Journal of Pierre Fauchard Academy (India Section)

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A Hybrid Lesion of the Mandible with Three Coexistent Pathologies: Report of a Rare Case with Literature Review


Affiliations
1 Oral and Maxillofacial Surgery Consultant, Bensups Hospital, Sector-12 Dwarka - 110075, New Delhi, India
2 Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg - 110002, New Delhi, India
3 Department of Oral Pathology, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg – 110002, New Delhi, India
     

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Hybrid lesions are rare and microscopically composed of areas of distinct pathologic entities. The occurrence of dual lesions containing Central Giant Cell Lesion (CGCL) and fibro-osseous lesions has been recorded in the literature. Although many similar cases have been reported the pathophysiology of such lesions is yet not well understood. Furthermore, their clinical behaviour and treatment guidelines are also not clearly outlined. Presented here is a unique case of a 17-yearold male with a hybrid lesion with a triad of pathological entities, Ossifying fibroma, CGCL and aneurysmal bone cyst. The clinical presentation, pathogenesis and behaviour of the reported lesion are comprehensively explained. The authors believe that greater knowledge of the hybrid variety of jaw lesions may aid in better understanding and management of these lesions by clinicians.

Keywords

Aneurysmal, Bone Cysts, Fibroma, Giant Cell Granuloma, Mandible, Ossifying Fibroma.
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  • A Hybrid Lesion of the Mandible with Three Coexistent Pathologies: Report of a Rare Case with Literature Review

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Authors

Jitender Dabas
Oral and Maxillofacial Surgery Consultant, Bensups Hospital, Sector-12 Dwarka - 110075, New Delhi, India
Anjali Verma
Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg - 110002, New Delhi, India
Sujata Mohanty
Department of Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg - 110002, New Delhi, India
Aadithya B. Urs
Department of Oral Pathology, Maulana Azad Institute of Dental Sciences, Bahadur Shah Zafar Marg – 110002, New Delhi, India

Abstract


Hybrid lesions are rare and microscopically composed of areas of distinct pathologic entities. The occurrence of dual lesions containing Central Giant Cell Lesion (CGCL) and fibro-osseous lesions has been recorded in the literature. Although many similar cases have been reported the pathophysiology of such lesions is yet not well understood. Furthermore, their clinical behaviour and treatment guidelines are also not clearly outlined. Presented here is a unique case of a 17-yearold male with a hybrid lesion with a triad of pathological entities, Ossifying fibroma, CGCL and aneurysmal bone cyst. The clinical presentation, pathogenesis and behaviour of the reported lesion are comprehensively explained. The authors believe that greater knowledge of the hybrid variety of jaw lesions may aid in better understanding and management of these lesions by clinicians.

Keywords


Aneurysmal, Bone Cysts, Fibroma, Giant Cell Granuloma, Mandible, Ossifying Fibroma.

References





DOI: https://doi.org/10.18311/jpfa%2F2022%2F29894