ADENOID CYSTIC CARCINOMA OF MANDIBLE MANIFESTING AS POST EXTRACTION LESION

Abstract

Aim: To present a case of adenoid cystic carcinoma of mandible manifesting as post extraction lesion.
Summary: A 56 years old female patient came with chief complaint of pain and cheek bite in right posterior teeth region of mandible since last 2 Months. She has undergone extraction of lower right 3rd molar before 1 year. Intra oral examination reveals a soft fibrous growth distal to right lower 2nd molar. A radiograph shows radiolucency distal and apical to distal root of right lower 2nd molar. A soft tissue at the site of extraction was excised and sent for histo-pathological report , which reveals adenoid cystic carcinoma.
Key learning points:
• Adenoid cystic carcinoma affecting the mandible may mimic a periapical lesion. Proper diagnosis of such a lesion is dependent on thorough clinical, radiographic and microscopic examinations.
• Such a case highlights the benefits of biopsy and histological examination of collected tissues.
• Diagnosis of lesions in the mandible should include salivary gland tumours.