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Case Reports
. 2021 Aug 21;9(8):e04609.
doi: 10.1002/ccr3.4609. eCollection 2021 Aug.

Odontogenic myxoma of the anterior mandible: Case report of a rare entity and review of the literature

Maryam Sohrabi  1 , Ramtin Dastgir  2
Affiliations
Case Reports

Odontogenic myxoma of the anterior mandible: Case report of a rare entity and review of the literature

Maryam Sohrabi et al. Clin Case Rep. .

Abstract

This report intends to compare classic presentations of odontogenic myxoma in contrast to our case. We also suggest a comprehensive evaluation of lesions and strongly advocate against premature treatments before reaching a definitive diagnosis.

Keywords: jaws; myxoma; neoplasms; odontogenic tumors; recurrence.

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Conflict of interest statement

None declared.

Figures

FIGURE 1
FIGURE 1
Initial orthopantomography (OPG) showing a unilocular radiolucent lesion encompassing the roots right lateral incisors and canine, strongly mimicking a radicular cyst
FIGURE 2
FIGURE 2
Initial orthopantomography (OPG) obtained from the patient upon presentation to our dental office. Notice the extension and multilocular pattern of radiolucency
FIGURE 3
FIGURE 3
Cone beam computed tomography (CBCT) of the anterior mandible revealing the extent of the lesion. Notice the evident buccal cortex destruction
FIGURE 4
FIGURE 4
(A) Histological analysis of the excised lesion depicting an abundant loose myxoid stroma containing few collagen fibers (×20 magnification, H&E staining). (B) presence of a neo‐formed tissue composed of haphazardly arranged stellate and spindle cells with no atypia in an abundant loose myxoid stroma (×100 magnification, H&E staining)
FIGURE 5
FIGURE 5
Elevation of the flap revealed destruction of the buccal cortex of the mandible. Tan‐pink tissue of the lesion is evident
FIGURE 6
FIGURE 6
Excision of the lesion mass with curette and periosteal elevator in a piece by piece manner
FIGURE 7
FIGURE 7
Peripheral ostectomy with a margin of 2–8 mm was conducted. Teeth roots were then cautiously burnished
FIGURE 8
FIGURE 8
Reapproximation and suturing of the flaps
FIGURE 9
FIGURE 9
One‐year postoperative follow‐up cone beam computed tomography (CBCT) scan revealing no traces of recurrence
FIGURE 10
FIGURE 10
Three‐dimensional cone beam computed tomography (CBCT) scan on 1‐year follow‐up revealing no traces of recurrence
See this image and copyright information in PMC

References

    1. Sivapathasundharam B. Shafer’s Textbook of Oral Pathology, 9th ed. New Delhi, India: Elsevier; 2020.
    1. Regezi JA, Sciubba JJ, Jordan RCK. Oral Pathology: Clinical Pathologic Correlations, 7th ed. Philadelphia, PA: Saunders; 2016.
    1. Odell EW. Cawson’s Essentials of Oral Pathology and Oral Medicine, 9th ed. New Delhi, India: Elsevier; 2017.
    1. Gupta S, Grover N, Kadam A, Gupta S, Sah K, Sunitha JD. Odontogenic myxoma. Natl J Maxillofac Surg. 2013;4(1):81‐83. - PMC - PubMed
    1. Shupak RP, Cho JJ. Mandibular odontogenic myxoma in a paediatric patient. BMJ Case Rep. 2020;13(10):e236926. - PMC - PubMed

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