Inflammatory Myofibroblastic Tumor Mimicking Apical Periodontitis.

Abstract:

:Inflammatory myofibroblastic tumors (IMTs) are rare. IMTs of the head and neck occur in all age groups, from neonates to old age, with the highest incidence occurring in childhood and early adulthood. An IMT has been defined as a histologically distinctive lesion of uncertain behavior. This article describes an unusual case of IMT mimicking apical periodontitis in the mandible of a 42-year-old man. At first presentation, the patient showed spontaneous pain and percussion pain at teeth #28 to 30, which continued after initial endodontic treatment. Panoramic radiography revealed a radiolucent lesion at the site. Cone-beam computed tomographic imaging showed osteolytic lesions, suggesting an aggressive neoplasm requiring incisional biopsy. Histopathological examination indicated an IMT. The lesion was removed en bloc under general anesthesia, and the patient manifested no clinical evidence of recurrence for 24 months. Lesions of nonendodontic origin should be included in the differential diagnosis of apical periodontitis. Every available diagnostic tool should be used to confirm the diagnosis. Cone-beam computed tomographic imaging is very helpful for differential diagnosis in IMTs mimicking apical periodontitis.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Adachi M,Kiho K,Sekine G,Ohta T,Matsubara M,Yoshida T,Katsumata A,Tanuma J,Sumitomo S

doi

10.1016/j.joen.2015.09.006

subject

Has Abstract

pub_date

2015-12-01 00:00:00

pages

2079-82

issue

12

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(15)00831-6

journal_volume

41

pub_type

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