Unilaterally Enlarged Mandibular Foramina and Canal Associated With Hyperplastic Lymphatic Tissue of Inferior Alveolar Nerve: Case Report and Short Literature Survey

TY - JOUR

T1 - Unilaterally Enlarged Mandibular Foramina and Canal Associated With Hyperplastic Lymphatic Tissue of Inferior Alveolar Nerve: Case Report and Short Literature Survey

AU - Friedrich, Reinhard E

AU - Matschke, Jakob

AU - Wilczak, Waldemar

N1 - Copyright© 2019, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved.

PY - 2019/8

Y1 - 2019/8

N2 - BACKGROUND: Different phenomena can result in enlargement of mental foramen and mandibular canal. At the foreground of diagnosis is the assessment of the biological properties of the tissue which causes such detailed lesions of the skeleton.CASE REPORT: This report describes a palpable mass at the site of the mental foramen with radiological evidence of an extensive enlargement of the bony portion of the inferior alveolar nerve. These findings were the reason for surgical exploration. Surprisingly, the mass was inflammatory tissue that had proliferated in the canal and foramina. The lesion had grown around the nerve and did not infiltrate it. The diagnosis of lymphatic hyperplasia was made. Other potential causes of the unusual radiological and clinical findings are explained with reference to the literature.CONCLUSION: Imaging does not provide a safe assessment of tumor biology. Surgical exploration with detailed tissue examination of the tumor provides the basis for appropriate therapy.

AB - BACKGROUND: Different phenomena can result in enlargement of mental foramen and mandibular canal. At the foreground of diagnosis is the assessment of the biological properties of the tissue which causes such detailed lesions of the skeleton.CASE REPORT: This report describes a palpable mass at the site of the mental foramen with radiological evidence of an extensive enlargement of the bony portion of the inferior alveolar nerve. These findings were the reason for surgical exploration. Surprisingly, the mass was inflammatory tissue that had proliferated in the canal and foramina. The lesion had grown around the nerve and did not infiltrate it. The diagnosis of lymphatic hyperplasia was made. Other potential causes of the unusual radiological and clinical findings are explained with reference to the literature.CONCLUSION: Imaging does not provide a safe assessment of tumor biology. Surgical exploration with detailed tissue examination of the tumor provides the basis for appropriate therapy.

KW - Humans

KW - Hyperplasia/diagnostic imaging

KW - Lymphoid Tissue/diagnostic imaging

KW - Mandible/diagnostic imaging

KW - Mandibular Nerve/diagnostic imaging

KW - Radiography

KW - Surveys and Questionnaires

U2 - 10.21873/anticanres.13554

DO - 10.21873/anticanres.13554

M3 - SCORING: Review article

C2 - 31366480

VL - 39

SP - 3991

EP - 4002

JO - ANTICANCER RES

JF - ANTICANCER RES

SN - 0250-7005

IS - 8

ER -