case_images: PMC11130347_01
case_images: The biopsy from the proband shows a bone sample with widened trabeculae. Osteoblastic activity and irregular bone formation are seen as blue cement lines. The cement lines represent changes in the direction of new bone formation and are not pathognomonic of a specific process by themselves; they are best seen in Paget's disease but may be visible in other disorders involving rebuilding of the bone structure (Hematoxylin-Eosin stain 9.9x).
case_images: pore-30-1611768-g001.jpg
case_images: PMC11130347_01_pore-30-1611768-g001.jpg
case_images: F1
case_images: Histopathological examination revealed a Paget's disease-like bone metabolic disorder with mixed osteoblastic and osteoclastic activity (Figure 1).
case_images: (A) Panoramic radiograph of the proband shows impacted teeth (small arrows), radix relicta (large arrows), and the dotted arrow indicates the location of the specimen taken for histopathological examination. Dental caries are present in almost all teeth (B) Panoramic radiograph of the proband's sister shows multiple impacted teeth.
case_images: pore-30-1611768-g002.jpg
case_images: PMC11130347_02_pore-30-1611768-g002.jpg
case_images: F2
case_images: Intraoral examination revealed an eruption status of the teeth, canines and premolars were in rentention (Figure 2B).
case_images: PMC11130347_02
case_images: (A) Panoramic radiograph of the proband shows impacted teeth (small arrows), radix relicta (large arrows), and the dotted arrow indicates the location of the specimen taken for histopathological examination. Dental caries are present in almost all teeth (B) Panoramic radiograph of the proband's sister shows multiple impacted teeth.
case_images: pore-30-1611768-g002.jpg
case_images: PMC11130347_02_pore-30-1611768-g002.jpg
case_images: F2
case_images: Intraoral examination revealed an eruption status of the teeth, canines and premolars were in rentention (Figure 2B).
case_images: (A) Postcontrast coronal T1W MP RAGE MRI reveals right parietal and left occipital dermoid cysts. (B) CT examination of the skull shows osteomas of the left mandibular ramus and alveolar process of the maxilla. (C) CT examination of the skull reveals multiple osteomas of the ethmoid cells and alveolar process of the maxilla.
case_images: pore-30-1611768-g003.jpg
case_images: PMC11130347_02_pore-30-1611768-g003.jpg
case_images: F3
case_images: The multiple bone lesions depicted may be consistent with osteomas when evaluated together with the earlier CT scan images (Figure 3).