American Academy ofOral

and MaxillofacialPathology

CLINICAL PATHOLOGICCONFERENCE CASES

Wednesday, May 21, 20039:00 – 11:00 a.m.

L. Roy Eversole, Moderator

57th Annual Meeting&

Continuing Education Program

May 17-21, 2003Rim Rock Resort

Banff, AlbertaCanada

CLINICAL PATHOLOGIC CONFERENCEL. Roy Eversole – Moderator

Discussant ContributorCase 1 Dr. Don-John Summerlin Dr. Brenda Nelson

Indiana/Purdue University Armed Forces Institute of PathologySchool of Dentistry

Case 2 Dr. Talib Najjar Dr. Faizan AlawiUniversity of New Jersey University of PennsylvaniaSchool of Medicine & Dentistry School of Dentistry

Case 3 Dr. Samir El-Mofty Dr. Kitrina CordellWashington University University of MichiganSchool of Medicine School of Dentistry

Case 4 Dr. James Castle Dr. Theodora DanciuNaval Postgraduate Harvard UniversityDental School School of Dentistry

Case 5 Dr. Monica Zieper Dr. Seema GanatraOregon Health Science University University of AlbertaSchool of Dentistry School of Dentistry

Dr. Don-John Summerlin

Indiana University / Purdue UniversitySchool of Dentistry

CASE 1

Dr. Brenda Nelson

Armed Forces Institute of Pathology

CASE 1 DISCUSSANT

This new born infant presented with an anterior maxillary alveolar ridge

mass, present from birth.

Case 1, Figure 1

CASE 2

Dr. Talib Najjar

University of New Jersey School of Medicine and Dentistry

Departments of Oral and Maxillofacial Pathology and Surgery

CASE 2 DISCUSSANT

Dr. Faizan Alawi

University of PennsylvaniaSchool of Dentistry

28-year-old Asian American third year medical student consulted his friend who is a third year dental student for a loose right maxillary cuspid. The patient medical/dental history is unremarkable. Physical examination is WNL.

The patient was seen in Oral Diagnosis at the dental school, which referred him to the endodontic department because of external resorption seen in the periapical film. He was also referred to the periodontic department for possible splinting of this loose tooth.

When I was consulted, I performed incisionalbiopsy.

Case 1, Figure 1

Case 2, Figure 1

Case 2, Figure 2

Case 2, Figure 3

Dr. Samir El-Mofty

Washington University School of MedicineDepartment of Pathology

CASE 3

Dr. Kitrina Cordell

University of MichiganSchool of Dentistry

CASE 3 DISCUSSANT

The patient is a 24 year old man who presented to his Otolaryngologist with a complaint of persistent and progressive nasal obstruction. His laboratory values were within normal limits.

A CT scan, done at another hospital, showed a 3 cm. nasopharyngeal mass that caused lytic destruction of the bone of the spheniodsinus. The films provided are contrast enhanced magnetic resonance images (MRI).

Case 3, Figure 1

Case 3, Figure 2

Case 3, Figure 3

CASE 4

Dr. James Castle

Naval Postgraduate Dental School

CASE 4 DISCUSSANT

Dr. Theodora Danciu

Harvard UniversitySchool of Dentistry

This patient is a 23 year-old female whose initial complaint to the oral surgery department is that of a painful and swollen left mandible. She has apast history of a ventriculoperitoneal shunt in 1979 to treat her hydrocephalus, transient pyelonephritis in 1990, and a partial colectomy in1992 subsequent to her Crohn's disease which was followed by an ileostomy in 1993.

After an initial work-up, she was sent to the Oral Surgery Department for a biopsy of her left mandible.

Case 4, Figures 1, 2 and 3

Case 4, Figure 4

Case 4, Figure 5

Case 4, Figures 6 and 7

Case 4, Figures 8 and 9

Dr. Monica Zieper

Oregon Health Sciences UniversityDepartment of Oral Pathology

CASE 5

Dr. Seema Ganatra

University of AlbertaSchool of Dentistry

CASE 5 DISCUSSANT

A 49 year old female was referred to OMFS for evaluation of right mandibularradiographic abnormality.

Patient states that she felt that the fullness and expansion of her mandible was “sort of normal”.

She states that it has been at least 10 years since her last radiographic exam

March 3, 2002

Case 5, Figure 1

April 23, 2002

Case 5, Figure 2

September 10, 1996

Case 5, Figure 3