The patient is a 38-year-old male who attended the Oral and Maxillofacial Surgery Service of Hospital Vall d'Hebron, another center, due to a 1-year history of mandibular tumor.
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The pathological antecedents include being exadict to parenteral drugs, being HCV positive and HIV positive in treatment with antiretrovirals.
The examination revealed a right mandibular tumor of approximately 5 cm in size, fixed and hard consistency maintaining the integrity of the oral mucosa.
The orthopantomography showed a mixed lesion with calcifications inside that affected the right hemimandible.
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Computed tomography showed a mixed expansive lesion in the body of the right jawbone that had 4.5x3x3.3 cm cortical.
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Biopsy revealed calcifying epithelial odontogenic tumor.
The patient underwent right hemimandibulectomy with microsurgical reconstruction with fibula.
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Pathology revealed a 4 x 2.5 cm irregular surface mass with heterogeneous appearance, congestive areas and remnants of dental pieces, which confirmed the diagnosis of calcifying epithelial odontogenic tumor of soft jaw and peristaltic parts.
The chin nerve showed no invasion and intraoperative biopsy of the left facial chain ganglion showed no metastases.
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The postoperative evolution was favorable and she was discharged tolerating diet and wound control in external consultations.
