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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

serious pathosis

serious pathosis

serious pathosis

serious pathosis 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

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