiographs first? If so, could you please post those too? - Kumar
Sadly, the last one I saw that looked like this was an osteogenic sarcoma.- Guy
Does this patient use bisphosphonates? - Bart Huybrechts